These forms are to be completed and processed by a designated representative from each unit. Individual members should NOT send in these forms! RTF forms can be completed on your computer. PDF  forms are no longer available on our website. If you need a copy of the file, you can download it by clicking the link above. Note that all insurance requests must be sent on the proper form, requests on plain paper will be returned. Note also that all requests must now be sent through the Battalion.

Instructions

1. Open the form and type the information requested into the BLANK fields.  You MUST use these forms, and the information MUST be typed. The  ANV will not try to decipher handwritten scribbles. Please use your members full names, not nicknames.  If a claim must be processed, use of a nickname may cause the claim to be denied.  If the form absolutely must be handwritten, do so as carefully and legibly as possible.  If a members name cannot be read easily, that member will not be insured. Note that typed or hadwritten, the proper form must be used, or the request for insurance will be denied.

2. If you have more people being insured than the form allows, please complete as many copies of the second page as required. When submitting payment, send one check for the total on all forms. Do not send in forms for each person to be insured, just one for the company.

3. Make checks payable to 1st Division, ANV only! Checks made out to individuals will be returned, delaying the insurance!

4. Send the following to the designated Regimental Insurance Contact, Colonel Leonidas Jones :

· The completed return form(s) (Send the hard copy, but also please send a computer file of the form to Colonel Jones via email, as well as mailing.  This will make book keeping much easier.)

· Your check. (If you want to send a scan to Colonel Jones, please do so, it may help solve problems that may arise.)

· A printed copy of your schedule. (Again, send a hard copy, but also send a computer file to Colonel Jones via email.)

5. If it is after the deadline of February 1st, send the appropriate check, form and schedule to the insurance contact as soon as possible. DO NOT MAIL THEM DIRECTLY TO THE ANV, this is no longer allowed. Current members who are not insured by April 1 will not be allowed to take the field.  Note that we must have enought time to get these forms to the ANV, and for the ANV to process them by April 1st.

6. If you are adding new names to a roster that you have sent in, and the deadline has passed, please fill out a new copy of the form, and send the form and check to the Colonel Jones. Be sure to indicate in the Roster Type field of the form that these are additions! To add new events to your list, you may email the information on the vent to be addedevent to be added. You can add new names and events at any time, but the form must still be submitted through the Regiment, not the ANV.

7. Colonel Jones will send a one copy of the form(s) and the check to the ANV in a separate envelope for each unit.

8. Upon receipt of the printed form from the battalion, which will verify that they have a copy of the information and proof of payment, the Liberty Greys will post the rosters to the Liberty Greys website.

Completing the Return Form

Open the rtf form in your favorite word processing program.  Please use the rtf form, so a computer copy can be sent to Colonel Jones.  Using a PDF and typing it requires me to retype all the information.  If you have difficulty opening the RTF, I am always available via email to help: ColonelLee@libertygreys.org.

Fill in the blank fields following the instructions for each section that follow.

If saving as a computer file, include unit name and "insurance" in the file name.

The Top Part

1. Battalion: Circle 6th.  (If you use the forms provided buy this website, this has been done for you by bolding, underlining and sizing.  If you get the form from the ANV website, you will need to do it your self.)

2. UNIT: Enter your unit designation, company and regiment.

3. Submitter's Name: Contact information for the person submitting the form for the unit.  

4. Unit Commander's Name, etc.: Contact information for the unit commander 

After the explanation of the insurance, enter the amount of the check being enclosed.  Then fill in the members' information.

Name: First and last name of the member to be insured.  Note this must be the person's legal name, not a nickname.  If nicknames are used, claim requests may be denied.  

Head of Household: Check this, if this member is a head of household, who must have both liability and accidental insurance. A single soldier or civilian is, in effect, a head of household.

Dependent: Check this, if this member is a dependent of another member, who will not need liability insurance.  Note, list dependents under the entry for their head of household.

Note, all minor combatants must carry liability and accidental coverage! Civilian heads of households should carry both. Please see the FAQ for more details.  Please make a note of the ages of any underage members, and whether they will take the field or note.  Note that any member taking the field must have liabilty insurance.