All accidents, injuries, and close calls, regardless of how minor, will be reported by any Volunteer witnessing the incident to the League Safety Officer within 24-48 hours so that a report can be filed.

Incident/Injury Tracking Reports and Close Call Reports will be used by the Board to consider changes to policy and facility improvements to provide a safe and positive playing environment for the participants of Wall Little League.
 
Please use the Form below for any accidents, injuries, or close calls. Or you can contact Corey Word, League Safety Officer, at 325-234-6393 or  [email protected] for assistance in completing the report.

Completed reports should be given to the League Safety Officer or emailed to [email protected]

Incident-Injury Tracking Report

Notification of a claim for an eligible member under the league’s Accident Insurance should be filed with Little League International within 20 days of the incident.

Please contact the League Safety Officer as soon as you know you want to file a claim for an accident. The League Safety Officer will complete the initial Claim Form and assist you through the process.
 
Once Little League International receives the complete claim form, you will be assigned a claim number for any information that is submitted for the accident. The claim form should be submitted as soon as possible so Little League International can begin a record of the accident and then all itemized bills (includes procedure and diagnosis codes) from the medical providers as well as any primary insurance explanation of benefits (if applicable) for any treatments for the accident can be submitted.

League Safety Officer
Patrick Frerich
[email protected]
325-277-0492

Accident Claim Form

Accident Claim Form Instructions

What Parents Should Know About Little League Insurance