Nahga claims services 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1: Policyholder & Insured. Fill in the school/organization name, policy number, and student details including last name, first name, and social security number.
3. Complete the mailing address section and provide the city, state, zip code, birthdate, gender, phone number, date and time of injury, and location of the injury.
4. Indicate how the injury occurred and specify if it was during a supervised activity. Include details about the sport designation and type of sport.
5. In Part 2: Parent or Guardian Statement, enter both parents' names and contact information along with their employers' details.
6. Confirm if the student has other insurance coverage and provide the insurance carrier's name if applicable.
7. In Part 3: Authorization, read through the authorization statement carefully. Sign and date where indicated to authorize information disclosure for claim processing.

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