Hawkesbury · CTP claims

A plain guide to CTP claims for Mogo Creek

Most people can lodge a CTP claim themselves. We'll check yours for free and flag anything that needs more help.

Most CTP claims begin the same way: an accident, a visit to the doctor and a form. What happens next depends on your injury, your work and the insurer's decisions. This guide explains each stage for people in Mogo Creek, with honest notes on when you can manage alone and when it's worth getting help from a lawyer, a doctor or allied health.

Postcode: 2775

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Starting your claim from Mogo Creek

If Hawkesbury District Health Service or Nepean Hospital treated you, keep the discharge papers with your police event number. Those two documents answer most of the early questions on a claim form. Mogo Creek is about 37 km west of Wyong, but there's nowhere you need to drive. Claims can be lodged online through Service NSW, and our claim check runs by phone and online, so you can deal with it all from home.

Region
Hawkesbury
Postcode
2775
Public hospital in the region
Hawkesbury District Health Service
Distance to Wyong
~37 km

Key dates in a NSW CTP claim

A CTP claim runs to a clock that starts on the day of the accident. Here are the main points on it. Some depend on your accident date, so check which rules apply to you.

  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

    Lodge your claim for statutory benefits within 28 days of the accident so weekly payments can generally be back-paid to the day after. You can lodge through Service NSW online or with the CTP insurer.

  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

    For accidents from 1 April 2023, statutory benefits for a threshold injury, or where you were wholly or mostly at fault, generally end 52 weeks after the accident. Children 16 and under keep treatment and care as long as needed.

  7. 104 weeks

    Weekly payments generally end

    At the 104-week mark, weekly payments generally end. They can run longer only while a common law damages claim is pending, and how much longer depends on the level of impairment.

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

What the insurer pays for

Income support is the part of a CTP claim most people ask about first. The insurer can only pay the right amount if it knows what you earned before the accident and what you can earn now, so send your earnings records early and tell it about any return to work. A maximum weekly amount applies and is indexed every year, so check the current figure with the insurer rather than relying on an old one.

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

Your case manager and what to expect

Once your claim is lodged, the insurer usually assigns a case manager. They're your main contact for payments, treatment requests and paperwork. Keep a simple log of each call: the date, who you spoke with and what was agreed. If something is promised by phone, ask for it by email so you have a record.

  • Ask for important decisions in writing
  • Send updated certificates before the old one runs out
  • Note the date on any decision letter

Read next:Dealing with your insurer and case manager

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

Lodging alone, or with help?

Lodging a CTP claim is something most people do without any legal help. A few situations change that. Here's a quick guide to which is which.

Often worth talking to a lawyer

  • The insurer's reasons for a decision don't make sense to you
  • Another driver was at fault and your injury is more than threshold
  • The insurer has refused to accept the claim
  • Weekly payments stopped earlier than you expected

You may not need one

  • The insurer has accepted your claim
  • You're lodging within 28 days with the paperwork ready
  • You just need to know which insurer to claim against

If your claim is stuck because the paperwork from your treating team is thin, doctors and allied health familiar with CTP claims can help with a clear Certificate of Fitness, records and treatment plans.

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 Mogo Creek
  • 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 Mogo Creek
  • If a decision has already gone against you, the claim denied page explains internal review and what comes after it. CTP claim denied in Mogo Creek
Two people going through a bound document together, one pointing at a clause

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What you'll need to lodge

The claim goes more smoothly with a few things ready: the police event number, the other vehicle's registration, your Certificate of Fitness, payslips or tax records showing what you earned, and your employer's details. If you've paid for treatment or medication, keep the receipts too. Missing something shouldn't stop you lodging on time.

  • Registration numbers of the vehicles involved
  • Your Certificate of Fitness
  • Recent payslips, tax returns or business records
  • Your employer's name and contact details
  • Receipts for treatment, medication and travel

Read next:Checklist: your first 30 days

Your doctor's part in the claim

In NSW CTP claims, your doctor fills in a Certificate of Fitness recording your injuries and your capacity for work. The first one generally goes in with your claim, and updated certificates follow as you recover. It's the document insurers rely on for weekly payments, so make sure it lists all your injuries, including any that appeared days later.

Read next:The Certificate of Fitness

When to get more help

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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