Injury Incident Form

2. Player

This form is for SNC players only (game day or training). For umpire incidents, use the umpire incident form instead.

Team number *

Just the number — names duplicate across teams, the number is unique.

Player name or initials *

3. Incident details

Date of incident *

Time of incident *

Venue *

Court *

Activity type *

4. Injury details

Body part injured *

Injury type *

Description of what happened *

Was play stopped? *

YesNo

5. Treatment / escalation

First aid given? *

YesNo

First aider name

Required when first aid was given.

Ambulance called? *

YesNo

Parent / guardian notified? *

YesNoNot applicable

I confirm this report is accurate to the best of my knowledge *

Important — Insurance Claims

This form does not lodge an insurance claim.

Seaforth Netball is covered under Netball Australia's insurance provider, Howden.

If medical treatment is required or you wish to claim expenses, you must submit a claim directly through Howden.

The club injury form above and an official Howden / Netball Australia insurance claim are separate — you can submit the club report without making a claim, and a claim is not required to complete this form.

Howden Playing Members Insurance How to Make a Claim

Both links open in a new tab. You are not required to visit Howden or lodge a claim to submit this report.

2. Player

This form is for SNC players only (game day or training). For umpire incidents, use the umpire incident form instead.

Team number *

Just the number — names duplicate across teams, the number is unique.

Player name or initials *

3. Incident details

Date of incident *

Time of incident *

Venue *

Court *

Activity type *

4. Injury details

Body part injured *

Injury type *

Description of what happened *

Was play stopped? *

YesNo

5. Treatment / escalation

First aid given? *

YesNo

First aider name

Required when first aid was given.

Ambulance called? *

YesNo

Parent / guardian notified? *

YesNoNot applicable

I confirm this report is accurate to the best of my knowledge *

Important — Insurance Claims

This form does not lodge an insurance claim.

Seaforth Netball is covered under Netball Australia's insurance provider, Howden.

If medical treatment is required or you wish to claim expenses, you must submit a claim directly through Howden.

Howden Playing Members Insurance How to Make a Claim

Both links open in a new tab. You are not required to visit Howden or lodge a claim to submit this report.

1. Reporter details

2. Player

3. Incident details

4. Injury details

5. Treatment / escalation

Important — Insurance Claims

Injury Incident Form

1. Reporter details

2. Player

3. Incident details

4. Injury details

5. Treatment / escalation

Important — Insurance Claims