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Insurance Coverage and Forms



Youth soccer-related insurance information

Coverage and Certificate
Reporting an Accident
  • First Report of Accident Form
    • Will require a coach or club official's signature
    • You can fill out the form online and then print your completed form, or you can print it blank and fill it out manually.
    • Instructions on where to send at top of form
Medical release form as per US Youth Soccer Requirements
  • Form is type-able .pdf, so parents can complete by placing the cursor on each line and typing information
  • Once complete, save it to your computer, then print and sign it
  • Required photocopy of both sides of insurance form and attach it with Medical Release. 


Adult soccer-related insurance information

The primary component of the US Adult Soccer Association (USASA) Risk Management Program is the package of insurance coverage’s that is purchased on behalf of the member players, Teams, Leagues, and state and national organization. This comprehensive plan protects members, member teams and leagues and USASA in the event of claims arising out of activities organized by your team, league or state or national organization. The Accident policy covers medical and dental expenses during sanctioned amateur soccer activities. The General Liability policy protects members and USASA in the event they are sued for incidents involving bodily injury or property damage resulting from an amateur soccer activity.

These high limit policies provide excellent protection to the organization and go a long way to reduce out-of-pocket-loss by USASA members. To the extent the General Liability Policy does not adequately protect your organization based on the local needs you face, the USASA insurance program can be expanded locally to add additional coverage for reasonable fees.
Details and forms can be accessed on the US Adult Soccer website at the following links:

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Urbandale, IA 50322
Tel: 515.252.6363

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