A CTP lawyer for Telopea, when your claim needs one

It helps to separate what the insurer pays now from what you might claim later. Statutory benefits are the now: weekly payments and treatment, claimed early and decided by the insurer as you go. Damages are the later: a lump sum for lost earnings and, in serious cases, pain and suffering. In many claims a lawyer is optional for the first part, and usually worth having for the second.

Much of a lawyer's early work is reading. They go through the claim form, your Certificates of Fitness and every decision letter, then work out which rules fit your accident date and what, if anything, is worth challenging. Sometimes the honest advice is that the claim is on track and needs nothing more from them. That is a useful answer too, and a good lawyer will give it plainly.

People often put off calling a lawyer because they fear the bill. In CTP claims the scheme itself puts limits on legal costs: maximum amounts are set by the Regulation for both statutory benefits and damages work, and in statutory benefits matters the recoverable costs are paid by the insurer. The detail depends on your stage and your dispute, so get the lawyer's explanation of fees in writing before any work starts.

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.

It's natural to look for a lawyer nearby, but proximity is a weak reason to choose one. What matters is experience with the NSW scheme and how clearly they communicate. Our claim check happens by phone and online, and the independent lawyer we connect you with can generally work the same way, so you don't have to travel while you're recovering.

An offer from the insurer is a moment to pause. A damages settlement generally ends the claim for good, and it generally can't happen within 2 years of the accident unless whole person impairment is more than 10%. Before accepting anything, it's sensible to have a lawyer check whether the offer reflects your losses and your likely future.

SIRA pays for a free CTP Legal Advisory Service that answers statutory benefits questions about accidents since 1 December 2017, and CTP Assist on 1300 656 919 can put you through to it. It's a sensible first stop when you're unsure whether a decision about your benefits is right. Where its help stops is usually where an independent lawyer comes in, and our claim check can tell you whether you've reached that point.

If a decision has gone against you, the internal review window is generally 28 days from receiving it. That's the deadline people most often miss while they wait to see whether the insurer changes its mind. Outside 3 months for statutory benefits and still haven't claimed? Speak to a lawyer straight away, because late claims are accepted only in limited circumstances.