Reporting an Incident & Ambulance Reimbursement Process

Incident Reporting

In the event of an incident/injury, club staff must complete the below Incident Report Form within 3 days of the incident:

Alberta Gymnastics Injury and Accident Report Form

Incident Follow-Up Form 

Ambulance Reimbursement Process

An additional service that AGF provides for its registered members is reimbursement to the club/athlete when an accident occurs during an AGF Sanctioned Activity, and an ambulance is required to be called.

NOTE: Any time an ambulance is called to a gym due to an injury, AGF must be immediately informed by contacting [email protected].

The following steps will outline how to submit an Ambulance Reimbursement with AGF:

• Following an incident where an ambulance was required to be called, complete the Alberta Gymnastics Injury and Accident Report Form
• Maintain contact with the injured individual’s parent/guardian and record notes as required
• Following payment for the ambulance (whether it was by the club or the parent/guardian), scan and submit a copy of the invoice to [email protected] and [email protected]

After confirming that the injured party is a member of AGF, a cheque will be mailed out to the payee to reimburse the expense of the ambulance.

Filing an Insurance Claim

Sports Accident Claims

AGF Members looking to be reimbursed for medical expenses not covered by their primary insurance provider must take the following actions:

1. Complete the Sports Accident Claim Incident Report Form
2. Provide the injured individual with the following accident claims forms to be completed:
   1. Consent Form
   2. Accidental Medical Form OR Accidental Dental Form
      The first page is to be completed by the Injured Party and the second page is to be completed by the Attending Physician
3. Submit all receipts with descriptions along with the Incident Report Form, Consent Form, and Accidental Medical/Accidental Dental Form to AGF at [email protected]

General Liability and Errors and Omissions Claims

AGF member clubs who have been served with a lawsuit must contact AGF’s insurance provider immediately to begin the claim process:

Brent Brandham
Email: [email protected]
Phone: 416.408.5457

Arthur J. Gallagher Canada Limited
145 Wellington St W, Suite 1200
Toronto, ON
M5G 1H8
www.ajgcanada.com