Form · Personal Injury & Compensation
TAC serious injury application form (Common Law Protocols 2026): completion guide
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 the signed authority.
- 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 3 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 for a serious injury certificate so a client can claim common law damages. The form is completed on the TAC page. It is not the County Court originating motion.
Used for these tasks
- Test an injury against the statutory threshold for benefits or damages
- Draft the pre-action notice or statutory claim form from the instructions
- Draft medico-legal instructions and review the draft report
- Map statutory entitlements under the applicable compensation scheme
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 assemble a document index and a list of injuries already recorded on the file for the lawyer to map to section 93(17); the lawyer completes the TAC form and settles every injury and every defendant.
AI may
- Index reports and investigation material already on the file, with author and date
- List injuries named in those reports so the lawyer can choose which section 93(17) subparagraph to tick
- Check the draft against the form's prompts: application type, claim identifiers, authority, defendants and vehicles
AI must not
- Must not decide that an injury is serious, or choose the section 93(17) subparagraph
- Must not describe the accident, the negligence or the consequences in words that go into the form
- Must not sign or upload the authority to release information
- Must not treat the form as evidence: the TAC says it is without prejudice and cannot be relied on later in a court or tribunal unless agreed
- Must not tick or write the declaration that tax file numbers have been redacted, or any answer about whether an affidavit has been sworn.
The lawyer checks
- Application type matches the Protocols: standard (chapter 5), fast track (chapter 3), or a transport accident in the course of employment (clauses 5.4 to 5.10)
- Name, date of birth and claim number match the TAC record exactly
- Signed authority to release information (general) is uploaded, as clause 5.5.4 of the Common Law Protocols 2026 requires
- Only the demonstrable serious injuries are listed, each against section 93(17)(a), (b), (c) or (d)
- WorkCover status is answered, including whether a serious injury application has been or will be lodged with WorkCover
- 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.
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
The full text is available after you log in. It is free. When you log in you can:
- 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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