2021 Solo Contingency Claim Form

Competitors must be officially registered each year to participate in the program prior to competing. No awards will be paid if you are not enrolled prior to competing. Photos must be taken onsite at the event selected on this form; we suggest doing this while waiting in impound. Additionally, competitors must complete and submit this Contingency Claim Form within 48 hours of the event selected on this form.

Finishing positions will be verified by the SCCA National Staff and awards will be made to legal finishers only. Payment is issued by SCCA within 30 days of claim receipt.

Applicant Applying for Contingency

Applicant Member Number

Select which sponsor you qualify to submit a claim.

*Photos of vehicles must be taken at the event selected on this form. Photos are date stamped. Photos must clearly show tire make. 

Full side view of vehicle showing all required decals and tires.

Full Front view of vehicle showing all required decals.

Full side view of vehicle showing all required decals and tires.

I hereby acknowledge that these photos were taken at the event which I am submitting a contingency claim for.

I understand and agree to the conditions of the contingency program(s) and acknowledge that I have never been compensated for the above claim.