Ride Leaders - if a participant on a ride you lead sustains an injury, please follow the instructions in the Incident Report Form below. Note the form must be signed by a representative of the policyholder.

To report a claim or potential claim, please complete an Incident Report Form.

Keep a copy for your records and send the completed form to:

WEB-TPA
P.O. Box 2415
Grapevine, TX 76099-2415
Toll-Free: 866-975-9468
Fax: 469-417-1969
Email: benefit.assist@webtpa.com

Also, notify and provide a copy of the form to the WAB Ride Coordinator..  If you have any questions, please contact the WAB Ride Coordinator.