Disabled Sports USA

Chapter Insurance Forms

Disabled Sports USA Waiver and Media Release Form
This document needs to be signed by all staff, volunteers, and participants prior to their participation in your programs/events. The waiver needs to be signed once annually and stored with your chapter’s records. The Waiver of Liability and Media Release form needs to be modified to include your chapter’s name immediately after Disabled Sports USA appears in the opening statement, section 1. and section 4. (i.e. DISABLED SPORTS USA and (insert your chapter name here programs, related events…).
English (pdf) 52kb	Espanol (pdf) 11kb

Disabled Sports USA Accident/Incident Report Form
This form is to be used when an accident occurs that requires medical attention or a written report (i.e. ski patrol report) is generated. If you have any doubt about whether or not a form should be used, please use it. The form should be completed, in detail as soon as possible after the accident/incident occurs and immediately forwarded to Disabled Sports USA by email to dsusa@dsusa.org or by fax to (301) 217.0968
Download Accident/Incident Report Form (pdf) 52kb	HTML

Disabled Sports USA Request for Certificate of Insurance Form
This form should be submitted when an entity asks that they be added to the DS/USA Commercial General Liability Policy as an Additional Insured. The completed form should be emailed to dsusa@dsusa.org for processing.
Download Request for Certificate of Insurance Form (pdf) 52kb