Husqvarna Motorcycles NA Contingency Claim Form
This form must be completed for each race the rider wishes to claim contingency for. In order to receive payment you MUST submit your results by either including a link to the promoter's website with the results posted in the "what happened" section or faxing the official results page from the promoter to Jenna Parker at 951.268.3613. You also must have registered. If you have not, click here.
All fields are required
First name of the rider
Last name of the rider
Date of birth
Model/Year
Vin
Series/Promoter
Event Date
Class Raced
Number of participants (in your race)
Position Finished
What happened? (Paste link to results)
Thank you for requesting contingency payout. You may be contacted shortly.
Don't forget to submit your official results via fax to Jenna Parker at 951.268.3613 or
include a link to the official results page in the "what happened?" field.

You also must have registered. If you have not, click here.

The rider must be the owner of the bike in order to receive contingency awards.