Get Mas Form 4at

Filling out the MAS Form 4AT is essential for users seeking a further assessment of a treatment dispute under the Motor Accidents Compensation Act. This guide provides clear, step-by-step instructions to help you complete the form accurately online.

Follow the steps to successfully complete the MAS Form 4AT online

1. Click the ‘Get Form’ button to access the MAS Form 4AT and open it for editing.
2. Begin with Section 1, where you will select who is making the application. Options include claimant, legal representative, insurer, or other. Ensure you choose the correct category.
3. Proceed to Section 2 to fill in the details about the accident such as the date and location. Include the date when the completed claim form was sent to the insurer if you are the claimant.
4. In Section 3, gather the claimant's information. Enter the surname, given name, and any other names known by. Include the date of birth, gender, and accurate contact details including street address and email.
5. Section 4 focuses on the insurer's information. Specify whether the claim is against a NSW CTP insurer or another entity. Fill out the insurance details comprehensively.
6. In Section 5, outline the grounds for further assessment. Confirm the prerequisites and provide a detailed explanation of why the assessment should be reconsidered, including any deterioration or additional relevant information.
7. Section 6 requires detailed reasons on how the new information could change the initial assessment outcome. Reference specific documents to support your claims.
8. If applicable, Section 7 and Section 8 involve detailing past and proposed future treatments. List all necessary treatment types, dates, reasons for disputes, and responses from the insurer.
9. Ensure that in Section 9, all required supporting documents are attached. Remember to include the original MAS certificate and any other pertinent paperwork.
10. Once all sections are filled out, review the information for accuracy, save your changes, share or download the form as needed to complete your submission.

Complete your documents online today to facilitate your treatment dispute process.