Injury/Accident Report Submission & Insurance Information

Please complete all fields below and SUBMIT to lodge an Injury/Accident Report to Sutherland Shire Football Association (SSFA). The SSFA Office will respond to your submission via email within three (3) business days.

Insurance Coverage Football NSW Limited Insurance Program provides coverage for injuries sustained during:

  • Officially organised games
  • Sanctioned practice or training sessions
  • Official functions

For details regarding coverage, download the 2025 FNSW Participant Insurance Summary Brochure here: Download Brochure

Steps to Report an Injury/Accident:

Step 1: Injury/Accident Report Submission

  • Complete all required fields (*) on the online form.
  • Click Submit to send your report.

(* Mandatory field)

Step 2: SSFA Office

SSFA Shared Services will then email the player (or parent - where applicable) directly with detailed information on the next steps that will assist with FNSW Insurance Programme and how to make a claim.

Step 3: Lodging a Claim

  • You will receive a Claim Number once your claim is lodged online in claim portal.

  • Upload all necessary documentation to your claim portal.

Important Links:

 

Required Claim Documentation: To complete your insurance claim, the following sections must be filled out:

  1. Physician's Report - Completed by your primary doctor, surgeon, or dentist

  2. Employer's Statement (if claiming loss of income) To be completed by your employer.

  3. Club Declaration - Must be completed by your Club President, Treasurer, or Secretary. SSFA Shared Services can assist in obtaining this verification. admin@ssfaservices.com.au

Submission of Documents:

All documents must be uploaded to the online claim portal for processing by the insurer.

For further assistance, Injured player/parent will liaise directly with the insurer or Frequently Asked Questions

You will need to upload all relevant documents to your online claim for processing by insurer. https://football.claimsgateway.com/login

 

Remaining  

This SSFA Accident form should be submitted within 72 hours from the time of the accidentI confirm that all information is true at the time of completion.