Sports Injury Claims Procedure

• Report the injury immediately to the MWFA (9982 6228) and download a Claim Form / Physician's Statement sheet.
  
  These forms are to be completed and returned within 90 days of the injury. (This forms part of the Terms and Conditions of the Policy)
  The policy documents are available on the FNSW Website.
   
• You will need the following details to complete the form
  
  • Player Name
  • Contact Number
  • Address
  • Did you register as a student
  • Club (i.e. Mosman)
  • MWFA Player Id Number (from your Registration card)
  • Team
  • Type of injury
  • Date of injury
• If you are claiming Loss of Income Benefits, have your employer complete the relevant section on the reverse side of the claim form, regarding period of incapacity and employment details. Failure to fully complete this section may jeopardise the claim and will cause unnecessary delays in processing. Self employed persons must complete employment details onto a Statutory Declaration, and supply any other requested information relevant to the claim.
  
  If you register as a Student you are not entitled to claim Loss of Income Benefits.
   
• The physician's statement is to be completed by your physician only (chiropractors and physiotherapists are not permitted to complete this form).
  
  All individuals must consult a doctor immediately after injury, to legitimise the claim.
  
  N.B. The policy only responds to paid receipts (no exceptions).
   
• Have the club's VP, registrar or secretary complete the club's section of the form and return the claim form and phsician's statement, together with any NON-MEDICARE RECEIPTS to the address on the form within 60 days. You do not need to have all your receipts to submit the form or to have stopped receiving treatment.
   
• On-going Loss of Income Benefits require new medical certificates every 14 days.

Further information can be found on the MWFA website, look under the Insurance menu on the left.