Northern Beaches · CTP claims

Cromer Heights: your CTP claim, step by step

The 28-day and 3-month deadlines, the Certificate of Fitness and weekly payments, explained plainly.

A CTP claim is how you access weekly payments and treatment after a NSW motor accident. For many people in Cromer Heights, it's a form, a medical certificate and some follow-up with the insurer. For others, it becomes the start of a dispute. This page walks through the steps and deadlines, and our free claim check tells you whether your situation needs a lawyer, a doctor or just a clear plan.

Postcode: 2099

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  • By phone & online, no office to visit
  • Helping people in Cromer Heights & Cromer

What people in Cromer Heights need to lodge a claim

If Northern Beaches Hospital or Mona Vale Hospital treated you, take the discharge summary to your GP. It makes the first Certificate of Fitness more accurate, which helps your claim start cleanly. At roughly 16 km from the Sydney CBD, Cromer Heights is no further from the CTP system than anywhere else. The Service NSW claim form is online, insurers work by phone and email, and our claim check is by phone and online.

Region
Northern Beaches
Postcode
2099
Nearest public hospital
Northern Beaches Hospital
From the Sydney CBD
~16 km

Your first months: the CTP claim timeline

From the day of the crash to the two-year mark, this is how a typical claim for statutory benefits is timed. Your own claim may differ, especially if the insurer disputes something.

  1. Day 0

    The accident

    Your health comes first, then the paperwork. Report the accident to police, keep the event number, and write down the date, time and place while they're fresh, since the claim form asks for all three.

  2. Within 28 days

    Lodge your claim

    The 28-day mark is the one to aim for: claims received by then generally have weekly payments back-paid to the day after the accident. Lodging sooner also means the evidence is fresh.

  3. Within 14 days of your explanation

    A late claim, explained

    Lodged late, but inside 3 months, for an accident from 1 April 2023? Explain the delay fully. An explanation the insurer hasn't rejected within 14 days is treated as accepted, so back-pay can still apply.

  4. Within 3 months

    The last point to claim

    Three months after the accident is the practical cut-off. Later claims can only be accepted in limited circumstances, usually with a full and satisfactory explanation. If you're past it, speak to a lawyer straight away.

  5. Weeks 1–13, then 14+

    Weekly payment rates

    For the first 13 weeks, payments are up to 95% of what you earned before the accident. After week 13 the rate becomes up to 80% or 85%; your earning capacity decides which. A legislated maximum applies.

  6. 52 weeks

    The threshold and at-fault line

    At 52 weeks, people with a threshold injury, and people wholly or mostly at fault, generally stop receiving weekly payments and treatment and care. For accidents between 1 December 2017 and 31 March 2023, that limit was 26 weeks.

  7. 104 weeks

    Weekly payments generally end

    Two years in, weekly payments generally stop unless you've lodged a damages claim that's still pending. To keep them going past 2 years, that damages claim must be lodged within 2 years of the accident.

General information, not legal advice. Dates depend on your accident date and circumstances. Rules change, so check the current rules.

Getting your claim in

There are two main ways to lodge: the Service NSW online form, or the CTP insurer itself. Either way, you'll be asked for the accident date and place, the vehicles involved, your injuries, your employer and income, and the doctors treating you. Most people can complete it themselves in one go if they have the details to hand.

Not sure which insurer?

CTP Assist, run by SIRA, can help you work out which CTP insurer to claim against. Call 1300 656 919, 8:30am to 5pm weekdays.

Read next:CTP formsThe personal injury claim form

Dealing with the insurer day to day

Your case manager will ask for updated Certificates of Fitness, may request medical reports and may arrange an assessment with a doctor the insurer chooses. Attend any assessment you're asked to, and keep your own notes afterwards. If you think a decision is wrong, ask for an internal review rather than letting it sit.

  • Log every call with the date and the name of the person
  • Note the date on any decision letter
  • Ask what a request is for if it's unclear

Read next:Dealing with your insurer and case manager

Weekly payments and treatment

If the injury affects your work, weekly payments are generally based on your pre-accident earnings, and the percentage steps down after the first 13 weeks. The insurer relies on your earnings records to set the rate and on your Certificate of Fitness to know what work you can do. There's an indexed maximum, and payments generally stop after 104 weeks.

Treatment and care is the other half of statutory benefits. The insurer generally funds treatment for your injuries, such as GP care, physiotherapy or psychology, where it's reasonable and necessary and within your benefit period. Approval isn't automatic: your practitioner usually requests it, the insurer decides, and you can ask for a review if you disagree.

Rules change

The scheme has changed more than once since 2017. What applies to you depends on your accident date, so check the current rules before relying on any detail.

Read next:CTP weekly paymentsCTP entitlements

Documents to gather before you start

You don't need a perfect file to lodge. Start with the basics you have, then add documents as they arrive. Insurers generally ask for more information later, and it's better to lodge within 28 days with a gap in the paperwork than to wait for every page and lose back-pay.

  • Date, time and place of the crash
  • Registration numbers of the vehicles involved
  • Your Certificate of Fitness
  • Your employer's name and contact details
  • Receipts for treatment, medication and travel

Read next:Checklist: your first 30 days

Lodging alone, or with help?

Plenty of claims run from start to finish without legal help. A few need it early. If you recognise your situation below, you'll have a fair idea where you stand.

Often worth talking to a lawyer

  • The insurer's reasons for a decision don't make sense to you
  • Weekly payments stopped earlier than you expected
  • Someone died in the crash
  • Your claim went in more than 3 months after the accident

You may not need one

  • You need help understanding a question on the form
  • The insurer has accepted your claim
  • You just need to know which insurer to claim against

Treatment is often the first gap, not legal help. We can connect you with doctors and allied health experienced with CTP claims, from the Certificate of Fitness to physiotherapy and psychology.

Not quite your situation?

  • If you're not sure a CTP claim is even the right claim, for example because only your car was damaged, start with the car accident claim page. Car accident claim in Cromer Heights
  • If you're weighing up whether your claim needs a lawyer at all, the CTP lawyer page covers when one helps and when it doesn't. CTP lawyer in Cromer Heights
  • If the insurer has already refused your claim or cut off payments, the page on denied claims covers the review steps and deadlines. CTP claim denied in Cromer Heights
Two people going through a bound document together, one pointing at a clause

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The Certificate of Fitness

Ask your GP for a Certificate of Fitness at your first visit after the crash, and keep getting updated ones while you're off work or on reduced hours. Gaps between certificates can cause gaps in payments. If your doctor isn't familiar with CTP forms, a practitioner who knows the scheme can make the process easier.

Read next:The Certificate of Fitness

Threshold injuries and your benefit period

The 52-week limit isn't only about threshold injuries. For accidents from 1 April 2023, it generally applies too if you were wholly or mostly at fault, whatever your injury. For accidents between 1 December 2017 and 31 March 2023, both limits were 26 weeks instead. Children who were 16 or under at the time of the accident are an exception: they can receive treatment and care for as long as they need it, regardless of fault.

Read next:Threshold vs non-threshold injury

Help beyond lodging

Help comes in different forms. For treatment and medical evidence, doctors and allied health practitioners who know the CTP scheme are often the right first call. For disputes and damages, an independent CTP lawyer. For general questions, CTP Assist on 1300 656 919. Our free claim check helps you work out which of these you need.

Read next:What help do I need?

Frequently asked questions

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CTP Lawyer is not a law firm. This page is general information, not legal advice; the independent lawyer you speak with can advise on your own situation.

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