Form · Personal Injury & Compensation

TAC impairment application form (Impairment Assessment Protocols 2026): completion guide

Guide to the TAC form lawyers use to request an impairment assessment under Part 3 of the Transport Accident Act 1986 and the Impairment Assessment Protocols 2026.

Kind: Form. A form to complete, or a guide to completing an official one.
Where it applies: Victoria
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 tac.vic.gov.au and the 2 authorities 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 tac.vic.gov.au; this page is a completion guide. Last checked on 2026-10-23.

When to use it

Use when a lawyer is asking the TAC to assess a client's impairment under the 2026 Impairment Assessment Protocols. The lawyer completes the official form. For a serious injury certificate, use the serious injury application form.

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 index reports already on the file and list the injuries named in them; the lawyer completes the TAC form and settles every whole person impairment figure.

AI may

Index treating, medico-legal and joint medical examination reports already held, with author and date
List injuries named in those reports so the lawyer can match each one to a TAC claim number
Note whether the file shows the client is under 18, has another TAC claim, or has an administrator

AI must not

Must not nominate a whole person impairment percentage or an AMA Guides table
Must not decide stability, apportionment, causation or whether an impairment is interim
Must not write the injury descriptions that go into the form
Must not upload an EFT authority or any document

The lawyer checks

Name, date of birth and claim number match the TAC record exactly
Each injury is specific and tied to the correct claim number
The schedule lists documents already sent and documents still to upload
The suggested whole person impairment figures are the lawyer's, with the AMA Guides reference
The form is without prejudice and is not later annexed unless the other side agrees
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..

Read the full text

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read the whole precedent, with its drafting notes beside it;
copy it, or download it as a Word file or Markdown;
add it to your firm’s knowledge base, so colleagues can find it;
let the AI tools you connect read it from that knowledge base.

The summary, the law it rests on and the AI-use guidance above stay public. Privacy.

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