EHWSL injury report
Name of injured person:
Your answer
Date of birth:
Your answer
Where incident took place
Date of injury:
Your answer
Name of facility
Your answer
Description of injury (exact location of the injury:left,right etc.)
Your answer
Description of injury (where and how it occurred)
Your answer
List treatment if any
Your answer
Insurance claim process- are you interested in the injury claim procedure? Players are covered by secondary insurance through U.S Club
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