If you sustained an injury while participating in a covered activity and participant accident coverage is in place, please follow the instructions in the Incident Report Form below. Note the form must be signed by an officer of WAB.
To report a claim or potential claim, please complete an Incident Report Form.
Keep a copy for your records and send the completed form to:
Health Special Risk, Inc.
4100 Medical Parkway, Suite 200
Carrollton, TX 75007
Customer Service: 800-328-1114
In addition to completing the form, please notify the WAB President (email@example.com) and WAB Ride Coordinator (firstname.lastname@example.org) as soon as possible.
Questions? Please e-Mail email@example.com