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  • Myers-stevens Claim Form - Cifsf

Get Myers-stevens Claim Form - Cifsf

SEE REVERSE SIDE FOR CLAIM FILING INSTRUCTIONS Myers-Stevens & Toohey & Co., Inc. 1. Report school-related injuries to the school within 72 hours 2. Complete this form 3. Attach all bills.

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How to fill out the Myers-Stevens Claim Form - Cifsf online

Filling out the Myers-Stevens Claim Form - Cifsf online can be a straightforward process if you approach it step by step. This guide will provide detailed instructions to help you accurately complete each section of the form.

Follow the steps to successfully complete the Myers-Stevens Claim Form - Cifsf.

  1. Click the ‘Get Form’ button to obtain the form and open it for editing.
  2. In Part A, fill in the name of the insured person. This includes the first name, middle initial, last name, age, grade, and gender. Additionally, provide the name of the school and the date of injury or sickness along with the student ID number.
  3. Indicate the time of injury by specifying whether it occurred in the A.M. or P.M. Then, select the situation in which the injury occurred by checking the appropriate box, such as 'Interscholastic Practice' or 'At Home'.
  4. In the details section, explain how the injury occurred or describe the sickness in specific terms. If the student was involved in a sport not related to school, indicate this by checking 'Yes' and provide details of the organization contacted.
  5. Complete the questions regarding the injured body part and whether the student has suffered from the same condition before, including details if applicable.
  6. In Part B, the parent or legal guardian should fill out their information and answer if the student is covered by other health or accident insurance plans. Provide relevant details for the insurance company, including policy numbers and contact information.
  7. Review the completed form for accuracy, ensuring that all sections are filled out entirely. Save your changes and get ready to download or print the form.
  8. Finally, upon completion, you can submit the form, along with all required bills, to the specified address to ensure proper processing of the claim.

Get started on submitting your claims online today!

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232