Talking to a CTP lawyer from Mount Victoria

A NSW CTP claim can have two stages. The first is statutory benefits: weekly payments and treatment and care, which most injured people can claim regardless of fault. The second is a common law damages claim, a lump sum available only if another driver was at fault, you weren't mostly at fault and your injury is more than a threshold injury. In the first stage, a lawyer's work is usually about disputes. In the second, it's usually the whole claim.

The work often includes requesting records from hospitals and treating practitioners, asking for an internal review, preparing an application to the Personal Injury Commission and, for damages, negotiating a settlement. Some of that you could do yourself. The value of an experienced lawyer is knowing which arguments the scheme allows and which deadlines apply to your accident date.

The clearest sign is a decision you disagree with. A refused claim, a threshold classification, a finding that you were mostly at fault, or payments that suddenly stop all have review pathways and deadlines. The internal review window is generally 28 days from receiving the decision, so it pays to get advice quickly rather than waiting to see what happens next.

If you were wholly or mostly at fault, there's generally no damages claim to make, and statutory benefits are generally limited to the first 52 weeks. Unless you dispute the fault finding, a lawyer may add little: the insurer pays what the scheme allows, and SIRA's free CTP Legal Advisory Service can answer statutory benefits questions. It's different if you think the fault decision is wrong, because that finding shapes everything else.

Two rules shape what a CTP lawyer can charge. First, the Motor Accident Injuries Regulation sets maximum costs for the stages of a claim, and those amounts are indexed every year. Second, in statutory benefits matters the insurer pays whatever costs the rules allow, and for some disputes nothing is recoverable. Ask any lawyer to explain in writing how their fees would be worked out for your matter.

CTP claims run on documents: claim forms, medical certificates, insurer decisions and reports. Almost all of it can be shared by email, and conversations work by phone or video. That means the lawyer with the right experience may be across the state, and it makes little practical difference to how your claim is handled.

Before paying for anything, know what's free. CTP Assist, run by SIRA, gives free information and support about CTP claims on 1300 656 919, 8:30am to 5pm weekdays. It can also connect you with the CTP Legal Advisory Service, which SIRA funds for statutory benefits questions on accidents from 1 December 2017. For many early questions, that's enough.

Missed a deadline? It isn't always the end. Claims made more than 3 months after the accident can only be accepted in limited circumstances, usually where there is a full and satisfactory explanation for the delay. The rules are strict and depend on your accident date, which makes this one of the most time-sensitive moments to get an independent lawyer's view.