Forms for claimants

Please use the forms below to lodge a claim for injury in a motor vehicle crash.

If you are using Google Chrome and are having difficulty completing a form, try downloading the form or opening it in another browser (such as Internet Explorer).

Prior to lodging your claim form, if you have not already reported the accident to a police officer, you will need to complete the Report of Accident to Police Form and take it to a police station.

The Notice of Accident Claim Form includes some certificates that need to be completed:

  • a Medical Certificate for a non-fatal injury claim (to be completed by your doctor)
  • a Claimant Certificate (to be completed by you)
  • a Law Practice Certificate (to be completed by your lawyer if you have engaged a lawyer to act on your behalf).

You can access these by clicking on the relevant Notice of Accident Claim Form below.

If you have sustained an injury in a motor vehicle accident and wish to make a CTP insurance claim, you must complete the Notice of Accident Claim Form (Non-Fatal Injury).

If you are making a claim as a spouse or dependant of a person who sustained fatal injury in a motor vehicle accident, you must complete the Notice of Accident Claim Form (Fatal Injury).

In some circumstances, the CTP insurer may require you to provide additional information in relation to your claim. If so, you must complete the Additional Information Form.

Last modified 16 December 2019