Insurance Process and Injury Report Form

PROCESS FOR INSURANCE CLAIMS

If you or your child have been injured either during training or playing a game, whether at Brolga Park, your club home grounds or a visiting club, you must follow the below process.

INJURED AT TRAINING—Seniors and Juniors

Þ Report the Incident immediately to a Club Representative and ensure they make a note of the Incident, when and how occurred

Þ If seeking medical assistance (GP/Emergency) ask for a report of your Incident

Þ Visit http://www.gowgatessport.com.au/football/ to lodge a claim

Þ Steps 1—4 must be completed for application

Þ Ensure that you lodge your claim within 30 days of the Incident occurring *

 

INJURED DURING A GAME—Seniors and Junior Competitive (u12-u15/16)

Þ Report the Incident immediately to the Referee at the conclusion of the game and ensure they make a note of the       Incident on the teamsheet

Þ If seeking medical attention from Sports Med/1st Aid personnel ask for an Incident Report to be completed

Þ If seeking medical assistance after the event (GP/Emergency) ask for a report of your Incident

Þ If medical assistance isn’t required still report the Incident to a member of NQ Football and complete an Incident Report Form

Þ Visit http://www.gowgatessport.com.au/football/ to lodge a claim

Þ  Steps 1—4 must be completed for application

Þ Ensure that you lodge your claim within 30 days of the Incident occurring*

 

INJURED DURING A GAME—Junior Non-competitive (u5-u11)

Þ If seeking medical attention from Sports Med personnel ask for an Incident Report to be completed

Þ If seeking medical assistance after the event (GP/Emergency) ask for a report of your Incident

Þ If medical assistance isn’t required report the Incident to a member of NQ Football and complete an Incident Report Form

Þ Visit http://www.gowgatessport.com.au/football/ to lodge a claim

Þ Steps 1—4 must be completed for application

Þ Ensure that you lodge your claim within 30 days of the Incident occurring*

 

* IT IS VERY IMPORTANT YOUR CLAIM BE LODGED WITHIN 30 DAYS. CLAIMS WILL NOT BE CONSIDERED OUTSIDE OF THE 30 DAY PERIOD.

Please fill in attached Player Injury Form and return to admin@nqfootball.com.au

 

 

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