This Student Accident Coverage Claim Form allows parents/guardians to file a claim for medical expenses resulting from school-related injuries. The SISC Student Accident Coverage is secondary to private health insurance and covers up to $2,500 in medical costs. Claims must be submitted within one year of the injury date, and medical treatment must begin within 30 days. The form includes parent/guardian details, accident information, school official verification, and submission instructions.
Student Accident Coverage Claim Form
File Type:
pdf
Categories:
SISC II Forms and Guidelines