Loading
Get Nc Student Accident Coverage 2019-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the NC Student Accident Coverage online
This comprehensive guide provides step-by-step instructions for filling out the NC Student Accident Coverage form online. By following these instructions, users can ensure a smooth and efficient enrollment process for accident coverage.
Follow the steps to complete your online enrollment successfully.
- Click ‘Get Form’ button to obtain the NC Student Accident Coverage form and open it for editing.
- Enter the student's last name, first name, and middle name in the designated fields.
- Provide the student's date of birth in the specified format.
- Fill out the student's street address, city, state, and zip code accurately.
- Select the name of the school district and school the student attends from the dropdown options.
- Indicate the student's grade level by checking the appropriate box (e.g., Pre-K, Kindergarten, High School).
- Have a parent or guardian sign and date the form in the specified section.
- Provide an email address and phone number for contact purposes.
- Choose the desired accident coverage plan by checking the corresponding box for each option selected.
- Include payment information by enclosing a check or money order made payable to Nationwide Life Insurance Company.
- Mail the completed form with payment to K&K Insurance Group, P.O. Box 2338, Fort Wayne, IN 46801-2338.
- Retain a copy of the form and payment confirmation for your records.
Enroll online today for quicker access to NC Student Accident Coverage.
Deciding whether to get NC Student Accident Coverage largely depends on your lifestyle and risk factors. If your child participates in active sports or recreational activities, having a protection plan may be wise. It’s an effective way to ensure financial support for medical needs resulting from accidents.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.