Injury Report/Insurance Claim forms
Send completed form with attached itemized bills for all medical expenses
(see instructions on form) to:
USA Boxing, Inc.
Insurance Claims
One Olympic Plaza
Colorado Springs, CO 80909
Please call Lynette Smith, USA Boxing Insurance Coordinator, at 719-866-2311 with any questions.
YOU MUST BE A REGISTERED MEMBER OF USA BOXING AS OF THE DATE OF THE INJURY.
Insurance Forms from USA Boxing, Inc.
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