Get Team & Individual Registration Insurance : Rps Bollinger

Filling out the Team & Individual Registration Insurance form from RPS Bollinger can be straightforward with the right guidance. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your registration.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the claimant's name, including first and last name, in the designated fields. Ensure spelling is correct.
3. Fill in the address fields with complete information, including city, state, and zip code.
4. Enter the claimant's telephone number and birthdate in the specified formats.
5. Indicate the sex of the claimant by selecting the appropriate option, selecting 'Youth,' 'Coach/Manager,' or 'Other' as applicable.
6. Provide the name of the league and team, along with the tournament name and type.
7. Include the USA Softball ID card number, and make sure to attach a copy of the card.
8. Record the accident date and time, ensuring to choose 'am' or 'pm' appropriately.
9. Specify the body part that was injured during the incident.
10. Indicate where the accident occurred by selecting the relevant options: 'Game,' 'Practice,' 'Tournament,' 'Camp/Clinic,' or 'Other.'
11. Provide a detailed description of how and where the accident occurred.
12. Fill in the name of the field or facility where the accident took place.
13. Have a team or league official sign and provide their name, title, and date of the signature.
14. A USA Softball State or Metro Commissioner or designated official must sign and verify that the claimant is a registered member.
15. Complete the sections regarding other insurance, including names, addresses, and coverage details.
16. Sign the certification and authorization section, ensuring that all required signatures are included.
17. Review all entries for accuracy, then save changes, and download or print the completed form for submission.

Start completing the Team & Individual Registration Insurance form online today to ensure your coverage is secured.