Form · Personal Injury & Compensation

Lifetime Care interim application (icare): severe motor accident injury

Link to icare's Lifetime Care application page for a severe motor accident injury, including the signed consent, the medical certificate and the two-year interim participation.

Kind: Form. A form to complete, or a guide to completing an official one.
Where it applies: New South Wales
AI use: Yellow You and the tool draft together, with you directing. You check every statement you rely on.
Law stated as at: 23 October 2026
Status: Maintained. Checked on 23 October 2026 against the official form at icare.nsw.gov.au and the authority it cites, for New South Wales.
Version: 1
Source: Link to the official form. Licence: © Insurance and Care NSW. Link only: use the current application page. Do not copy or adapt the form.

Where this comes from

The official form is published by icare.nsw.gov.au; this page is a completion guide. Last checked on 2026-10-23.

When to use it

Use when a person who was severely injured in a motor accident in NSW applies to Lifetime Care, usually while in hospital after a Severe Injury Advice form. A Lifetime Care application is not a CTP personal injury claim.

Used for these tasks

Each task page says how far AI may help with the task and what the lawyer must review.

How AI may be used

The tool may list the accident, hospital and insurer documents already on the file, and it writes nothing in the signed application, the consent or the medical certificate.

AI may

List whether a signed application, a consent, a police report and a specialist medical certificate are on the file
Record which assessment tool the page names for the injury type on the file
Note the interim two-year period once an acceptance date is known

AI must not

Must not write the signed application, the consent, or the specialist's medical certificate
Must not decide eligibility or whether an injury meets a guideline
Must not describe the word-document fields. Those documents were not opened
Must not submit the application

The lawyer checks

The application includes a signed form and a consent for icare to contact doctors, police, ambulance and insurers. Include a police report if the applicant has one. A medical specialist completes the medical certificate
Assessment tools named on the page: FIM and WeeFIM for brain injuries and burns; the ASIA Scale for spinal cord injuries; amputations by percentage loss or equivalent impairment, with no extra tool; permanent blindness means legally blind in both eyes, with no extra tool
If eligible, the person is an interim participant for two years. icare pays reasonable and necessary treatment, rehabilitation and care from the motor accident injury. Near the end of the two years, a lifetime participation application is made
The person or a CTP insurer can dispute an eligibility decision
The page says a Lifetime Care application is not a CTP personal injury claim. CTP Assist is 1300 656 919 and ctpassist@SIRA.nsw.gov.au
If the person has left hospital, the page gives 1300 738 586. The interim application docx and the Severe Injury Advice docx were not opened
Health, wage and other personal information stays in a firm-controlled tool. Check confidentiality under ASCR r 9 and APP 11, and whether any breach is notifiable under the Privacy Act 1988 (Cth).

Method: how the Green, Yellow and Red levels are decided. This is guidance for planning, not legal advice.

Authorities

icare, Make an application to the Lifetime Care and Support Scheme

Official form

Open the official form. Always use the current version from the issuer. Licence: © Insurance and Care NSW. Link only: use the current application page. Do not copy or adapt the form..

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