Adult Emergency Medical Form and

UMVIM Accident Insurance

 

Please Complete and FAX Promptly

 

1.  Click on and print 

    a.  the Adult Medical Release and

    b. the United Methodist Volunteers in Mission Insurance Form.

    c. Complete and sign both, NOTARIZING the Medical Release Form

 

2.  Fax Completed Forms to "Attn:  L4N" at 214-953-1332.

 

For an explanation of these Mission Documents, click here. 

 

Next :  Click "Trip Payment"

(at left) and Proceed to Payment