Slo-Pitch National Injury Report Form

Slo-Pitch National Injury/Incident Report form

To be completed ONLY by Umpires, League Presidents and Tournament Conveners. This must be completed and submitted within 30 days of the injury/incident.

Note: This is not an insurance claim form.

Question 1

Hello, what's your name and contact information?This question is required.

Please enter your full name. No nicknames, or abbreviated names.

First name

Last name

Phone number