Start Claim Process

A claim is started by completing a Notice of Accident Claim Form. (DOWNLOAD LINK)

This is a basic form that includes your personal details, details of the accident and the vehicles involved in the accident, details of your employment and the Police details.

The form also includes a Medical Certificate to be completed by our treating doctor or your regular General Practitioner.

A Notice of Claim should be given as soon as possible bearing in mind the time limitations stipulated above.

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Compliance

After review of the Notice of Accident Claim Form the first thing the Compulsory Third Party Insurer will do is to advise as to its attitude to compliance.

Compliance simply means that the Notice of Accident Claim Form addresses all the information that must be given.

Rehabilitation

Once the Compulsory Third Party Insurer has advised that the Notice of Accident Claim Form is compliant with the provisions of the Motor Accident Insurance Act, they will offer to pay the injured person’s rehabilitation.

This offer is based upon the Medical Certificate containing a reference to the need for rehabilitation.

Often rehabilitation is in the form of physiotherapy.

In those cases the injured person should attend upon a Physiotherapist for a Treatment Plan to be provided.

At that appointment with the Physiotherapist it should be explained that the treatment arises out of a motor vehicle accident and that the Compulsory Third Party Insurer is meeting the cost of the physiotherapy treatment. This will enable the Physiotherapist to contact the Insurer directly.

Have you been involved in a motor vehicle accident and want to see if you can claim? Click on

AM I ELIGIBLE FOR COMPENSATION?

You must complete a document called a Notice of Claim for Damages.

This document can be obtained from the Motor Accident Insurance Commission and has basic details regarding the accident including –

  • Your full particulars;
  • Details of the circumstances surrounding the accident;
  • Details of all motor vehicles involved;
  • Details of Police involvement;
  • Medical Certificate to be complete by your treating doctor;

Download a Notice of Accident Claim Form (DOWNLOAD LINK) must be forwarded to the Compulsory Third Party Insurer of the vehicle responsible for the accident within 9 months of the accident or within 1 month of you consulting a lawyer.

The following are examples of a typical motor vehicle accident –

Scenario 1

  • Vehicle A comes to a halt at a red light at an intersection.
  • Vehicle B is following and fails to keep a proper lookout and drives into the rear of Vehicle A.
  • In this scenario Vehicle B is clearly responsible for the accident.
  • The claim for damages for personal injuries will be against the Compulsory Third Party Insurer of Vehicle B.

Scenario 2

  • Vehicle A and Vehicle B are travelling in opposite directions and approaching an intersection.
  • Vehicle A is indicating to turn right and fails to give way to Vehicle B and Vehicle B is the through traffic.
  • A collision results.
  • In this scenario Vehicle A is clearly responsible for failing to give way to oncoming tra

The at Fault Driver

  • In both the scenarios listed above we identify the driver who is considered at fault.
  • The Notice of Accident Claim Form is given to the Compulsory Third Party Insurer of the driver at fault.

The examinations you will need to undergo depend on the injuries you sustained in the accident.

By way of example, if you sustained a musculoligamentous injury to the cervical spine (whiplash) it is likely that you will be seen by an Orthopaedic Surgeon.

If you sustained head injuries including a period of concussion you would likely be seen by a Neurosurgeon.

If you sustained psychiatric injuries arising out of the accident then you would be seen by a Psychiatrist.

With respect to each report that is commissioned on your behalf the Insurer has a right to an Independent Medical Examination (“IME”). This means, with the example of an orthopaedic injury, once you have obtained a report from an orthopaedic specialist the Insurer has a right to get an independent examination from an orthopaedic specialist. As is the custom, they will provide a list of 3 specialists from whom you can choose to be examined.

The Insurer will meet any cost associated with the IME report.

In a short period of time the Insurer will respond as to whether they consider the Notice of Accident Claim Form compliant with the provisions under the Motor Accident Insurance Act.

If the Insurer is not satisfied regarding compliance there are generally some matters to attend to.

Often the compliance issue is the absence of a Medical Certificate and that is the result of a delay in your treating doctor completing such Medical Certificate.

Once the Insurer is satisfied regarding compliance they will generally be prepared to meet your reasonable and appropriate rehabilitation expenses.

By way of example, when completing the  Medical Certificate if treating doctor suggests that you need physiotherapy then the Insurer will request a Treatment Plan be provided by the Physiotherapist.

The Treatment Plan, which is generally approved, will be for a certain number of sessions of physiotherapy over a certain number of weeks.

Once your rehabilitation is complete and your injury is stabilised then it will be time for you to be assessed for any ongoing impairment.   This is the point at which you are referred to a medical specialist for what are known as independent medico-legal reports.

It is important to note that the doctors who provide those independent medico-legal reports are not treating doctors because they should be independent and not providing medical treatment to you.

As detailed above, with a standard whiplash type injury, an independent medico-legal report would be obtained from an orthopaedic specialist.

The Insurer may then request an IME by way of reply.

The Insurer also has to response with respect to its attitude to liability.

In a motor vehicle accident it is generally clear who is responsible for the accident.

If the Insurer is of the view that their insured driver caused the accident then they will admit liability.

The admission of liability means there is no need to prove who is at fault and the only issue in the case becomes one of providing your injuries.

Once all the evidence regarding your injury(s) has been gathered the parties prepare to proceed to a compulsory conference held under the provisions of the Motor Accident Insurance Act.

At the conference the parties must make genuine efforts to resolve the claim.

If the matter does not resolve at the compulsory conference the parties are required to exchange Mandatory Final Offers which are open for a period of 14 days.

At the expiration of the Mandatory Final Offers proceedings must be filed in Court within 60 days of the compulsory conference.