Certificate of Liability (COI) Form
Certificate of Liability Insurance Request Form
Note: Must be submitted by team or club’s home association to email@example.com
Youth Claim Forms
Youth Injury Claim Form 20/21 - English
Youth Injury Claim Form 20/21 - Spanish
Adult Claim Forms
Adult Injury Claim Form 21/22 - English
Adult Injury Claim Form 21/22 - Spanish
Additional Insurance Forms:
Fidelity Bond Application
NTSSA Auto Rental Program
25k Player Insurance Coverage Request Form
Referee Injury Claims
Your age does not matter. You will use the form based on the type of game you refereed.
If a youth game, use the youth claim forms. If Adult game, use the adult claim form.
Instead of a roster or coach letter, you will have the league or tournament admin/director provide a statement and game card.
Please email any questions to firstname.lastname@example.org