--- title: "TAC serious injury application form (Common Law Protocols 2026): completion guide" url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-serious-injury-application" type: "precedent" site: "AI Law Framework" id: "a21-form-vic-tac-serious-injury-application" area_id: "A21" kind: "form" ai_level: "yellow" version: 1 task_ids: ["A21-WR20261022-1", "A21-T1-R5", "A21-T1-R8", "A21-T1-R4"] law_stated_as_at: "2026-10-23" --- # 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. Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-serious-injury-application Law stated as at: 2026-10-23 Site index for agents: https://ailawframework.com/llms.txt ## Key facts - Kind: Form. A form to complete, or a guide to completing an official one. - Practice area: [Personal Injury & Compensation](https://ailawframework.com/precedents/personal-injury-and-compensation.md) - Jurisdictions: Victoria - AI level: Yellow. You and the tool draft together, with you directing. You check every statement you rely on. - Law stated as at: 2026-10-23 - Status: Maintained. Checked on 2026-10-23 against the official form at tac.vic.gov.au and the 3 authorities it cites, for Victoria. ## 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](https://ailawframework.com/practice/personal-injury-and-compensation/test-an-injury-against-the-statutory-threshold-for-benefits-or-damages.md) - [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) - [Draft medico-legal instructions and review the draft report](https://ailawframework.com/practice/personal-injury-and-compensation/draft-medico-legal-instructions-and-review-the-draft-report.md) - [Map statutory entitlements under the applicable compensation scheme](https://ailawframework.com/practice/personal-injury-and-compensation/map-statutory-entitlements-under-the-applicable-compensation-scheme.md) ## 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). ## Authorities - [Transport Accident Commission, Serious injury application form (opened 23 October 2026)](https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms/legal-forms/serious-injury-application-form) - [Transport Accident Commission, Serious injury applications for mental injury claims, citing Transport Accident Act 1986 ss 93(2), 93(3), 93(4)(d) and 93(17)](https://www.tac.vic.gov.au/clients/how-we-can-help/treatments-and-services/policies/other/serious-injury-applications-for-common-law) - [Transport Accident Act 1986 (Vic), version 158, in force 2 October 2026](https://www.legislation.vic.gov.au/in-force/acts/transport-accident-act-1986/158) ## Official form [Official form](https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms/legal-forms/serious-injury-application-form) ## 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. ## Full text and drafting notes The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-tac-serious-injury-application and through the signed-in MCP connector https://ailawframework.com/mcp/firm. *Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*