STATE GOVERNING BODY
UNDER USASA & US SOCCER

USASA INCIDENT REPORT REVIEW

USASA INCIDENT REPORT REVIEW

USASA INCIDENT REPORT REVIEW

                                              USASA INCIDENT REPORT REVIEW

A reminder that this is a supplemental accident insurance policy. For additional benefit information, please see the summary links below.

You can submit an injury claim If you are a registered USASA player and your injury occurred during a sanctioned USASA event. Players must file their claim within 90 days from the date of the injury.

When completing the claim, please make sure your contact information, including date of birth and injury date, is correct. After your claim is approved, you will receive an email and an acknowledgment letter by mail with further instructions.

The email addresses you will receive communication from are:

cdxnotify@agadministrators.com and affinity@agadm.com

Please check your spam/junk files before contacting your member association.  https://agadmin.retool.com/embedded/public/2431b24b-f945-4475-ba7d-338ce14904b2

USASA INCIDENT REPORT