Insurance
Insurance is provided by All Sport Insurance Marketing Ltd.
Please send the original completed form along with any invoices for
expenses you had to pay yourself to:
Lesley Squibb
22 Bellefield Crescent
Box 358
Arthur, ON N0G 1A0
lesley.squibb@ontariobroomball.ca
Form: Accident Claim Form
Note:
CERTIFICATION OF ASSOCIATION OR CLUB EXECUTIVE
section will be completed by the F.B.A.O. Secretary. Please do not fill in any section of this box in any
way.
Do not
send your claim directly to All Sport as they will not be able to process it.
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