Serious Injury Notification Form

To report a serious injury please fill in the below AND call Lisa:

Lisa Kingi-Bon (Head of VIP Support & Partnerships New Zealand Rugby Foundation)
021 212 7399

If you can't reach Lisa, then call:

Mike Collins (Chief Rugby Officer)
021 450 549

Remember - these are the ONLY injuries that must be reported:

1. A head or spinal injury, or medical event (e.g. a heart attack) that results in the player being admitted to hospital
2. An injury or medical event (e.g. a heart attack) that results in the death of a player during match play or rugby training
3. An injury that is expected to result in some permanent disability (e.g. loss of use of a limb, loss of an eye