For medical accident claims, please fill out the following form:  Click Here.

If you have any questions about the forms or the process of filing for a claim through WSYSA, please contact Mary Warren, the WSYSA Judicial and Member Service Administrator at (253) 476-2237 or email at mary@wsysa.com.

For a list of Medical and Accidental Death & Dismemberment Benifits provided by WSYSA insurance, please click here.