Form title and introduction

report catastrophic injury form

Initial Report of a Catastrophic Injury

You must report a motor vehicle crash using the Online Crash Report Form soon after the crash.

You can also notify the Insurance Commission of a catastrophic injury (traumatic brain injury, spinal cord injury, amputation(s), permanent blindness, or severe burns) by completing the form below. Alternatively you can contact the Insurance Commission on +61 (8) 9264 3333.


Required fields are marked with an asterisk ( * )

Page Last Updated 28 Aug 2020