Applications for Assessment
MAS 1A - Treatment Dispute 
(1.0mb)
Use this form only if there is a dispute between the claimant and the insurer about past treatment or proposed future treatment.
MAS 2A – Permanent Impairment Dispute (1.0mb)
Use this form if there is a dispute between the claimant and the insurer about:
- whether the degree of permanent impairment of the injured person as a result of the injury caused by the motor accident is greater than 10% and
- the claimant has put the insurer on notice that they believe they are entitled to claim damages for non-economic loss and the insurer does not agree.
MAS 4API – Further Assessment of a Permanent Impairment Dispute (1.0mb)
Use this form if:
- the specific medical dispute has previously been assessed by a MAS Assessor;
- there has been deterioration and/or is additional relevant information about the injury or injuries sustained in the motor vehicle accident and the deterioration and/or additional information is such as to be capable of having a material effect on the outcome of the previous assessment;
- all certificates pertaining to that dispute have been issued (including combined certificates and Review Panel certificates); and
- any application for correction of an obvious error or for a Review of the assessment of the dispute has been finalised.
MAS 4AT – Further Assessment of a Treatment Dispute (1.0mb)
Use this form if:
- the specific medical dispute has previously been assessed by a MAS Assessor;
- there has been deterioration and/or is additional relevant information about the injury or injuries sustained in the motor vehicle accident and the deterioration and/or additional information is such as to be capable of having a material effect on the outcome of the previous assessment;
- all certificates pertaining to that dispute have been issued (including combined certificates and Review Panel certificates); and
- any application for correction of an obvious error or for a Review of the assessment of the dispute has been finalised.
MAS 5A – Review of a Medical Assessment (941kb)
Use this form if there has been an assessment by MAS and you are of the view that the original medical assessment is incorrect in a material respect.
MAS 6A - Medical dispute referred by a claims assessor or court (1.0mb)
Use this form if:
- You are a CARS Assessor or Court referring a matter for assessment for the first time, further assessment or assessment again; or
- you are a party to a claim directed by a CARS Assessor or Court to complete an application on behalf of the CARS Assessor or Court.
Replies to Applications for Assessment
If you need extra pages to list your supporting documents, please use these pages:
Complete set of MAS forms in MS Word format 
(5.9mb) - Please note that these forms are contained within a single zip file.