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Form · Personal Injury & Compensation

County Court notice of intention to refer a medical question to a Medical Panel: guide

Guide to the County Court notice of intention to refer a medical question to a Medical Panel in a serious injury application for a work injury, from the Common Law Division Practice Note of 9 February 2026.

Kind
Form. A form to complete, or a guide to completing an official one.
Where it applies
Victoria
AI use
Red You write the text. The tool writes nothing into the document. Where permitted, it may check, clarify or collect data, and anything it checks or collects is verified.
Law stated as at
23 October 2026
Status
Maintained. Checked on 23 October 2026 against the official form at countycourt.vic.gov.au and the authority it cites, for Victoria.
Version
1
Source
Link to the official form. Licence: © State of Victoria. Link only: download the current form from the official page each time; do not copy or adapt it.

Where this comes from

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

When to use it

Use when a party in a County Court serious injury application for a work injury intends to ask the Court to refer a medical question to a Medical Panel. The practitioner completes the Court form. The joint statement and any affidavit are not written here.

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 diary 30 days from the order that first set the proceeding down for hearing and index documents for the section 304 schedule; the practitioners write the notice, the questions and the joint statement.

AI may

  • Diary 30 days from the date of the order that first set the proceeding down for hearing
  • Index documents and videos already held that relate to the medical question, including documents that do not help the client's case

AI must not

  • Must not write the medical questions, the joint statement of agreed facts, or the notice
  • Must not write or outline any affidavit
  • Must not invent an originating-motion form number. The practice note does not give one for this application

The lawyer checks

  • The application is a serious injury application for a work injury under section 335(2)(d) of the Workplace Injury Rehabilitation and Compensation Act 2013 or section 134AB(16)(b) of the Accident Compensation Act 1985
  • The questions fit the definition of medical question in section 3 and are relevant to the issues
  • Paragraph 23.14 says the Court has determined, under section 274(1)(b)(ii), that notice must be no more than 30 days after the order that first set the proceeding down for hearing
  • Paragraph 23.16 requires the notice of intention form, emailed to WorkCoverList@countycourt.vic.gov.au and copied to all parties
  • The consent pack in paragraph 23.20 is agreed questions, a joint statement under section 304(a), a schedule under section 304(b) signed by each party with an acknowledgment that copies were exchanged, and proposed consent orders
  • The forms catalogue page linked from paragraph 23.16 returned only a feedback widget when opened on 23 October 2026. Download the current form from the Court and match the title
  • Paragraphs 3.8 to 3.16 limit generative AI. An affidavit must be the witness's own words. A later practice note, Use of Artificial Intelligence by Court Users, updated 9 June 2026, is listed on the Court's index. Its text was not opened
  • Health information stays in a firm-controlled tool. Check ASCR r 9, APP 11, and whether any disclosure would be a notifiable breach 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

Official form

Open the official form. Always use the current version from the issuer. Licence: © State of Victoria. Link only: download the current form from the official page each time; do not copy or adapt it..

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