Northern Beaches · CTP claims

Starting a CTP claim after a crash near Wingala

Check your claim for free, by phone or online. Legal help if it needs it; treatment help if that's the gap.

The first weeks after a crash are busy, and the CTP claim can slip down the list. It shouldn't. People in Wingala face the same deadlines as everyone in NSW: 28 days for back-paid weekly payments and 3 months to claim at all, with only limited exceptions. We can check where your claim is up to for free, and point you to legal or medical help only where it's actually needed.

Postcode: 2099

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How a CTP claim unfolds over time

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

    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

    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.

Lodging the claim: where and how

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

Documents to gather before you start

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
  • Your employer's name and contact details
  • Receipts for treatment, medication and travel
  • Names and numbers of any witnesses

Read next:Checklist: your first 30 days

Wingala: treatment, paperwork and your 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 14 km from the Sydney CBD, Wingala 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
~14 km
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Working with the insurer and your case manager

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.

  • Send updated certificates before the old one runs out
  • Keep copies of everything you send
  • Note the date on any decision letter

Read next:Dealing with your insurer and case manager

The Certificate of Fitness

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

What statutory benefits cover

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

The 52-week limit and who it applies to

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

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?

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

  • Your claim went in more than 3 months after the accident
  • Your injury has been classed as threshold and your doctor disagrees
  • Another driver was at fault and your injury is more than threshold
  • The insurer's reasons for a decision don't make sense to you

You may not need one

  • Your weekly payments arrive on time and the amount looks correct
  • Your injury is healing well within the first months
  • Your treatment requests are being approved

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 Wingala
  • 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 Wingala
  • If a decision has already gone against you, the claim denied page explains internal review and what comes after it. CTP claim denied in Wingala

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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