2012 Dixie Youth Baseball/Softball Insurance Claim Form
Our insurance is an EXCESS medical expense benefit.
You MUST file with your insurance first.
Once you receive an explanation of any benefits not paid by your insurance, print the form from the link above and fill out section 3.
You MUST contact a member of the PYS board to complete sections 1 & 2.

Instructions for use and filling out this form are included on the link above.