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 WSASA offers supplemental injury insurance to all of our registered players through affiliation with USASA for injuries sustained during an affiliated match.

To be considered for benefits, the following conditions must be met:

1. You must have a valid WSASA membership at the time of the injury.

2. Be seen by a medical provider for the injury within 90 days of the injury event.

3. Submit the completed injury claim form within 90 days of the injury.

The completed injury claim form may be sent to WSASA via email, fax or mail.

 

WSASA is the State Office that will verify your claim. If you have additional questions, please email or call us.

 

Claim Form and Claim Instructions

E-mail:
office@wssa.org
Fax: (425) 485-7386
Mail: 2418 California St Suite A, Everett, WA 982018

WSASA ofrece un seguro suplementario de lesiones a todos nuestros jugadores registrados a
través de la afiliación con USASA por lesiones sufridas durante un partido afiliado.

Para ser considerado para recibir beneficios, se deben cumplir las siguientes condiciones:

1. Debe tener una membresía WSASA válida en el momento de la lesión.

2. Ser atendido por un proveedor médico por la lesión dentro de los 90 días posteriores al evento de lesión.

3. Presente el formulario de reclamo por lesiones completado dentro de los 90 días de la lesión.

El formulario de reclamo por lesiones completo puede enviarse a WSASA por correo electrónico, fax o correo postal.
WSASA es la oficina estatal que verificará su reclamo. Si tiene preguntas adicionales, envíenos un correo electrónico o llámenos.

Formulario de reclamo en español and Reclamar instrucciones en español

 

Washington State Adult Soccer Association

2418 California St Suite A
Everett, WA 98201
(425) 485-7855
office@wssa.org
www.wssa.org

Contact Us - Washington State Adult Soccer Association


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