The organisation was formed as the Midland Counties Football Club and covered the counties of Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, Staffordshire, Warwickshire and Worcestershire.
The main club event was the Midland Counties Challenge Cup which continued to run until 1926.
Up until and following the disbandment in 1920, the union broke up and distributed its assets to the following unions: The North Midlands was given responsibility for clubs sides based in Birmingham and the West Midlands, Herefordshire, Staffordshire, Shropshire and Worcestershire, most of which were sub-members under the North Midlands umbrella (the Staffordshire RU would later achieve full RFU membership in 1962).
[5] The Leicestershire and Warwickshire unions became full county constituents in their own right.
Club sides that had been based in Derbyshire, Lincolnshire and Nottinghamshire would later join the Notts, Lincs & Derbyshire Rugby Football Union (created 1926).