Macarthur & Wollondilly · CTP claims

Making a CTP claim from St Andrews

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

Starting a CTP claim from St Andrews is mostly about getting the basics in on time. The claim form, the Certificate of Fitness and proof of income do most of the work. Things get harder when the insurer questions your injury, your fault or your delay. That's when an independent CTP lawyer may help, and our free claim check can tell you if you've reached that point.

Postcode: 2566

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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

    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

    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

    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.

Lodging your claim: the practical steps

Before you lodge, report the accident to police if you haven't already. The claim form generally asks for the police event number, and the insurer will usually want to see that the crash was reported. Then complete the form online through Service NSW or with the insurer, attaching your Certificate of Fitness if you already have one.

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

Dealing with the insurer day to day

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
  • Ask what a request is for if it's unclear

Read next:Dealing with your insurer and case manager

What people in St Andrews need to lodge a claim

If you travel to work on the Hume Motorway or the Airport & South Line and the injury has stopped that, have your payslips and employer contact ready. The insurer needs them to work out weekly payments. The claim form asks where you were first treated and when. If that was Campbelltown Hospital, write the name and dates as they appear on your paperwork, including any outpatient follow-up, so the insurer can match its records quickly. Lodging a claim doesn't mean a trip to Campbelltown, 5 km away. From St Andrews, 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
Macarthur & Wollondilly
Postcode
2566
Nearest public hospital
Campbelltown Hospital
Distance to Campbelltown
~5 km
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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.

  • Your Certificate of Fitness
  • Hospital discharge summary, if you were admitted
  • Recent payslips, tax returns or business records
  • Receipts for treatment, medication and travel
  • Names and numbers of any witnesses

Read next:Checklist: your first 30 days

The 52-week limit and who it applies to

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

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

Weekly payments and treatment

Weekly payments replace part of your income while the injury keeps you off work or on reduced hours. The insurer sets your rate from what you earned before the accident, so give it the full picture from the start: every job you held and the hours you usually worked. A legislated maximum applies and is indexed each year, so the cap itself changes over time.

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

Help beyond lodging

Many people lodge and manage a CTP claim on their own. It's worth getting help when the insurer refuses the claim, classifies your injury as threshold when your doctor disagrees, stops payments, or argues about fault. It's also worth asking a lawyer about damages if your injury is more than threshold and someone else was at fault.

Read next:What help do I need?

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

  • Another driver was at fault and your injury is more than threshold
  • Your injury has been classed as threshold and your doctor disagrees
  • Someone died in the crash
  • Your claim went in more than 3 months after the accident

You may not need one

  • Your treatment requests are being approved
  • You need help understanding a question on the form
  • You just need to know which insurer to claim against

A claim runs on medical evidence. If you don't yet have a GP who'll complete a Certificate of Fitness, we can point you to doctors and allied health who know the CTP scheme.

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 St Andrews sorts that out first. Car accident claim in St Andrews
  • 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 St Andrews
  • If a decision has already gone against you, the claim denied page explains internal review and what comes after it. CTP claim denied in St Andrews

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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