---
title: "Complete a New South Wales CTP or workers compensation claim form with the client"
url: "https://ailawframework.com/practice/personal-injury-and-compensation/draft-the-pre-action-notice-or-statutory-claim-form-from-the-instruction/new-south-wales"
type: "task_jurisdiction_version"
site: "AI Law Framework"
id: "A21-T1-R5-NSW"
practice_area: "Personal Injury & Compensation (workers compensation, CTP/TAC, medical negligence)"
tier: "red"
lawyer_review: "required"
jurisdictions: ["NSW"]
last_reviewed: "2026-10-25"
---

# Complete a New South Wales CTP or workers compensation claim form with the client

> The tool writes nothing on the claim form and nothing in the declaration. Index only the attachments the lawyer names. Do not choose the form or the scheme.

Canonical page: https://ailawframework.com/practice/personal-injury-and-compensation/draft-the-pre-action-notice-or-statutory-claim-form-from-the-instruction/new-south-wales  
Last reviewed: 2026-10-25

Site index for agents: https://ailawframework.com/llms.txt

## Key facts

| Fact | Value |
| --- | --- |
| Practice area | [Personal Injury & Compensation (workers compensation, CTP/TAC, medical negligence)](https://ailawframework.com/practice/personal-injury-and-compensation.md) |
| Human involvement | Red: Lawyer writes; AI may check, clarify or collect data |
| How AI is used | The tool writes nothing on the claim form and nothing in the declaration. Index only the attachments the lawyer names. Do not choose the form or the scheme. |
| What the lawyer must review | Download the current form on the day of lodgement and take every answer from the client The CTP form cites Crimes Act 1900 section 307C. The worker's form does not cite that section The injured person signs the CTP form unless under 18 or unable to sign The worker must sign section 9. This verification is the part the tool does not touch |
| Written for | New South Wales |
| Applies to | [Draft the pre-action notice or statutory claim form from the instructions](https://ailawframework.com/practice/personal-injury-and-compensation/draft-the-pre-action-notice-or-statutory-claim-form-from-the-instruction.md) |

## Checking plan

**Verify against sources**

The form contains a verification. The lawyer completes it with the client. The tool writes nothing on the form.

- What the AI does: The tool writes nothing on the claim form and nothing in the declaration. Index only the attachments the lawyer names. Do not choose the form or the scheme.
- What the lawyer does: Choose the current form, complete it with the client, and take the signature.
- Who reviews: Lawyer competent in this practice area
- Basis: Checked against the linked sources on 23 October 2026. Confirm the current instrument before reliance.

## Checks the lawyer makes

1. The SIRA Application for personal injury benefits applies to accidents on or after 1 December 2017. The claimant declares that the information is true and correct. The form states that Crimes Act 1900 section 307C provides a fine of up to $22,000, or imprisonment for two years, or both, for knowingly providing false or misleading information.
2. The injured person signs the CTP declaration unless under 18 or unable to make it. A parent, guardian, relative or friend then signs. The opened form is not a statutory declaration made before a witness.
3. The worker's injury claim form, effective 20 October 2026, requires the worker to sign section 9. The worker declares that the information is true and correct to the best of their knowledge, and that a false or misleading claim is punishable by law. The opened pages do not cite section 307C. The form asks for a certificate of capacity or a medical certificate.
4. A CTP statutory benefits claim is made within 3 months under section 6.13 of the Motor Accident Injuries Act 2017. Weekly payments for a period before the claim are not payable unless the claim is made within 28 days, subject to that section. A workers compensation claim for compensation is made within 6 months under section 261 of the 1998 Act, subject to the excuses in that section.

## Notes

- The verification section is why this version is Red. The tool does not draft, complete or suggest any answer that goes on the form.
- The lawyer confirms which scheme applies before a form is downloaded. A letter to an insurer does not replace either form.
- Health and wage records stay in a firm-controlled tool. Australian Solicitors' Conduct Rules rule 9 and Australian Privacy Principle 11 apply, and a breach may be notifiable under the Privacy Act 1988 (Cth).

## Practical guide

Jurisdiction: A New South Wales CTP claim, or a New South Wales workers compensation claim

**Deliverable**: An index of attachments only. The form itself is completed by the lawyer with the client.

**Inputs**

- The scheme and the accident or injury date, as the lawyer identifies them
- The current form downloaded that day
- The client's own instructions for each answer

**Example**: Illustrative example: The file has both a motor accident and a work injury. The lawyer downloads the CTP form for the motor accident and leaves every answer blank for the conference. The tool lists the police event number and the certificate of capacity as attachments and writes nothing on the form.

**Stop and escalate when**

- Any answer or signature block on the form has been written by the tool.
- The worker's form is treated as carrying the Crimes Act section 307C warning, which the opened pages do not contain.

Checked 2026-10-23.

## Sources

- [SIRA: Application for personal injury benefits](https://www.sira.nsw.gov.au/resources-library/motor-accident-resources/workers-compensation/making-a-claim2/after-1-december/Application-for-personal-injury-benefits.pdf) (checked 2026-10-23)
- [SIRA: Worker's injury claim form, effective 20 October 2026](https://www.sira.nsw.gov.au/resources-library/workers-compensation-resources/forms/workers-and-claims/SIRA08684-Workers-injury-claim-form.pdf) (checked 2026-10-23)
- [Motor Accident Injuries Act 2017 (NSW) section 6.13](https://classic.austlii.edu.au/au/legis/nsw/consol_act/maia2017245/s6.13.html) (checked 2026-10-23)
- [Workplace Injury Management and Workers Compensation Act 1998 (NSW) section 261](https://classic.austlii.edu.au/au/legis/nsw/consol_act/wimawca1998540/s261.html) (checked 2026-10-23)

## Forms and precedents for this task

| Form or precedent | Kind | AI level | Summary |
| --- | --- | --- | --- |
| [Limitation and notice diary procedure](https://ailawframework.com/precedents/personal-injury-and-compensation/firm-limitation-notice-diary.md) | Policy | Yellow | Firm procedure for recording limitation and pre-action notice dates on a plaintiff injury file.… |
| [Worker's injury claim form (SIRA): weekly payments and treatment expenses](https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-sira-workers-injury-claim.md) | Form | Yellow | Link to SIRA's worker's injury claim form for weekly payments and treatment costs, with the sections every claim needs, the signed declaration, and the certificate of capacity to send with it. |
| [Notice of accident claim, non-fatal injury (MAIC Form F1)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-maic-noac-non-fatal.md) | Form | Yellow | Link to MAIC Form F1 V8 Oct 2022, the Notice of Accident Claim Form (Non-Fatal Injury). The claimant certificate is a statutory declaration. |
| [Application for review (SAET form A02, Return to Work): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-saet-a02-review.md) | Form | Yellow | Link to SAET form A02, Application for Review (Return to Work), on the start-a-new-case page.… |
| [TAC online claim lodgement: what to gather and when the claim is lodged](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-claim-lodgement.md) | Form | Yellow | Guide to the Transport Accident Commission's online claim form: the 12-month lodgement period, the documents the form asks for, and the rule that a saved draft is kept for 10 days. |
| [Workers compensation claim form (WorkCover WA): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-wa-wc-claim.md) | Form | Yellow | Link to the WorkCover WA claim form page. The page links a PDF titled Workers Compensation Claim Form. The PDF was not opened, so this guide does not describe its fields or give it a form number. |
| [Request to the Transport Accident Commission for a serious injury certificate](https://ailawframework.com/precedents/personal-injury-and-compensation/vic-tac-serious-injury-certificate-request.md) | Letter | Yellow | Letter asking the Transport Accident Commission to determine impairment and, if it is under 30 per cent, to issue a serious injury certificate for a common law damages claim. |
| [Certificate of capacity / certificate of fitness (SIRA)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-sira-certificate-of-capacity.md) | Form | Yellow | Link to SIRA's certificate of capacity and certificate of fitness for workers compensation and CTP, including the doctor's certificate and the person's employment declaration. |
| [Notice of accident claim, fatal injury (MAIC Form F4)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-maic-noac-fatal.md) | Form | Yellow | Link to the MAIC Notice of Accident Claim Form (Fatal Injury). The claimant certificate is a statutory declaration. |
| [Application for expedited decision (SAET form A03): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-saet-a03-expedited.md) | Form | Yellow | Link to SAET form A03, Application for Expedited Decision (Return to Work), named on the start-a-new-case page. The page links an online form. That form was not opened.… |
| [TAC funeral and dependency benefits claim form: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-funeral-dependency.md) | Form | Yellow | Link to the TAC form for funeral expenses and dependency benefits after a death in a transport accident, with the online form and the PDF the TAC publishes on the same page. |
| [Notice to a road authority of an incident, asking for inspection and complaint records](https://ailawframework.com/precedents/personal-injury-and-compensation/road-authority-incident-notice-letter.md) | Letter | Yellow | A letter giving a Victorian road authority the particulars of a notice of incident, and asking a road authority in Victoria, Queensland or New South Wales for the inspection, complaint and repair… |
| [Request that the Transport Accident Commission accept a late Part 3 claim](https://ailawframework.com/precedents/personal-injury-and-compensation/vic-tac-late-part-3-claim.md) | Letter | Yellow | Letter asking the Transport Accident Commission to accept a Part 3 claim made after one year and before three years, setting out the grounds for the delay. |
| [Additional information form (MAIC Form F2)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-maic-additional-information.md) | Form | Yellow | Link to MAIC Form F2 V7 Apr 2022. Section 37A requires the claimant to return the approved additional information form within 1 month after the insurer asks. |
| [Application for suitable employment (SAET form A04): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-saet-a04-suitable-employment.md) | Form | Yellow | Link to SAET form A04, Application for Suitable Employment (Return to Work), named on the start-a-new-case page. The page links an online form. That form was not opened.… |
| [TAC serious injury application form (Common Law Protocols 2026): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-serious-injury-application.md) | Form | Yellow | Guide to the TAC form lawyers use to request a serious injury certificate under Part 6 of the Transport Accident Act 1986 and the Common Law Protocols 2026, including the section 93(17) limbs and… |
| [Application for arbitration (WorkCover WA): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-wa-wc-arbitration.md) | Form | Yellow | Link to the WorkCover WA Application for Arbitration. The worker forms page says to use it to have a dispute dealt with by the Workers' Compensation Arbitration Service.… |
| [Queensland Notice of Accident Claim: time, service and a reply to noncompliance](https://ailawframework.com/precedents/personal-injury-and-compensation/qld-maic-notice-and-compliance-reply.md) | Checklist | Yellow | Checklist for a Queensland CTP Notice of Accident Claim, and a short reply when the insurer says the notice does not comply. |
| [Law practice certificate for a Queensland CTP claim (MAIC)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-maic-law-practice-certificate.md) | Form | Yellow | Link to the MAIC law practice certificate page. Section 36B requires the supervising principal to sign the certificate and verify it by statutory declaration. |
| [Work injury claim (ReturnToWorkSA online): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-sa-rtw-claim.md) | Form | Yellow | Link to the ReturnToWorkSA page for reporting an injury or making a claim. The opened page describes an online claim through the employer or the claims agent. It does not give a paper form number. |
| [Application for payment of wages (SAET form A06): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-saet-a06-wages.md) | Form | Yellow | Link to SAET form A06, Application for payment of wages under the Return to Work Act, named on the start-a-new-case page. The page links an online form. That form was not opened.… |
| [Letter of claim to a public health service, including an initial notice](https://ailawframework.com/precedents/personal-injury-and-compensation/letter-of-claim-public-health-service.md) | Letter | Yellow | Letter of claim to a public health service. In Queensland it is an initial notice under the Personal Injuries Proceedings Act 2002 s 9A, and the Victorian and New South Wales variants ask the… |
| [Queensland part 1 notice of claim and reply to a compliance response](https://ailawframework.com/precedents/personal-injury-and-compensation/qld-pipa-part-1-notice-and-compliance-reply.md) | Letter | Yellow | Letter and checklist for giving part 1 of a Queensland notice of claim under the Personal Injuries Proceedings Act 2002, and for answering a respondent who says part 1 does not comply. |
| [Application for mediation (NT WorkSafe): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-nt-wc-mediation.md) | Form | Yellow | Link to the NT WorkSafe application for mediation under the Return to Work Act 1986. The form page gives no form number.… |
| [PIPA notice of claim, non-health care (Form 1, version 7)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-pipa-notice-non-healthcare.md) | Form | Yellow | Link to Personal Injuries Proceedings Act Form 1, version 7, in force from 1 September 2025. Part 1 and Part 2 are each an Oaths Act statutory declaration and are given at different times. |
| [Workers compensation claim form (WorkSafe Tasmania): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-tas-wc-claim.md) | Form | Yellow | Link to the WorkSafe Tasmania page for accessing a workers compensation claim form. The page gives a printable PDF and a fillable PDF. It does not state a form number.… |
| [TAC common law time limit notification form: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-common-law-time-limit.md) | Form | Yellow | Guide to the TAC form used when a serious injury certificate application will be lodged outside the six-year period in the Limitation of Actions Act 1958, under the Common Law Protocol 2026. |
| [Queensland notice of claim for damages: assembly checklist](https://ailawframework.com/precedents/personal-injury-and-compensation/qld-workcover-notice-of-claim-for-damages.md) | Checklist | Yellow | Checklist for assembling a notice of claim for damages under section 275 of the Workers' Compensation and Rehabilitation Act 2003 (Qld) before a proceeding is started. |
| [Workers compensation claim (WorkSafe ACT): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-act-wc-claim.md) | Form | Yellow | Link to the WorkSafe ACT page on how to make a workers compensation claim. Claim forms come from the employer. The page states the notification and claim steps.… |
| [PIPA notice of claim, health care (Form 2, version 7)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-pipa-notice-healthcare.md) | Form | Yellow | Link to Personal Injuries Proceedings Act Form 2, version 7, for a health care claim. Part 1 and Part 2 are Oaths Act statutory declarations. |
| [TAC common law application form (Common Law Protocol 2026): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-common-law-application.md) | Form | Yellow | Guide to the TAC form used after a proactive or fast track serious injury grant, which must be sent before a common law conference is arranged. |
| [Request that a NSW CTP insurer concede impairment greater than 10 per cent](https://ailawframework.com/precedents/personal-injury-and-compensation/nsw-mai-damages-impairment-concession.md) | Letter | Yellow | Letter asking a New South Wales CTP insurer to concede that permanent impairment from a motor accident is greater than 10 per cent, and recording the section 6.14 time for a damages claim. |
| [Workers compensation claim form (NT WorkSafe): completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-nt-wc-claim.md) | Form | Yellow | Link to the NT WorkSafe approved workers compensation claim form for a claim other than death. The page cites section 82(1) of the Return to Work Act 1986. The Word and PDF files were not opened. |
| [PIPA notice of claim, dependency (Form 3, version 6)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-pipa-notice-dependency.md) | Form | Yellow | Link to Personal Injuries Proceedings Act Form 3, version 6, for a dependency claim. All dependency claimants are nominated in the one notice, and each part is an Oaths Act statutory declaration. |
| [WorkSafe worker's injury claim form: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-worksafe-injury-claim.md) | Form | Yellow | Guide to the WorkSafe worker's injury claim form, in myWorkSafe or as a PDF, including the certificate of capacity, the signed medical authority and declaration, and mental-injury rules from 31… |
| [NSW work injury damages: claim letter and pre-filing checklist](https://ailawframework.com/precedents/personal-injury-and-compensation/nsw-work-injury-damages-prefiling.md) | Letter | Yellow | Letter to a New South Wales workers compensation insurer claiming work injury damages, with a checklist for the section 315 pre-filing statement.… |
| [WorkCover Queensland application for compensation](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-workcover-application-for-compensation.md) | Form | Yellow | Link to the WorkSafe page for making a workers' compensation claim: a valid application needs the approved form and a work capacity certificate. Section 131 states the six-month lodging rule. |
| [Victorian WorkSafe impairment benefit: stability checklist](https://ailawframework.com/precedents/personal-injury-and-compensation/vic-worksafe-impairment-benefit-checklist.md) | Checklist | Yellow | Checklist and short letter asking a WorkSafe agent to assess a permanent impairment benefit once the injury is stable. The public page states no percentage, so this checklist states none. |
| [WorkSafe claim for compensation following a work-related death: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-worksafe-death-claim.md) | Form | Yellow | Link to the WorkSafe form used after the death of a worker from a work-related injury or illness, including dependency, grief and loss, and funeral expenses. |
| [Notice of claim for damages (WorkCover Form 275)](https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wc-notice-of-claim-damages.md) | Form | Yellow | Link to Form 275, version 3, the approved notice of claim for damages under section 275. Statements in the claimant's personal knowledge must be verified by statutory declaration. |
| [WorkSafe Form A, application for common law damages: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-worksafe-form-a-common-law.md) | Form | Yellow | Guide to WorkSafe Form A for an application under section 328 of the Workplace Injury Rehabilitation and Compensation Act 2013 or section 134AB(4) of the Accident Compensation Act 1985. |
| [WorkSafe Form D, authority to release medical information: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-worksafe-form-d.md) | Form | Yellow | Link to WorkSafe Form D, the signed authority and consent to release medical information that accompanies a common law damages application. |
| [Wrongs Act Form 4, claimant's prescribed information: completion guide](https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-wrongs-form-4.md) | Form | Yellow | Guide to Form 4, the claimant's prescribed information named on the Medical Panels Wrongs Act referrals page, including the section 28LZC(b) certification. |

Signed-in accounts can read the full text of each one.

*Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*