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:

Health Special Risk, Inc.
8400 Belleview Drive, Suite 150
Plano, Texas 75024
Customer Service: 800-328-1114
This email address is being protected from spambots. You need JavaScript enabled to view it.

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.