How to Claim

How do I make a claim? 

Claims for medical expenses can be made by completing the Volunteer Accident Insurance: Non-Dental form in its entirety. This is a single form comprising 3 pages. 

  • Page 1: The Claimant's Section is to be completed by the volunteer. The School Declaration is to be completed by the school principal.
  • Page 2: Is to be completed by the volunteer.  
  • Page 3: The Physcian's Statement section is to be completed by the attending physcian, but does not need to be completed for claims $100 or less or for an ambulance bill. 

Claims for dental expenses can be made by completing the Volunteer  Accident Insurance: Dental form in its entirety.  This is a single form comprising 3 pages. 

  • Page 1: The Patient Information section is to be completed by the volunteer.  The School Declaration is to be completed by the school principal.
  • Page 2: Is to be completed by the volunteer .
  • Page 3: The Attending Dentist Statement is to be completed by the dentist.

Submit all of the above to SSQ Insurance Company Inc.

Forms

Dental

Non-Dental