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INSURANCE PROGRAM INFORMATION Insurance Overview
Insurance Exclusions
Disabled Sports USA Waiver Policy
Incident Reporting Policy
Certificates of Insurance
Background Checks
Volunteer Training
Equipment Inspection
Equipment Loan Agreements
Helmet Policy
15 Passenger Van Safety
Chairlift Advisory
Participant Registration Policy
PLEASE SCROLL DOWN TO COMPLETE INCIDENT REPORT FORM
A Disabled Sports USA incident report  form must be completed by a chapter participating in the DSUSA insurance program to document  any incident (injury, sickness, assault)  regardless of whether or not medical attention was required.  All staff and volunteers must be properly trained on the incident report form procedures and the forms should be available at all activity sites. The incident report form must be submitted via the electronic incident reporting form below or by filling out the PDF form and emailing it to ccollins@dsusa.org.  A sample of a properly detailed/completed incident report form can be found below.

Please note, the completed incident report is an internal document and may only be shared with Disabled Sports USA Headquarters.

Sample Incident Report Form – Non Injury

Sample Incident Report Form – Major Injury or Illness

Below are the procedures for ensuring proper incident reporting:

  • Complete, in detail, all areas of the reporting form
  • Provide sufficient details to ensure that anyone who did not witness the incident will be able to understand exactly what occurred at the incident
    • When needed, attach additional pages to completely detail the incident
    • When there are witnesses to the incident, please have each witness provide a witness statement that is signed and dated that accurately reflects exactly what they observed
  • Keep all narratives to known facts.  Do not speculate on injuries or medical information that has not been verified by a trained medical professional
    • i.e. “Susie complained of pain in her knee” vs. “Susie sprained her knee”
  • Use first names when detailing the incident, avoid the use of pronouns (he, she, they, we)
  • Attach any available documentation provided by Emergency Medical Services (i.e. ski patrol, lifeguard, EMT, paramedic, etc).

The completed incident report form along with the Disabled Sports USA Waiver and Release Form must be submitted within 48 hours of the incident. Questions? Phone 301-217-9841 or email ccollins@dsusa.org.

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Disabled Sports USA is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. Donations are tax-deductible as allowed by law.

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