Insurance Claims for Injured Players

File your insurance claim here

Players who are registered with US Club soccer are covered by secondary insurance.  Secondary insurance is designed to cover players who do not have primary insurance or whose primary insurance does not cover the scope of an injury.

1.  Download and fill out the US Club Youth Claim Form   Use this form for injuries after January 1, 2016

2.  You need an insurance claim verification form.  Download and fill out this form:  Insurance Claim Verification Form R-011
     This must be filled out by a Mustang official (coach or team manager) who was present at the time of the injury.    

3.  You can email both completed forms to:  insurancequestions@usclubsoccer.org

For further information, you can visit the US Club Soccer page on Insurance claims - US Club Members Insurance Information

You can email US Club Soccer directly with your insurance questions at insurancequestions@usclubsoccer.org

Please email Kim Wilkins if you have questions.   Thank you.

MM

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