ACT CTP Insurance claims
Need to claim or track an existing claim?
It's ok, that's why you have insurance, we're here to help.
HOW TO SUBMIT YOUR CLAIM
When did your motor vehicle accident occur?
Before making an ACT MAI Insurance application you should
- Report the accident to the police
If the police did not attend the accident, report the accident online or at a police station within 24 hours.
- Seek medical treatment
Have your doctor complete the Motor Accident Injuries medical report (below).
- Complete the relevant forms below
Complete as much of the relevant forms as you can, and gather all relevant supporting documentation.
- Identify the insurer of the vehicle most at fault
Search for the relevant insurer here. If you do not know the vehicle most at fault, please submit your application to us.
After you complete the above steps, send the completed application form(s) to the insurer of the vehicle most at fault. If you are unable to identify the insurer of the vehicle most at fault, send the application form(s) to us.
Please submit your application as soon as possible, and within 13 weeks from the date of the accident. If you think you will be unable to gather the required documentation in time, please contact us and we can help.
Documentation for lodging an application for defined benefits
ACT MAI Insurance privacy statement
This statement explains how we collect, use and disclose your personal information, and how you can access and correct your personal information and make a privacy complaint.
Personal Injuries Benefit application
Complete this form when you first lodge your application and arrange for your doctor to complete the Medical Report.
Motor Accident Injuries medical report
Please arrange for your doctor to complete this form and submit it with your 'Personal injuries benefit application' form.
Fitness for Work certificate
Please arrange for your doctor to complete this form to support eligibility for loss of income.
Quality of Life benefit application
This form is used to determine whether you are entitled to a lump sum payment for your injuries. Your claims advisor will provide you with a copy of this form at the relevant time, however you can also find it here.
Notice of Claim form
This form is used to submit a common law damages claim if required. Your claims advisor will provide you with a copy of this form at the relevant time, however you can also find it here.
Funeral benefits
Use this form if you are claiming funeral expenses for somebody who passed away as a result of a motor vehicle accident.
Dependant Benefit Application
Use this form if you are claiming benefits for the surviving dependants of somebody who passed away as a result of a motor vehicle accident. A death benefit application may cover more than one dependant of a deceased.
What if I need advice or assistance?
CARE Inc provides free advice and assistance to people on accessing the defined benefits available to them under the Motor Accident Injuries scheme. To access CARE Inc’s Defined Benefit Information Service, call 1300 209 642.
Send forms to:
Apia MAI Insurance Claims
GPO Box 706
Canberra ACT 2601
NEXT STEPS
What happens next?
When a claim or application form arrives at our office, we:
- Lodge the claim or application
- Give it a claim number
- Assign it to one of our specialist Claims Advisors who will look after your claim, and
- Send you an information folder containing your Claims Advisor's name and direct phone number.
Our claims team can help answer any questions you have about your claim. Please feel free to contact them on 13 50 50.
Follow the steps above to lodge your application. You will need to submit the following documents in full:
- Application for Personal Injury Benefits
- Medical Report
The Medical Report and Certificate of Fitness for Work (if applicable) must be completed by your usual general practitioner. To avoid delays please make sure they are fully completed, dated and signed.
Please send these forms to us in writing no later than 13 weeks after the date of the motor vehicle accident if you intend to make a claim.
Your application should also include copies of any payments made for treatment expenses, as you may be entitled to claim reimbursement for these expenses.
After we receive your completed application form, we lodge the application and give it a claim number.
Your claim number is a unique number to identify your claim. You can provide this claim number to your treating health practitioner(s) to use in their correspondence with us.
To make an application, you must report your motor vehicle accident to the police. If your accident has not been reported or the police did not attend the accident, please report the accident via the Police Assistance Line (13 14 44) within 28 days of the accident. If it has been longer than 28 days and you haven't reported your accident, please contact us on 13 50 50.
A key objective of the MAI Insurance scheme is to encourage early and appropriate treatment and care of people injured in motor accidents to achieve optimum recovery and return to pre-accident levels of activity and work. Treatment and care as recommended by your treating health practitioner(s) will be supported on acceptance of your claim for defined benefits, provided that the recommended services, treatment and costs are reasonable and necessary and relate to injuries caused by the motor vehicle accident.
Your treating health practitioner(s) will be required to submit a request, referral or plan to outline your treatment needs. This process is called the pre-approval process.
We review all requests against set criteria to help support your recovery and assist you to return to your pre-accident activities.
We reimburse any reasonable and necessary treatment, care or travel expenses incurred in relation to injuries caused by the motor vehicle accident, even if you have already paid these expenses. Contact your claims advisor to discuss the expenses that can be reimbursed.
Income replacement benefits provide fortnightly payments for injured people who have suffered a total or partial loss of earnings as a result of injuries suffered in a motor vehicle accident. When we receive your application we assess your eligibility for income replacement benefits in accordance with the Motor Accident Injuries Act 2019 (ACT), and the associated Regulations and Guidelines.
You may be eligible to claim funeral expenses if you paid, or are liable to pay, these expenses for your family member.
Funeral expenses may include:
- transport expenses,including the cost of transporting a deceased's remains interstate or overseas
- the cost of obtaining a death certificate and any permits
- funeral director fees
- expenses of, or associated with, a cremation or burial, and
- expenses of, or associated with, a funeral or memorial ceremony.
If you need help understanding what you are entitled to claim, please contact us on 13 50 50.
How will customers be supported under the new MAI scheme?
We're still putting injured people first.
The ACT Government has introduced a new Motor Accident Injuries scheme (replacing the previous CTP scheme) to better support people injured on ACT roads. Under the new scheme, people injured in a motor vehicle accident in the ACT will receive fairer, faster and more comprehensive support.
Most people injured in a motor vehicle accident will be entitled to receive treatment, care and lost income benefits for up to five years - regardless of who is at fault.
The new scheme prioritises the rehabilitation and support of all people injured in a motor vehicle accident within the ACT.
You can find out more about the Motor Accident Injuries scheme on the Motor Accident Injuries Commission website.
Before making an ACT CTP claim you should:
- Report the accident to the police
If the police did not attend the accident, report the accident online or at a police station within 24 hours.
- Seek medical treatment
Have your doctor complete the Motor Accident Medical Report (below).
- Complete the relevant forms below.
Fill out the relevant forms and gather all the supporting documentation.
- Identify the insurer of the vehicle at fault
Search for the relevant insurer here. If you do not know the vehicle at fault, please submit your claim to us.
After you complete the above steps, send the completed claim form(s) to the insurer of the vehicle most at fault. If you are unable to identify the insurer of the vehicle most at fault, please call us on 13 50 50.
Please submit your claim within 30 working days from the date of the accident. If you think you will be unable to gather the required documentation in time, please contact us and we can help.
Documentation for lodging a CTP claim
ACT CTP Insurance privacy statement
This statement explains how we collect, hold, use and disclose your personal information and who we share it with, and explains how we protect your personal information.
Motor Accident Notification Form / Motor Accident Medical Report (MANF/MAMR)
This form allows you to apply for early benefits up to $5,000 for your treatment and medical expenses without lodging a full claim. These benefits are available for most people without having to prove someone else was at fault.
Notice of Claim (NOC) form
If your injuries are such that you expect your medical expenses will be more than $5,000 or your recovery will take longer than six months, you should complete a Notice of Claim (NOC) form. The NOC is used to pursue compensation for loss of earning capacity; for medical, treatment and care expenses; and for pain and suffering as a result of injuries. These may include past or future losses. If you did not previously lodge a joint MANF/MAMR form, please also complete it now and attach it to the NOC form.
Once complete send forms to:
Apia CTP Insurance Claims
GPO Box 706
Canberra ACT 2601
NEXT STEPS
What happens next?
When a claim or application form arrives at our office, we:
- Lodge the claim or application
- Give it a claim number
- Assign it to one of our specialist Claims Advisors who will look after your claim, and
- Send you an information folder containing your Claims Advisor's name and direct phone number.
Our claims team can help answer any questions you have about your claim. Please feel free to contact them on 13 50 50.
Track a claim
To track your existing ACT CTP or MAI Insurance claim, contact your Claims Advisor or get in touch with us on 13 50 50.
Monday–Friday 9:00am - 5:00pm (ACT time)
