WEST COAST FLORIDA SQUARE & ROUND DANCERS ASSOCIATION
INSURANCE DOCUMENTS

The Florida Federation Insurance Chairman has provided all the insurance forms that are required for your club and/or Association.

All forms are to submitted to your Association Insurance Chairman who will in turn forward them to the Florida Federation Insurance Chairman
In no case should any forms be sent directly to the USDA Insurance Chairman
This will just create a delay in processing the paperwork.

The Insurance Chairman for the West Coast Association is:
Bob & Nancy Hagaman
13 Hibiscus Court
Homosassa, FL  34446
352-382-2631

All forms that do not require a signature and/or payment can be e-mailed to your Association Insurance Chairman

FOR MORE INFORMATION ABOUT USDA INSURANCE PROGRAM
Contact Randy & Carol:  (386) 734-5295 or e-mail them at rpoole19@cfl.rr.com or cpoole19@cfl.rr.com

Copies of ALL Material may be printed in MS Word (.doc) or Adobe Acrobat Reader (.pdf) format.

Click on this link to download a FREE copy of for PDF Printing.

The following is a list of material that is available:

For the West Coast Association Clubs & Area Insurance Chairpersons

MS WORD
.doc

ADOBE
.pdf

SUBJECT
Club Roster Club Roster Club Roster
Additional Enrollment Additional Enrollment Additional Enrollment
Class Roster Class Roster Club Class Roster
Another Club Another Club Club Members Insured
Thru Another Club
Request for Certificate Request for Certificate Request for a Certificate
Event or Travel Event or Travel Event or Group Travel
Inspection Inspection Inspection of Premises
Accident Report Accident Report Club Accident Report

For Area Insurance Chairpersons

MS WORD
.doc

ADOBE
.pdf

SUBJECT
Cover Sheet Cover Sheet Cover Sheet
Club Enrollment Form Club Enrollment Form Club Enrollment Form

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