1800 931 129

Claims

Need to make a touch rugby league-related personal accident claim? The below step-by-guide is here to help you through the claims process.

  • Step 1

    Obtain a claims form from Gallagher by calling 1800 931 129 or download it below.

    Download claims form

  • Step 2

    Arrange for your doctor to complete the Medical Statement.

  • Step 3

    Arrange for your club’s President, Secretary, or Treasurer to complete the Club’s Declaration.

  • Step 4

    If claiming loss of income, have your employer complete the Member’s Employment Details section of the form.

  • Step 5

    Return the completed claim from to Gallagher within 30 days of the injury occurring via email or post.

    Email: sport@ajg.com.au

    Post: Gallagher, GPO Box 1113, Brisbane, QLD 4000

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