Get Usea Release Form

Filling out the Usea Release Form online is an important step ensuring that you or your child receive necessary medical care during events. This guide will walk you through each section of the form to help you complete it accurately and efficiently.

Follow the steps to complete the Usea Release Form.

1. Click the ‘Get Form’ button to obtain the Usea Release Form and open it in your online editor.
2. Begin with the section labeled 'Name.' Enter your full name as it appears on your identification.
3. In the 'Soc. Sec. #' field, provide your Social Security number, ensuring it is entered accurately for identification purposes.
4. Fill in your 'Date of Birth' to confirm your age, which is essential for medical authorization.
5. Complete the 'Address' section with your current residence details, including City, State, and Zip code.
6. If you are a parent or guardian filling this form for a minor, ensure to provide emergency contact information, including the name and both telephone and cell numbers.
7. Detail your medical insurance information by entering the 'Medical Insurance Company,' 'Policy #,' and 'Member #' as it appears on your insurance card.
8. Indicate any relevant medical information in the 'Medical Information' section, noting allergies or prior medical history.
9. For adult riders, sign and date the 'Release for an Adult Rider' section confirming your understanding and consent to emergency medical care.
10. For minor riders, complete the 'Release for a Minor Rider' section, including the child's name and any necessary medical history, then have a parent or guardian sign and date it.
11. Once all sections are filled out completely, review the form for accuracy and completeness.
12. Finally, save your changes and choose to download, print, or share the form as needed.

Complete your Usea Release Form online today to ensure preparedness during your event.