You must provide the CTP Insurer with a notice of claim by both completing and sending the electronic form below (PDF versions are also available on our Forms page). All versions of the forms must be signed and witnessed prior to sending to the CTP Insurer.

Electronic Forms – Making the claims process easier

To assist the claims process, we have developed electronic versions of the Injury Claim Form, the Accident Report Form and the Fatality Claim Form.

The electronic forms replicate the paper based form but in an easy flowing format with online support before printing and signing. The electronic forms use a navigation menu with dynamic screens that move through to the next questions dependent on previous answers. Hover help boxes and placeholder text will also be available to help you with the detail required for specific fields.

Each form will generate a unique document identification number which lasts for a 14-day period. You have the ability to save, resume a previously initiated form or send the form to another person’s email address. The forms can be completed on smart phones, tablets and desktop computers.

Important information before you begin the electronic form

To finalise this process, you must print the populated form to obtain relevant signatures. If you don't have access to a printer, please contact us to send a form to you.

It is recommended that you utilise the "Save" function as early as possible in the process of using the electronic forms to reduce the risk of lost information.

Other important information to consider prior to commencing your claim form can be found further down this page.

Start a new claim form or resume an existing claim form

Begin completing a new claim form by clicking on one of the buttons below. The electronic forms:

  • are easy to navigate
  • let you save and add more information later
  • are accessible on smartphones and tablets
  • include hover boxes with additional information to help you complete your claim form
  • include CTP Insurer lookup to help you lodge your completed claim form.

Click the "Resume saved form" button below to:

  • login and access a saved claim form
  • return to where you last saved
  • add additional information to your claim form.

Required information

Some of the information the Injury Claim Form and the Fatality Claim Form will ask you to provide includes:

  • your personal information and proof of identity
  • the facts and circumstances of the accident
  • details of the vehicle/s you think caused the accident
  • the date, time and place at which the accident occurred
  • the name and address of the driver of the motor vehicle in which you were travelling (and of any other vehicle/s involved)
  • the registration number, make and model of the motor vehicle in which you were travelling (and any other vehicle/s involved)
  • the details of any witnesses to the accident, if known
  • the relevant police report number for any report provided to a police officer in connection with the accident
  • a list of all injuries from the accident
  • details of any pre-accident injuries, illnesses or conditions
  • details of any prior or subsequent accidents (including motor vehicle, sport, work or home)
  • if your injuries have prevented you from working, proof of income
  • a medical certificate or opinion on the nature and cause of your injuries
  • copies of medical treatment accounts, if relevant.

When completing the claim form

When completing your claim form, you are required to sign a declaration stating that the information you have provided is true and correct. A penalty applies for providing false or misleading information, under Section 124(6a) of the Motor Vehicles Act 1959 (the MV Act).

You must provide honest and accurate information (and must not deliberately withhold information). The claim form is your ‘notice of claim’ under Section 126A of the Motor Vehicles Act 1959.

The more information you can provide, the easier it will be for the CTP Insurer handling your claim to process. They will review your claim form and ensure all necessary and available information has been provided.

If you have included enough information for them to do so, the CTP Insurer will make an initial assessment of the claim and your eligibility. If you have not provided enough information, they will contact you to discuss your obligations (they may not be able to proceed with your claim until these obligations are met).

Authority to obtain information

Your Injury Claim Form or Fatality Claim Form includes an authority, made under Schedule 1 of the Motor Vehicles (Third Party Insurance) Regulations 2013 (the MV [TPI] Regulations), which you must complete and provide to the CTP Insurer to collect additional information (such as medical records and information from government departments and your employer) to help them process and assess your claim. You are required to sign this authority if you wish to make a claim.

The CTP Insurer must take reasonable steps to inform you when and why they are using this authority, and must provide you with any additional information they have collected within 21 days of receipt (under Section 126A(4) of the MV Act). The authority remains in place until your claim is finalised or you revoke it (but you cannot revoke it for six months after you sign it).