St George & Bayside · CTP claims

A plain guide to CTP claims for Sans Souci

Lodge on time, keep the right papers, understand your payments. Get free help if anything goes sideways.

You don't need a lawyer to lodge a CTP claim, and many people never use one. What helps most is having the police event number, a Certificate of Fitness from your doctor, your earnings details and the insurer's name. If you're in Sans Souci and unsure where to start, our free claim check walks you through it and flags anything that may need more than a form.

Postcode: 2219

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  • Helping people in Sans Souci & Dolls Point

Sans Souci: treatment, paperwork and your claim

Whether the crash was on General Holmes Drive, Forest Road or the M5 East, the order is the same: see a doctor, report it to police, then lodge within 28 days if you can. St George Hospital records help with the first step. At roughly 15 km from the Sydney CBD, Sans Souci 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
St George & Bayside
Postcode
2219
Nearest public hospital
St George Hospital
Distance to Hurstville
~4 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

    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 statutory benefits cover

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.

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

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

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

Threshold injuries and your benefit period

Plan around the 52-week mark if it applies to you. Keep your Certificates of Fitness current, keep treatment going as your doctor recommends, and ask the insurer in writing what will happen to payments and treatment when the period ends. If you think the threshold decision itself is wrong, you can ask for an internal review, generally within 28 days of receiving it.

Read next:Threshold vs non-threshold injury

Do you need a lawyer to make a CTP claim?

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
  • Someone died in the crash
  • Your injury has been classed as threshold and your doctor disagrees
  • The insurer says you were mostly at fault

You may not need one

  • You just need to know which insurer to claim against
  • Your treatment requests are being approved
  • Your weekly payments arrive on time and the amount looks correct

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 Sans Souci sorts that out first. Car accident claim in Sans Souci
  • 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 Sans Souci
  • If a decision has already gone against you, the claim denied page explains internal review and what comes after it. CTP claim denied in Sans Souci
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Your case manager and what to expect

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.

  • Keep copies of everything you send
  • Reply to requests promptly
  • Ask what a request is for if it's unclear

Read next:Dealing with your insurer and case manager

What you'll need to lodge

Think of the claim as three bundles of evidence: what happened, what it did to your body, and what it's costing you. The first is police and vehicle details. The second is hospital records and your Certificate of Fitness. The third is proof of earnings and receipts. Lodge on time even if one bundle isn't complete yet.

  • Registration numbers of the vehicles involved
  • Hospital discharge summary, if you were admitted
  • Recent payslips, tax returns or business records
  • Your employer's name and contact details
  • Names and numbers of any witnesses

Read next:Checklist: your first 30 days

Signs your claim needs more than a form

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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