Heart of Ohio Council

The attached claim form from Health Special Risk is to be used to submit claims for injury that occurs during a Scouting function. 

The form must be completed and signed by parent/participant and also witnessed.  Please attach a description of the injury, date and location it occurred, and description of what happened.

Be sure the form is completely filled out and submit for verification to the Council Service Center, P. O. Box 368, Ashland, OH 44805-0368.  Be sure to attach all itemized bills with your paperwork to be filed.