Wrongs (Part Vba Claims) Regulations 2025

For the purposes of section 28LT(2) of the Wrongs Act 1958, the following information is prescribed—

the name of the claimant;

the name of the claimant's legal representative (if applicable);

the address of the claimant or the claimant's legal representative (as the case requires);

the telephone number of the claimant or the claimant's legal representative (as the case requires);

the email address of the claimant or the claimant's legal representative (as the case requires);

the date of birth of the claimant;

the name of the respondent;

the address of the respondent;

the telephone number of the respondent (if known);

a statement of reasons explaining why the claimant asserts that the respondent is the proper respondent to the claim;

the name, address and telephone number (if the number is known) of any party (other than the respondent) who the claimant considers to be a proper respondent to the claim and reasons why the other party is also considered to be a proper respondent;

the date, time and location of the incident;

a description of the incident;

details of the injury suffered as a result of the incident;

details of the non-economic loss suffered by the claimant as a result of the injury;

details of any report of the incident on which the claimant intends to rely, including the date of the report and the person to whom the report was made;

the name, professional qualifications, address, telephone number and email address of any medical practitioner who has treated the injury of the claimant.

For the purposes of section 28LT(2) of the Wrongs Act 1958, the prescribed form is Form 4 in Schedule 1.