This form is to be completed within 48 hours of an athlete's injury. Once complete, you will be able to access (download) the appropriate claim form(s) to recieve finanical assistance with medical expenses associated with you rugby injury.
Note that benefits are only available on acute injuries that occur during approved Panther City Rugby and/or USA Rugby activities. Engagement in rugby activities in the absence of a PCR approved coach are not considered approved activities.
If you have questions please contact an Panther City Rugby administrator.