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 complete the US Club Youth Claim Form (this must be fill out by the claimant/parent)

2.  Download and complete the 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.  Send completed forms via email 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.

 

Provident Logo

NorCal Premier

Boys ECNL

Boys ECNL

ECNL

ECNL

US Club Soccer

Nike