St George & Bayside · CTP claims

Sandringham: your CTP claim, step by step

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

A CTP claim is how you access weekly payments and treatment after a NSW motor accident. For many people in Sandringham, 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: 2219

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  • By phone & online, no office to visit
  • Helping people in Sandringham & Dolls Point

Lodging a claim when you live in Sandringham

Close to Sydney Airport, plenty of people here travel by rideshare. If you were a passenger when you were hurt, you can generally still make a CTP claim, and CTP Assist can help work out which vehicle's insurer to lodge with. If an ambulance took you to St George Hospital, the ambulance record and the emergency notes both describe your injuries on the day of the crash. List both on the claim form, since the insurer may ask for them before it decides. Lodging a claim doesn't mean a trip to Hurstville, 5 km away. From Sandringham, the claim form can be completed online, most insurer contact happens by phone and email, and our free claim check works the same way.

Region
St George & Bayside
Postcode
2219
Nearest public hospital
St George Hospital
Distance to Hurstville
~5 km

Key dates in a NSW CTP claim

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

    Get medical help first. Then report the crash to police and note the event number, which the claim form asks for. The other vehicle's registration helps identify the right insurer later.

  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

    For accidents from 1 April 2023, a claim made after 28 days but within 3 months may still be back-paid if you give a full and satisfactory explanation. If the insurer doesn't reject it within 14 days, it's treated as accepted.

  4. Within 3 months

    The last point to claim

    Claims can still be made up to 3 months after the accident, though weekly payments may then only start from the date of the claim. After 3 months, claims are accepted only in limited circumstances.

  5. Weeks 1–13, then 14+

    Weekly payment rates

    Weekly payments are up to 95% of your pre-accident earnings for the first 13 weeks. From week 14 they're up to 80% or 85%, depending on your earning capacity. An indexed 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

    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?

If more than one vehicle was involved, or you don't have the other driver's details, CTP Assist on 1300 656 919 can help identify the right insurer.

Read next:CTP formsThe personal injury claim form

What statutory benefits cover

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.

Your CTP insurer covers treatment and care for accident injuries where it's reasonable and necessary, within whatever benefit period applies to you. That can include doctor visits, physiotherapy, medication and some travel for treatment. The insurer decides each request, and decisions can be reviewed, so ask before committing to large treatment costs.

Rules change

Benefit rules depend on your accident date and have changed over time. This is general information; check the current rules or ask CTP Assist.

Read next:CTP weekly paymentsCTP entitlements

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.

  • Police event number
  • Date, time and place of the crash
  • Registration numbers of the vehicles involved
  • Your Certificate of Fitness
  • Recent payslips, tax returns or business records

Read next:Checklist: your first 30 days

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
  • Keep copies of everything you send

Read next:Dealing with your insurer and case manager

Is this a claim you can run yourself?

Lodging is usually straightforward. What happens afterwards is where some claims need legal help. These lists show common signs either way; the claim check can give you a clearer answer.

Often worth talking to a lawyer

  • Another driver was at fault and your injury is more than threshold
  • Your injury has been classed as threshold and your doctor disagrees
  • The insurer's reasons for a decision don't make sense to you
  • Someone died in the crash

You may not need one

  • You just need to know which insurer to claim against
  • The insurer has accepted your claim
  • Your injury is healing well within the first months

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 still working out what kind of claim you have after the crash, the car accident claim page for Sandringham sorts that out first. Car accident claim in Sandringham
  • If your main question is whether to bring in a lawyer, the CTP lawyer page for Sandringham explains when legal help is worth it. CTP lawyer in Sandringham
  • If a decision has already gone against you, the claim denied page explains internal review and what comes after it. CTP claim denied in Sandringham
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Why the Certificate of Fitness matters

The Certificate of Fitness is where your medical story meets the insurer. It lists your injuries and says what work, if any, you can do. If a certificate misses an injury or overstates your capacity, weekly payments may not reflect your situation, so read each one before it goes to the insurer and raise anything wrong with your doctor.

Read next:The Certificate of Fitness

When the 52-week limit applies

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

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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