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New York State West Youth Soccer Assoc Insurance Claim Form

 

 

If you need to file a claim through NYSWYSA/Pullen Insurance Services

click on this link to download the insurance form: 

http://nyswysa.org/docs/InsuranceInfo/NYW_claim_2011_Revised.pdf.pdf

if the link doesn’t work follow this procedure:

·        Log on to  www.nyswysa.org click on:

·        Forms

·        Insurance Claim Form

 

Download form and send to NYSWYSA Office.    Address is on first sheet.


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