Below this, the clubs are separated on geographical grounds. Dependent on which parish a club is located in, it is a member of a specific confederation.
Clubs from the parishes of Kingston and St. Andrew are members of the Kingston and St. Andrew Football Association (KSAFA).
The winners of these leagues play off against each other, home and away, with the top two teams replacing the bottom two teams relegated from the Premier League.
Teams relegated from the Premier League enter the Super League of the Confederation they belong to.
The third level of Jamaican football is organised by the parish football associations.
In the parishes of Kingston and St. Andrew, KSAFA has a third level league called the KSAFA Major League.
For the remaining 12 parishes, the third level of football is represented by a major league competition in each parish organised by the parish FA to give 13 third level leagues.
The champions of each parish are promoted to play in the super league of the confederation by right or by way of winning a play off against another parish champion(s) in the same confederation.
At the fourth level of Jamaican football, KSAFA is represented by the KSAFA Syd Bartlett League. The other parishes have a Division One league to give 13 fourth Level leagues.
Some parishes operate leagues at the fifth level.
Promotion and relegation rules between leagues can vary due to the geographic nature of the league system.