Injury reporting

Please download and complete the form below to report any injuries sustained whilst playing, watching, coaching or umpiring hockey.

The policy number is 9137208/S18L1848

Injury Report Form

Once completed, please contact the insurer Perkins Slade directly on 0121 698 8000 or via email info@perkins-slade.com to arrange your treatment and inform the Secretary via email secretary@staffordhc.co.uk that you are making a claim.