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.2020 Unit Accident Insurance Claim Form (PDF)

CURRENT YEAR - Claim form for Health Special Risk (HSR) insurance policy for incidents occurring in the calendar year 2020. Use this form to process a claim in the event of an accident or other applicable incident. This form is only needed in the event of a claim. Fill out the form and process directly through HSR, the third-party insurance company through which Cascade Pacific Council has purchased unit accident insurance for each Scouting unit. If your incident occured in 2019, please use the 2019 form, found below.