Notice of claim (non-healthcare claims) (Form 1)
Form 1 is the Queensland notice of claim for personal injury claims that are not health care claims, under the Personal Injuries Proceedings Act 2002. It is given to the person at fault before any court case.
Word document from Queensland Department of Justice's website.
DraftOur fillable copy of this form has not been through editorial review yet. Check it against Queensland Department of Justice's current form before you rely on it.
- Format
- Word (DOCX)
- Category
- Government agency form
- Form number
- Form 1
- Version
- vce636a72
- Last updated
- 26 October 2026
Personal Injuries Proceedings Act 2002

For law practices: this form maps to the published matter-field vocabulary, so your practice management system fills it from your matter data - on your own machine. Practice management systems can fetch and assemble it through the document assembly API.
What Form 1 is for
Section 9 of the Personal Injuries Proceedings Act 2002 (Qld) requires a claimant, before starting a court proceeding for personal injury, to give written notice of the claim in the approved form to the person they propose to sue. The approved form is in two parts, may require information to be verified by statutory declaration, and must authorise the respondent and its insurer to access records relevant to the claim (s 9(1)-(2)). Part 1 must be given by the earlier of 9 months after the incident (or the first appearance of symptoms) and 1 month after the claimant first instructs a law practice and the respondent is identified (s 9(3)). Part 2 follows within 2 months after the respondent's preliminary response (s 9(3A)). Form 1, Version 7, is the current form for non-health care claims. The Queensland Government says the current notice of claim forms took effect on 1 September 2025 and the previous forms are no longer valid.
When you need it
- You personally suffered an injury in an incident you say was caused by someone else's fault, and you want to claim damages.
- You are completing it for an injured person who cannot do it themselves. A parent or legal guardian may give the notice for a child (s 9(4)). All answers must relate to the injured person.
- Not for medical negligence (use Form 2, health care claims) or for a relative's claim after a fatal injury (use Form 3, dependency claims).
- Not where the Motor Accident Insurance Act 1994 applies, or where a claim against an employer is regulated by the Workers' Compensation and Rehabilitation Act 2003 (s 6).
How to fill it in
- 1
Part 1, Section A: claim details
Name each respondent and their address. Give the injured person's details and other names, whether an interpreter is needed, when a lawyer was first consulted and instructed, any other people you have given or will give a notice to, and, if the respondent is the State, the government department you believe is responsible.
- 2
Part 1, Section B: the incident
Give the date, time and place, weather, a diagram or image if useful, a description of how it happened, which emergency or investigating bodies attended, protective devices, drugs or alcohol in the previous 12 hours, witnesses, and who you say caused the incident and why. The form says it is essential to name the person at fault and give reasons.
- 3
Part 1, Sections C and D: injuries and documents
List the injuries, their current effect, treatment and any previous claims. Attach medical reports, incident reports, the diagram, and the law practice certificate (if a lawyer acts) or the claimant certificate (if you sign). Sign the declaration and authorisation before a witness under the Oaths Act 1867.
- 4
Part 2, Sections E to H: losses and offer
Complete loss of income from employment or self-employment, treatment since Part 1, and whether you can make an offer of settlement. An offer must be accompanied by the medical and other material that would help the respondent assess it. Attach tax returns for the three years before the incident and any reports not given with Part 1, then make the second declaration.
- 5
Keep the form intact
The form says its questions must not be altered. Use a black or blue pen or type, follow the 'go to' instructions, and attach labelled pages if you need more space. You can tear off and keep the three instruction pages, but the cover page must stay with the document.
Filing, lodging and service
- The notice is not filed in court. Give Part 1 to each person you believe caused the incident. For a claim against the State, Part 1 is effective only if given to the Crown solicitor and it identifies the responsible department (s 9(8)). The form gives Crown Law's address.
- Within 1 month after receiving Part 1, the respondent must say whether it is a proper respondent (s 10). If it is, it must say whether Part 1 complies and, if not and it does not waive the problem, allow you at least 1 month to fix it (s 12).
- Give Part 2 to the same person within 2 months after the respondent's preliminary response, or after it is presumed to accept that Part 1 complies (s 9(3A)).
- Within 6 months after receiving a complying Part 1, the respondent must say whether liability is admitted or denied, state any contributory negligence as a percentage, and respond to or invite an offer of settlement (s 20).
Common mistakes
- Give Part 1 as early as you can. If it is late, you must still give it, with a reasonable excuse for the delay (s 9(5)). The time limits in s 9(3) do not apply to claims for injury from child abuse (s 9(9C)).
- If a complying Part 1 notice is given before the limitation period ends, a proceeding may still be started within 6 months after the notice is given, even if the limitation period has expired (s 59).
- Keep a copy of everything you send. The form explains that you may be asked for more information or a medical examination and must take reasonable steps to recover and reduce lost income.
Frequently Asked Questions
How long do I have to give a notice of claim in Queensland?
Part 1 must be given by the earlier of 9 months after the incident or first symptoms, and 1 month after you first instruct a lawyer to seek damages and the respondent is identified (s 9(3)).
Is the Form 1 notice of claim filed with a court?
No. It is given to the respondent, or for the State to the Crown solicitor. Court proceedings come later if the claim does not resolve.
Which Queensland notice of claim form should I use?
Form 1 for non-health care claims, Form 2 for health care (medical negligence) claims, and Form 3 for dependency claims after a death. Use the versions in effect from 1 September 2025.
Checked against the official sources on 26 October 2026
- Personal Injuries Proceedings Act 2002 (Qld) ss 6, 9, 10, 12, 20, 59
- Queensland Government - Notice of claim (non-healthcare claims) Form 1, Version 7 (Word)
- Queensland Government - Personal injury forms
General information about the form, not legal advice about your matter. Rules and forms change: if anything here differs from the court or agency's current instructions, theirs apply.
Field map
104 boxes on the Notice of claim (non-healthcare claims) (Form 1) fill from your matter. 18 are for you to complete: ticks, signatures and anything that needs judgement.
- Our Firm
- Firm name
- Client
- Client full name(s), Client phone, Client postal address (full), Client postcode, Client state
- Matter
- Matter / file reference
- Court
- Court file number
- Operator
- Operator signature (image), User First Name, User Full Name (first + surname), User Surname