Get Mas Form 2a

The Mas Form 2a is essential for initiating an assessment of permanent impairment resulting from a motor vehicle accident. This guide will walk you through each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to successfully complete the Mas Form 2a online.

1. Press the ‘Get Form’ button to obtain the Mas Form 2a and open it in your preferred editor.
2. Begin with Section 1: Application. Indicate who is making the application by selecting one option: claimant, claimant’s legal representative, other/non-CTP, insurer, or insurer’s legal representative.
3. In Section 2: Details about the accident, provide the date of the accident in DD/MM/YYYY format and the location where it occurred. If you are the claimant, include the date when the completed claim form was sent to the insurer.
4. Proceed to Section 3: Claimant information. Fill in details including the claimant's surname, given name, date of birth, gender, and contact details. Specify the necessity for an interpreter and indicate any disabilities that may require assistance.
5. In Section 4: Insurer information, select the type of insurer against whom the claim is made and provide the necessary insurer details, including name and claim number.
6. Address Section 5: Dispute information by confirming if the claimant has notified the insurer of their belief in their entitlement to non-economic loss damages. Provide the relevant dates and additional details as needed.
7. Move on to Section 6: Injuries information. List all injuries that you believe contribute to permanent impairment and clarify any disputed aspects regarding these injuries.
8. In Section 7: Document information, ensure you have attached all required documents that support your application. Number each document accordingly and include copies of critical correspondence with the insurer.
9. Once all sections are completed, review your entries carefully to ensure accuracy. Then, save your changes, download the form for your records, and prepare to print or share it as necessary.

Complete the Mas Form 2a online today to submit your application for assessment.