Select Page

2022 HSR Accident & Sickness Claim Form

CURRENT YEAR Claim form for Health Special Risk (HSR) insurance policy for incidents occurring in the calendar year 2022. Use this form to process a claim in the event of an accident or other applicable incident within 90 days. This form is only needed in the event of a claim. Fill out the form and process it 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 occurred in 2021, please use the 2021 form found below.

Translate »