Current Section
Risk Manager
| Don Fiebiger |
|---|
| 3515 Webster Subdivision |
| Valley City ND 58072 |
| dfiebiger@msn.com |
| 701-845-2595 |
Don Fiebiger
News and Links!
Catastrophic Injury/Spectator Injury Incident Report
Injury Report Form Disclaimer USA Catastrophic Injury/Spectator Injury Incident Report Form below is not an "insurance claim" form. It is used for reporting of injuries only. Please contact your local association Risk Manager, or Don Fiebiger, NDAHA Risk Manager, for a copy of the insurance claim form.
Officials Screening Forms Received
Amy Broadie 10-06-11 Michael Amundson 12-2-11
Nathan Freeman 10-06-11 Nicholas Wishart 12-9-11
Kevin Wilk 10-06-11 Timothy Brown 12-23-11
James Olson 10-13-11 Josef Miller 12-23-11
Michael Kelly 10-13-11 Chris VanSickle 12-23-11
Devin Blada 10-11-11 Oliver Shield-Noldness 12-23-11
Scott Ellis 10-20-11 Craig Bilski 12-23-11
Jacob Solberg 10-20-11 Kevin Middleton 12-23-11
Brenden Jehlicka 10-24-11 Craig Ventzke 12-23-11
Cody Fleck 11-8-11 Ryan Oshea 12-23-11
Andrew Minton 11-8-11 Jeffrey Pape 12-23-11
Burke Almquist 11-15-11 Allen Voelher 12-23-11
Jeffery Dietz 11-15-11 Jacob Voelker 12-23-11
Trevor Northagen 12-23-11 Adam Curran 12-23-11
Travis Ingstad 12-23-11 Tanner Johnson 12-23-11
Nicholas Fladland 12-23-11 Avik Solheim 12-23-11
Steve Howe 12-23-11 Shane Nordick 12-23-11
Steve Palmiscno 12-23-11 Kyle Beger 12-23-11
Matthew Palmiscno 12-23-11 Jeffrey Harrie 12-23-11
Keith Howe 12-23-11 Matthew Erickson 12-23-11
David Spivey 12-23-11 John Erickson 12-23-11
Jason Dandino 12-23-11 Michael Lough 12-23-11
Derek Fluten 12-23-11 Joshua Brown 12-23-11
Matthew Spivey 12-23-11 Joshua Lien 12-23-11
Ryan Hills 12-23-11 Wade Thompson 12-23-11
Christopher Gaule 12-23-11 Tom Dvorak 12-23-11
Clint Mohl 12-23-11 Teague Kowalski 12-23-11
Sean Ahlers 12-23-11 Joseph Brannan 12-23-11
Wade Storey 12-23-11 Joshua Thoreson 12-23-11
Mark Noah 12-23-11 Alex Aughinbaugh 12-23-11
Terry Steinhouse 12-23-11 Michael Lee 12-23-11
Jason Bond 12-23-11 Dana Mogck 12-23-11
Andrew Sprague 12-23-11 Travis Sanderson 12-23-11
Brenda Schute 12-23-11 Andrew Gullicks 12-23-11
Benjamin Braaten 12-23-11 Christopher Flintton 12-23-11
Karl Ulrich 12-23-11 Dayton Thorpe 12-23-11
Aaron Wrolstad 12-23-11 Casey Gardner 12-23-11
Arden Blair 12-23-11 Patrick Whelan 12-23-11
Justin Jensen 12-23-11 Jeremy Wehrman 12-23-11
Brent Dellapaolera 12-23-11 Nathan Sele 12-23-11
Kal Triplett 12-23-11 Nick Silkey 12-23-11
Zachary Staples 12-23-11 David Holm 12-23-11
Darwin Wray 12-23-11 Michael Holm 12-23-11
Cody Baker 12-23-11 Chad Hanson 12-23-11
Casey Johnson 12-23-11 TIm Cusey 12-23-11
Bradley Pratt 12-23-11 Jeremy Majerus 12-23-11
Mitchell Kleber 12-23-11 Matthew Clegg 12-23-11
Chad Fullmer 12-23-11 Robert Ludwig 12-23-11
Jeff Kleven 12-23-11 John Grothman 12-23-11
Steve Spargue 12-23-11 Joshua McKinney 12-23-11
Scott Hanson 12-23-11 Darin Bardal 12-23-11
James Sweeney 12-23-11 Jeff Hammer 12-23-11
Matthew Wsolstad 12-23-11 Mark Harrig 12-23-11
Justin Hills 12-23-11 Tanner Hills 12-23-11
Ryan Grindeland 12-23-11 Jonathon Dondoneau 12-23-11
Craig Tietz 12-23-11 Lane Mimmock 12-23-11
Douglas Baker 12-23-11 Todd Lebahn 12-23-11
Travis Kurtz 12-23-11 Coleman Dockter 12-23-11
Douglas Durgin 12-23-11 Jordan Butler 12-23-11
Brandan Beaudry 12-23-11 Tyson Welch 12-23-11
Dana Naylor 12-23-11 Jesse Braun 12-23-11
Daniel Naylor 12-23-11 Eric Whitehill 12-23-11
Patrick Beaudry 12-23-11 Scott Krabbenhoft 12-23-11
Josh Hooey 12-23-11 Bruce Thompson 12-23-11
Alex Hooey 12-23-11 Lucas Hooey 12-23-11
Corwin Saurdiff 12-23-11 Bradley Fritel 12-23-11
Duane Lothspeich 12-23-11 James Olson 12-23-11
Chris Fedje 12-23-11 Jonathan Beyre 12-23-11
Allan Ersewzimmek 12-23-11 Cory Thompson 12-23-11
Scott Craun 12-23-11 Keith Oibble 12-23-11
Seth Serhiehko 12-23-11 Matthew Johnson 12-23-11
Norman Reitan 12-23-11 Mike Kunda 12-23-11
John VanEvery 12-23-11 Travis Sergent 12-23-11
Patrick Haraldson 12-23-11 Mark Voll 12-23-11
Grant Christensen 12-23-11 Kelly Berndt 12-23-11
Matthew Hamz 12-23-11 Gregory Oien 12-23-11
Shawn Sundberg 12-23-11 Trevor Binde 12-23-11
Aaron Jacobson 12-23-11 Lonnie McCombs 12-23-11
Thomas Seaver 12-23-11 Brian Selland 12-23-11
Pake Hagen 12-23-11 Craig Ludowese 12-23-11
John Colter 12-23-11 Daniel Jager 12-23-11
Theodore Bjornstand 12-23-11 Sigurd Bjornstad 12-23-11
Craig Magnusson 12-23-11 Jonothan Markusen 12-23-11
Cody Nelson-Olstad 12-23-11 Joshua Jansen 12-23-11
Dustin Schafer 12-23-11 Garret Graves 12-23-11
Kevin Hill 12-23-11 Alexander Martinson 12-23-11
Caleb Veer 12-23-11 David Spies 12-23-11
Jemie Beck 12-23-11 Shelby Ness 12-23-11
Kristen Hann 12-23-11 Jason Swenseth 12-23-11
Kale Stromme 12-23-11 Mark Hendrickson 12-23-11
Jarred Swensth 12-23-11 Kyle Ouradnik 12-23-11
Thomas Mikelson 12-23-11 Craig Hedlund 12-23-11
Tono OConnell 12-23-11 Nicholas Harrie 12-23-11
Mike Grothman 12-23-11 Leo O'Day III 12-23-11
Johathon Wandersee 12-24-11
