Fiji - How to Get Accident Compensation (Third Party Insurance)

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Procedure

Apply In-Person:

1. To Get Accident Compensation (Third Party Insurance), the applicant must visit either the Accident Compensation Commission Fiji (ACCF) office. Contact Link
2. The application form must be obtained from the authorities in the ACCF office, or else it can be downloaded from the website. Application Form
3. Make sure that you have all the documents that are mentioned in the “Required Documents” section of this page.
4. The application form should be filled with necessary details by the applicant and along with the required documents, it should via post or it should be hand delivered in the respective office.
5. After submitting the application form, the authorities will verify the application and the accident details.
6. If the supporting documents are legitimate, then the accident compensation for the mentioned applicant in the application form will be granted by the Accident Compensation Commission for the Third Party Insurance.
7. The processing fee and the processing time will be intimated to the applicant while applying.

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Required Documents

• Dully Filled Application Form
• Notification of the Incident Notification Form
• Photo ID (Applicant/ Injured or Deceased Person if applying for someone else) such as Joint card/Passport/Driver's license.
• If applying for a person under 18 years of age who has no official photo ID, please provide a passport size photo with confirmation on the reverse side by Justice of the Peace or lawyer that the photo is a true likeness.
• If you are not a parent and applying for a person under 18 years of age, then provide documentation confirming you are the legally appointed representative e.g. adoption or other court order.
• Police Report (Must be provided for Motor Vehicle Accident and may be required for other accidents).
• Medical Report.
• Birth Certificate (Applicant and Injured or Deceased Person)
• Proof of Address e.g., utility bill, driving license, voter registration card or statutory declaration.
• Bank Statement or Official Bank Document confirming account details (Applicant).
• Certificate of Death (If applying on behalf of deceased person).
• Probate or Letters of Administration (If applying on behalf of deceased person).
• Tin Letter if not providing Joint Card.

Office Locations & Contacts

ACCF
LTA Building, Lot 1 Daniva Rd,
Valelevu, Nasinu,
679, Suva, Fiji.
Phone No: 8923770
Email: [email protected]
Contact Link

MORE DETAIL ON THE CONTACTS:

• Postal Address: “The CEO of ACCF, PO Box 6264, Valelevu, Nasinu.
  
• Hand Delivered Address: “The CEO, ACCF, Lot 1 Daniva Road, Valelevu, Nasinu, or
  
• Any LTA office in Fiji.
  

Location Link

Eligibility

• The affected person or the relative person to the applicant can file the application for Accidental Compensation.
• Also, the Educational Institution authorities are also eligible to apply for the Accidental Compensation.

Fees

• The processing fee will be intimated to the applicant while applying.

Validity

• The validity period will be intimated to the applicant by the authorities in the ACCF office.

Documents to Use

• Application Form
• Notification Form

Sample Documents

Please attach sample completed documents that would help other people.

Processing Time

• The processing time will be intimated to the applicant while applying.

Related Videos

Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.

Instructions

• In order to get the Third Party Insurance of Accident Compensation from the commission, the applicant must file the application within the 7 days of becoming aware of the accident/death, or else within 14 days of becoming aware of the accident/injury.

Required Information

• Please tick the relevant box and circle whether the application is in respect of injuries or death.
  • Motor Vehicle Accident Injuries/Death
  • Work site Injuries/Death
  • School Injuries/Death
• Who is this application made for?
  • Yourself, go to section 3 (Exclude Section 4)
  • Another person, go to section 4 (Exclude Section 3)
• Your details (compensation for own self)
  • Surname
  • Given names
  • Have you ever previously made an application for compensation with ACCF? If so, in what name was the application made
  • Date of birth: day/month/year
  • Sex: [male/female]
  • Nationality
  • Relationship status: married/divorced/single
  • Are you employed? Yes/No
  • Name of employer/school (if applicable)
  • Occupation
  • Address of employer/ school
  • Phone Numbers: Home/Work/School/Mobile
  • Residential address
  • Postal address
  • E-mail address
  • Bank Name
  • Account number
  • Account name
  • TIN
• Applicant’s details (claiming compensation for another person)
  • Surname
  • Given names
  • Have you ever previously made an application for compensation with ACCF? If so, in what name was the application made
  • Date of birth: day/month/year
  • Sex: [male/female]
  • Nationality
  • Relationship status: married/divorced/single
  • Are you employed? Yes/No
  • Name of employer (if applicable)
  • Occupation
  • Address of employer/ school
  • Phone Numbers: Home/Work/School/Mobile
  • Residential address
  • Postal address
  • E-mail address
  • Bank Name
  • Account number
• 8Account name
  • TIN
• Person who suffered injury or death
  • Surname
  • Given names
  • Date of birth: day/month/year
  • Sex: male/female
  • Nationality
  • Relationship status: married/divorced/single
  • What is the person’s relationship to you?
  • Name of employer/school (if applicable)
  • Address of employer/school (if applicable)
  • Phone number of employer/ school (if applicable)
  • Is the person deceased? Yes/No
• Alternative contact person
  • Would you like to give us permission to talk to someone else about your application for compensation? Yes/No
  • If Yes, please give us the full name, address and phone number of this person and their relationship to you:
  • Surname
  • Given names
  • Phone Numbers: Home/Work/Mobile
  • Residential address
  • Postal address
  • E-mail address
  • What is the person’s relationship to you?
  • Please describe anything you do not want us to talk to this person about
• Accident Details
  • Date and Hour of Accident
  • Location of the accident
  • Brief explanation on how this accident happened
• Declaration and authorisation
  • Name
  • Date: day/month/year
  • Signature
• Application checklist
  • You have completed all the questions in this form as requested.
  • You have attached relevant documents as per section 6.
  • You have signed section 8.

Need for the Document

• In order to get the Third Party Insurance accident compensation, the applicant must need to file the application and get it approved from the ACCF commission.

Information which might help

Enter other information which might help.

Other uses of the Document/Certificate

Please explain what are other uses of obtaining this document/certificate.
e.g., Birth Certificate can be used as proof of identity.

External Links

• External Link

Others

More information which might help people.