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Insurance Claims

 
MAKE SURE YOU FOLLOW ALL 4 STEPS BELOW
 
Step 1: Download and process an insurance claim form - Click Here
 
*If you proceed to file a claim, you (the claimant) is responsible for paying the deductible.
 
Step 2: Fill out an Insurance Information Form - Click Here
 
Step 3: Please send in the individual's medical release forms to the MYSA Office: MYSA Medical Release Form
 
Step 4: Submit ALL forms to the MYSA Office:
 
Missouri Youth Soccer Association
2230 Bluestrone Drive
St. Charles, MO 63303
Fax: 636-946-0939
 
If you have any questions, please call the MYSA Office at 636-946-0958, ext. 103 or email at jake@moyouthsoccer.org.
 
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