Fraternal General Liability Claims

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If your house/alumni corporation and undergraduate chapter is part of a national fraternity insurance program, you are still required to provide the Executive Director/Executive Vice President with notification.

MM slash DD slash YYYY
Chapter President Name
Chapter Advisor Name
House Corporation President Name
Injured Party's Name
Taken to the hospital?
Is the injured party an associate or member?
Name of person completing report
Drop files here or
Accepted file types: jpg, png, doc, pdf, docx, Max. file size: 50 MB.

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