Injury Claim Form

This form is for Cal North registered players and/or team officials that are injured at a sanctioned event. Please complete and submit within 90 days of the incident.

*This form is no longer accepting hard copy submissions.

View Online Form

*This is secondary insurance with a $500.00 deductible.  Please make sure to use a good email address and check junk/spam if you haven't received a response within a reasonable time.