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Forms and information required in connection with notice of claim (section 126A(2)(c) of Act)

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5 Forms and information required in connection with notice of claim (section 126A(2)(c) of Act)

(1)

A medical certificate or opinion referred to in section 126A(2)(c)(ii) of the Act must be in a form determined by the

CTP Regulator.

(2)

Pursuant to section 126A(2)(c)(iv) of the Act, a notice of claim under subsection (1) of that section must be accompanied by—

(a)

if the claim includes loss of income or earning capacity—evidence of income or earning capacity, including, for example, relevant payslips, PAYG payment summaries or income tax returns;

and

(b)

if the claim includes payment of medical expenses—evidence of expenses incurred up to the date of the claim, including, for example, accounts or receipts in respect of medical services; and

(c)

if the claim relates to the death of a person and is brought under

Part 5 of the Civil Liability

Act 1936—the certificate of death of that person;

and

(d)

if the claimant was injured while driving a motor vehicle—the claimant's driver's licence number; and

(e)

if the claimant was not driving a motor vehicle when he or she was injured—proof of the claimant's identity.

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