TSSAS Forms

League Resource for Managing League and Personal Risk

USASA Region III Workshop - Managing League & Personal Risk

Insurance

Form NameDescription

Player Insurance Claim Form Player Insurance Claim Form (208 KB)

This is the player insurance claim form to be completed by the player. Updated, November 2014.

Instructions for Filing a Claim Instructions for Filing a Claim (80 KB)

This document gives you instructions on how to complete and file your insurance claim.

Player Insurance Plan Benefits Information (English) Player Insurance Plan Benefits Information (English) (583 KB)

This statement is intended as a general description of excess plan benefits available under the Participant Accident Policy.

Plan de Beneficios de Seguro Equipos Informacion (Español) Plan de Beneficios de Seguro Equipos Informacion (Español) (577 KB)

Este comunicado es una descripción general de los beneficios adicionales del plan disponibles en virtud de la Póliza de Accidentes del Participante.

Liability Insurance Summary (English) Liability Insurance Summary (English) (577 KB)

This is a general reference to what coverage(s) the insurance policy provides.

Resumen Seguro de Responsabilidad Civil (Español) Resumen Seguro de Responsabilidad Civil (Español) (577 KB)

Esto es una referencia general a qué cobertura (s) la póliza de seguro ofrece.

Certificate of Insurance Request Form Certificate of Insurance Request Form (42 KB)

Leagues can use this completable document to request a certificate of insurance from TSSAS.

Excess Liability Coverage Information (English) Excess Liability Coverage Information (English) (574 KB)

This document describes the excess liability coverage available under the policy.

Información Exceso Cobertura de responsabilidad (Español) Información Exceso Cobertura de responsabilidad (Español) (569 KB)

Este documento describe el exceso de cobertura de responsabilidad disponibles bajo la póliza.
Contact TSSAS

TSSAS Registrar
Harmony Zajdel
234 Bright Trail
San Antonio, TX 78253

Email: registrar@tssas.org

By Phone: 210-326-5942

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