To submit a secondary insurance claim to Illinois Youth Soccer Association, you MUST do the following (2) TWO steps:
Step 1. IYSA INSURANCE CLAIM FORM (CLICK LINK BELOW)
IYSA Insurance Claim Form
NOTE: Once this has been filled in BASA/FCX will send the form to IYSA. Please email [email protected] once completed.
Step 2. PULLEN INSURANCE SERVICES (CLICK LINK BELOW)
Pullen Insurance Services
NOTE: Must be filled out along with IYSA Insurance Claim Form before your claim can be filed.