Claim Request Form

If you've been injured and need to file a claim, please fill out this form.
If you're submitting for someone else, enter their information.
Once submitted, we’ll review your request and create your Spot account. You’ll receive an email as soon as your account is ready.

First NameLast NameEmail AddressDate Of BirthWho do you have a membership withWhat was the Date of your injuryWhat is the start date of your current membership?Did your injury occur when your current membership was active?If No, Input the start date of your membership for the year you were injured.Proof of Membership (Optional)
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‍Uploading proof of your membership or participation can help us process your claim faster.

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Max file size 10MB.

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Thank you! Your claim request has been received
We will reach out shortly!

In the mean time, view our FAQ's to learn more about the claims process.

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