While we make every effort to keep kids safe while playing baseball, there are times when injuries occur during practices and games. In the case that these injuries need additional treatment beyond basic first aid, please follow the instructions below.
Please notify the on-duty
coolidge little league 2023 board.docx immediately if your child is injured during a practice or game at any of our assigned field locations. You must fill out an accident claim form if you would like to make a claim to the CLL insurance policy. Below are some resources that will help you do this:
Step 1
accident-claim-form.pdf (must be turned into a board member within 24 hours of accident)
Fill out name and address of the injured person, along with the name and address of the parent(s)/guardian(s), if claimant is a minor.
Step 2
Fill out all section, including check marks in the appropriate boxes for all categories. Do not leave any section blank. This will cause a delay in processing your claim and a copy of the claim form will be returned to the league for completion.
Step 3
It is mandatory to forward information on other insurance. Without that information, there will be a delay in processing your claim. If no insurance, written verification from each parent/spouse employer must be submitted.
Step 4
Be certain all necessary papers are attached to the claim form or submitted to CLL Safety Officer. Only itemized bills that include date of treatment, type of treatment (procedure codes), total charge for each treatment, and reason(s) for treatment (diagnosis codes) are acceptable. We cannot accept balance due statements.
Step 5
On dental claims, it is necessary to submit charges to the major medical and dental insurance company of the claimant, or parent(s)/guardian(s), if claimant is a minor. “Accident-related treatment to whole, sound, natural teeth as a direct and independent result of an accident” must be stated on the form and bills. Please forward a copy of the insurance company’s response (an Explanation of Benefits (EOB) Statement) to Little League International. Include the claimant’s name, league ID, and year of the injury on the form.
Step 6
Give original copies of all documentation and form to CLL Safety Officer or a board member on-duty or present at Kenilworth Sports Complex. Copies of original receipts must be present because Little League International does not allow faxed or emailed submissions. All submissions must be via postal mail.
Our Safety Officer will follow up with parents for any additional instructions.