Get Au Nrl Rugby League Athlete/member Sports Injury Rehabilitation Claim Form 2020-2026

This guide provides you with comprehensive instructions on completing the AU NRL Rugby League Athlete/Member Sports Injury Rehabilitation Claim Form online. Follow these steps to ensure your claims process runs smoothly and efficiently.

Follow the steps to successfully complete your claim form.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Complete the 'Member Injury Details' section (Pages 3–6). Ensure that all personal details are accurate, including your name, address, contact information, and details regarding your injury. If your claim involves loss of income, ensure your employer provides the necessary information in Section 8.
3. Have an authorized official from your club complete the 'Club Declaration' section on Page 6. This section confirms your injury occurred during club activities.
4. Fill out the 'Injury Data Collection' section (Pages 7–10). This aims to assist in risk prevention and management. Ensure the Disclosure Statement and Privacy Consent on Page 10 are signed.
5. Request your treating doctor to complete the 'Athlete Injury Medical Statement' (Pages 12–14). This medical report is essential for detailing the extent of your injury and treatment.
6. Review the ‘Notes for Claimants’ on Page 15 for essential information on documentation required for insurance claims.
7. Submit all completed sections of the form. You have the option to email your claim to sport@ajg.com.au or post it to Gallagher Sporting Claims at the provided address.
8. If necessary, provide your electronic banking details on Page 11 to facilitate prompt payments related to your claim.
9. Finally, save your changes, download your completed claim form, print it for your records, or share it as required.

Start your claims process now by completing the AU NRL Rugby League Athlete/Member Sports Injury Rehabilitation Claim Form online.