Road Accident Fund Claims - Road Accident (2024)

WHAT IS A ROAD ACCIDENT FUND CLAIM?

A Road Accident Fund claim, also known as a third party claim, is a claim which can be instituted to recover compensation on behalf of any person who suffered damage as a result of bodily injury to themselves, or bodily injury or death of another as a result of a motor vehicle collision. Parties who can claim are:

  1. A party who sustains bodily injuries in a Motor Vehicle Accident.
  2. When a breadwinner of a family is killed then the surviving spouse and the children are the persons who suffered damage by way of the loss of the financial support of the breadwinner.
  3. Where a minor is injured and has to receive medical treatment. In this case the parent would be the claimant in respect of the medical cost incurred because they are the person who had to pay for such costs and therefore has suffered damages and the minor would be the claimant in respect of the bodily injuries he/she sustained.

WHAT IS THE ROAD ACCIDENT FUND?

The Road Accident Fund is a statutory body established by law to administer the system of compensation for damages suffered due to bodily injury or death caused by the negligent driving of a motor vehicle. Think of it as the insurance company for the wrong doing driver.

HOW IS THE ROAD ACCIDENT FUND FINANCED?

The Road Accident Fund is financed by a levy on all fuel consumed. The proceeds of this levy is paid into the Road Accident Fund.Click here to see how to claim

WHO MAY CLAIM AGAINST THE ROAD ACCIDENT FUND?

Any person who has suffered damage owing to bodily injury to him or herself or to the death or bodily injury of someone else, may claim compensation provided the following can be established.See other injury claims such as negligence

  1. That their damages were caused by the driving of a motor vehicle.
  2. That such motor vehicle was negligently driven.
  3. That the bodily injury or death resulted from a motor vehicle collision.

EXAMPLES OF PEOPLE WHO MAY CLAIM ARE:

  1. Pedestrian negligently knocked down by a motorist.
  2. Passenger in a motor vehicle negligently driven.
  3. Passenger or driver in a motor vehicle struck by another vehicle which was negligently driven.

Note: A person who is solely responsible for their own injury does not have a claim, however a person whose injuries were caused partly by his own fault and partly by the fault of another motorist is entitled to compensation. (Although the compensation will be apportioned, in other words reduced)

CLAIMS MUST BE LODGED WITH THE RAF

Unidentified claims in which neither the owner or driver can be identified can still be instituted against theRoad Accident Fundbut they are subject to certain restrictions, including that they have to be lodged within two years of the cause of action (normally the date of the collision) or the claim will prescribe. (The person will lose their right to claim)

WHAT TYPE OF DAMAGES MAY BE CLAIMED?

The third party/claimant may only claim damages which arose from bodily injury or death.

Examples of categories of damages that arose from bodily injuries are:

1. Past & future medical & hospital expenses.

  • Past & future loss of earnings
  • Past & future travelling expenses to obtain essential medical treatment.
  • The cost of medical treatment and medication.
  • The cost of employing domestic servants, nurses or assistants as a result of the injury sustained.
  • General damages (an amount for pain, suffering, inconvenience, disfigurement and loss of the amenities of life).

EXAMPLES OF CATEGORIES OF DAMAGES ARISING FROM DEATH:

  • Loss of maintenance or support.
  • Funeral costs (limited).

Note:Damage to property for example to a vehicle and clothing cannot be claimed from the Road Accident Fund and has to be claimed directly from the wrongdoer.

A consultation with us as soon as possible after the accident is strongly recommended. This allows the claimant to receive advice on all aspects relating to a possible claim and to enable us to begin the necessary preparatory investigations and comply with any requirements as soon as possible.

WHO MAY SUBMIT YOUR CLAIM?

In terms of the Road Accident Fund third-party claims may only be submitted by the claimant themselves or their attorneys. If a claim is submitted by any one else the Road Accident Fund is entitled to refuse to pay any compensation.

Road Accident Fund claims are a complex field of Law and to ensure you recover everything you are entitled to you should ensure that your matter be dealt with by a specialist personal injury Law Firm such as ours.

PROCEDURE TO FOLLOW?

Within three years of the date upon which the collision occurred (two years in respect of unidentified claims) the claim must be lodged with the fund.

Further, in respect of collision occurring from the 1st of August 2008, to be able to claim general damages, the injured party would further be required to undergo a serious injury assessment and lodge a serious injury assessment form within the above dates.

PRESCRIPTION

The claim must be lodged with the Road Accident Fund within three years of the date upon which the collision occurred. Summons must be served within five years of the collision occurring.

Should the above time limit not be compiled with the claimant’s claim will prescribe and he will lose his right to claim any compensation whatsoever, although there are exceptions in identified claims for example if the claimant was a minor. In the case of an unidentified vehicle claim, this must be lodged with the Road Accident Fund within two years of the date upon which the claim arose to avoid prescription of the claim.

As a result in the case of an unidentified collision it is imperative that you make contact with our offices as soon as possible to avoid the possibility of losing your claim. There are many exceptions to prescription dates so even if you feel your claim may have prescribed, please call us and we will happily advise you further at no charge.

HOW LONG DOES A CLAIM TAKE?

The duration of such claims varies with each case. One of the effects of the Road Accident Fund Amendment Act is that with effect of any accident occurring from the 1st of August 2008 onwards, a serious injury assessment has to be completed. This report may only be done once what is referred to as M.M.I (Maximal Medical Improvement) has been reached.

M.M.I is only reached once the medical practitioner believes that the patient has reached the stage that there will be no significant improvement for the next 12 months. This by itself can cause delays.

Further we can only proceed to trial on the issue of general damages once the Road Accident Fund has accepted the injuries as being serious, alternatively if they don’t accept the injuries as serious we can follow an appeal process.

Unfortunately the Road Accident Fund adopts the stance that by neither accepting nor rejecting the report they can delay the matter indefinitely, which means in the majority of the matters we will have to obtain a court order against the Road Accident Fund to compel them to make a decision to accept or reject the serious injury report so that the matter can proceed to trial.

Further, our experience has been that it is unfortunately extremely rare for a fair settlement offer to be made by the Road Accident Fund without the matter being set down for trial.

THE COST OF INSTITUTING THE CLAIM.

There will be significant disbursem*nts incurred in respect of paying for medical specialists, Advocates fees, CT Scans and other disbursem*nts. Should we be satisfied with the strength of the clients claim, our firm will cover these disbursem*nts on behalf of the client and recover these costs once the claim has been finalised.

Our firm would normally, for these type of claims, enter into a contingency fee agreement (a no win no fee agreement) where our maximum fees are limited to a percentage, which is agreed on in advanced, of the payment received from the Road Accident Fund.

RAF AMENDMENT ACT

As of the 1st of August 2008 the Road Accident Fund Act was amended. This amendment has drastic consequences to all road users. As an example some of the draconian measures that this amendment has introduced include:-

(1) you would no longer be entitled to any amount for general damages, general damages being a lump sum payment for things such as pain and suffering, disfigurement, loss of amenities of life etc. Unless you are seriously injured as defined.

(2) any claim for loss of income would be limited to a maximum cap, which is currently R215 320.00 a year irrespective of what you may have been earning prior to the collision. This figure is escalated annually to compensate for inflation. The above figure is correct as at the 31st of January 2014.

(3) the Amendment Act takes away your common law right to sue the wrongdoer for that portion of the damages that the RAF does not compensate you for.

Should you require any advice on instituting a Road Accident Fund claim or any other personal injury claim please feel free tocontact us.

Road Accident Fund Claims - Road Accident (2024)

FAQs

Can you claim twice for the same accident? ›

Can I make a claim for a new accident if I've already claimed before? If you have been unfortunate enough to endure another personal injury, you could be eligible to make a new claim for compensation for your new injury. However, you cannot claim for the same injury twice.

What injuries can you claim for after a car accident? ›

It is possible to claim for any type of injury sustained in a car accident that wasn't your fault. Some of the more common injuries, however, include: Whiplash. Multiple injuries.
...
Back injuries.
  • Broken bones.
  • Ruptured spleen.
  • Catastrophic personal injuries.
  • Knee injuries.
  • Fatal injuries.

How do you respond to a road accident? ›

Responding to Accidents
  1. Put your vehicle in park and turn on your hazard lights.
  2. Check to see if you or anyone else is injured. ...
  3. Do a quick inspection of any damage. ...
  4. You need to report an accident to the police when: ...
  5. You should call 911 when: ...
  6. Beware of oncoming traffic.

How much does the RAF payout? ›

According to the RAF's annual report for 2020, the average value paid out per claim was R138,010. R826,007 was the average pay-out for loss of earnings. R482,291 was the average pay-out for general damages.

How long can you make a claim after an accident? ›

Car accident claim time limit: Car accidents and road traffic accidents in general have a three-year limit from the date of the accident. If you were left incapacitated and unable to claim for some time after your accident, you would have a three-year limit from the date of recovery.

Can you claim for multiple injuries? ›

It's possible to claim for multiple injuries following any type of accident that wasn't your fault. Some common causes of multiple injuries include: Road traffic accidents.

Can I claim for stress after a car accident? ›

If you were involved in a car accident that was not your fault, you may be eligible to claim compensation for all injuries, physical as well as mental. This includes anxiety.

Can I claim for pain and suffering? ›

The basic legal principle behind an award of compensation for pain and suffering is to put the injured person back into the financial position they would have been in had the accident not occurred.

Does Road Accident Fund expire? ›

What is the time limit for RAF claims? RAF claims must be submitted within three years of the date of the accident if the wrongdoer is identified. In the case of a hit-and-run accident, you must submit your claim within two years of the date of the accident.

What is the initial response to an accident? ›

Defer to someone with better qualifications, including public safety officials. If an injured person is conscious, ask if he or she needs an ambulance, if anyone is, or may be, seriously injured or is unconscious, call 911. Prevent: Take steps to prevent more loss.

How do you say sorry for accident? ›

If you have heard that someone has been injured (hurt, harmed, wounded) or is ill you can say:
  1. We hope you recover soon.
  2. We are sorry to hear about your ______________(accident/illness). ...
  3. Get well soon.
  4. Best Wishes, I hope you are back in the swing of things soon!

How long does it take RAF to pay after settlement? ›

Once a settlement has been reached in court, it can take the RAF as long as 180 days or more to pay you the awarded amount. At the end of 2020, the average pay-out period was 312 days. In the second quarter of 2021, it was 281 days on average.

Can RAF reject a claim? ›

The RAF also has to be satisfied that your injury is 'serious' before you are entitled to be paid for pain and suffering. The RAF may reject your claim either on the merits or as not being 'serious'. They can also decide that the accident was partly your fault and offer you only a percentage of your loss.

Does RAFPay for pain and suffering? ›

If you've suffered a serious injury in a road accident that wasn't solely your fault, it's likely you're entitled to claim damages from the RAF. These could cover your past and future medical expenses, loss of income associated with the injury and compensation for pain and suffering.

How long does it take to receive a offer of compensation? ›

Once an insurance company has admitted liability and agreed to process the claim, they tend to move quickly. Some claimants receive their compensation in a few days. More commonly, the claimant will receive their compensation payment within 2 and 4 weeks.

Can I claim for an accident after 10 years? ›

In general, you have a time limit of up to 3 years from the date of the injury to make an injury claim. The last date you can make a claim is known as the claim limitation date - after which your injury claim becomes 'statute barred'.

Who qualifies for Road Accident Fund? ›

Who can claim from the Road Accident Fund. Drivers, passengers, pedestrians, cyclists and motorcyclists can all claim from the Road Accident Fund, as long as they were not entirely responsible for the accident.

How is compensation calculated? ›

Your compensation will be calculated by adding together: General damages - awarded for pain, suffering and loss of amenity (PSLA), and; Special damages - awarded for any financial losses or costs you have incurred.

How is compensation calculated for multiple injuries? ›

The general principle is that compensation for multiple injuries is calculated on a case-by-case basis. The actual award may be more or less than the sum total of what would be awarded for the individual injuries, depending on the overall impact on a claimant's life.

How much can you get for a neck injury? ›

How much is a neck injury worth? It will vary depending on the type of injury, but the average payout for a neck injury is between $5,000 and $50,000. Soft tissue neck injury claims are worth between $5,000 and $20,000 on average. Neck disc injury cases that result in surgery average over $200,000.

Can I claim compensation for depression? ›

If you have developed depression, PTSD, anxiety or another emotional difficulty as the result of an accident, then you be entitled to claim compensation.

Can you claim compensation for anxiety? ›

Compensation claims for anxiety can be made, even if you have not suffered any physical injuries in the accident. The anxiety you are experiencing must be serious enough to fall into a specific class of psychiatric symptoms that are a recognised condition.

Can I claim for psychological injury? ›

A claim for a psychological injury follows the same process as any other injury claim; the victim can claim for the pain and suffering the injury has caused them, as well as any financial losses that may have occurred as a result of the accident.

How are injury claims calculated? ›

How A Personal Injury Claim Is Calculated. The amount of compensation is usually directly proportional to the extent of injury that the pursuer has suffered. This generally means, that the more severe your injury, the higher the amount of compensation you would expect to receive.

How is compensation calculated for pain and suffering? ›

The composition of compensation

compensation is split into three parts – or 'heads of damage'. Each part considers either what the injured person has already lost, what he might lose or need in the future, or how much he has suffered. The courts often calculate using previous cases with a similar injury.

What are the two types of personal injuries? ›

There are two main types of personal injury compensation damages: compensatory damages and punitive damages.

What are the limitations of MVA Fund claims? ›

Loss of income may be claimed by a survivor of a road crash and is limited to N$ 100 000.00, with certain limitations and exclusions. Loss of support may be claimed by a dependant of a deceased and is limited to N$ 100 000.00, with certain limitations and exclusions.

Can I claim RAF after 3 years? ›

How soon after the accident does a person need to lodge a claim with the RAF? A claim must be lodged by the claimant within three years from the date of the accident or from the date on which the claim arose. This does not apply to a claim by a child under the age of 18 years old.

How much does Road Accident Fund pay for knee injury? ›

The minimum amount generally paid at this stage starts at R150 000. The balance is settled once the RAF pay-out has been received. The final payment will depend on the time the RAF takes to settle the court order, with average total pay-outs around R800 000.

What procedures must be followed when an accident happens? ›

Take any action required to deal with the immediate risk. Contact the emergency services if necessary. Contact your supervisor and make them aware of the situation. Ensure the incident is properly recorded in accident book.

What 4 actions should you take after a first aid incident? ›

Here, we're going to take a look at each of these six life-saving steps:
  1. Step 1: Identify and mitigate potential dangers. ...
  2. Step 2: Call for help. ...
  3. Step 3: Check for a response. ...
  4. Step 4: Check the casualty's airway. ...
  5. Step 5: Check the casualty is breathing. ...
  6. Step 6: Check the casualty's circulation.
24 Jul 2017

What should you not say after an accident? ›

Don't say “I'm sorry

DON'T! A simple “I'm sorry” can be used to show that you admitted guilt and responsibility for the accident. Even if you mean “I'm sorry you're late for work” or “I'm sorry you are hurt” – try to avoid using the words “I'm sorry”.

What should you not say to your insurance after an accident? ›

Avoid using phrases like “it was my fault,” “I'm sorry,” or “I apologize.” Don't apologize to your insurer, the other driver, or law enforcement. Even if you are simply being polite and not intentionally admitting fault, these types of words and phrases will be used against you.

Why didnt you tell him you had an accident? ›

In the second option, "Why did you not tell him that you had had an accident? ​", the "did" is written away from "not" which is not a correct format. Hence the correct answer is "Why you did not tell him that you had had an accident?".

Should you feel guilty for an accident? ›

It's normal to feel guilty after a crash if someone sustained injuries or had to seek emergency medical attention. Causing property damage. Property damage is nearly unavoidable after a wreck. You may feel sorry that the other driver has to get their car fixed—especially if it sustained more damage than yours.

Should you apologize after a accident? ›

The best course of action after an accident is to not apologize and attempt to remain calm. While you should still be respectful and courteous to the other individual or individuals involved in the accident, refrain from making any apologetic statements. This will help avoid confusion down the road.

Should you apologize for an accident? ›

Whatever you do after a motor vehicle accident, do not apologize to the other driver. Not only can an apology suggest that you'd be at fault, but various other causes could also impact the accident.

How much do lawyers get from RAF claims? ›

An Attorney is entitled to a Maximum of 25 % of the settled amount. This will mean that the Attorney can charge (25% of R100 000.00). Any disbursem*nts incurred still needs to be subtracted which will mean that you might receive between 60% to 70% of your claim amount.

How much does RAFPay for head injury? ›

R2.5 million and 100% of medical costs

In January 2020, the RAF was ordered to pay R2 578 850 and all future medical costs to a man who suffered a severe head injury in a road accident.

How long does RAF take to pay out 2022? ›

The capital (settlement amount) usually takes 180 days from the court date to recover from the Road Accident Fund.

How much does RAF pay for loss of support? ›

The amount you can claim from the RAF will depend on the case, your circ*mstances, the income and earning trajectory of the breadwinner and his or her dependants. The RAF's latest annual report stated that the average loss of support claim in 2020 was for R450 307.

What are merits of Road Accident Fund? ›

The RAF provides compulsory social insurance cover to all users of South African roads; rehabilitates and compensates people injured as a result of the negligent driving of motor vehicles in a timely and active manner; and actively promotes the safe use of our nation's roads.

How do I claim from the RAF without a lawyer? ›

You have to pay for documents
  1. RAF documents (RAF1 and RAF4)
  2. medical reports from doctors and specialists.
  3. serious injury assessment report.
  4. witness statements.
  5. photographs of the accident and injuries.
  6. medical records from the hospital and doctors.
  7. documents relating to income and future earnings.
12 Nov 2020

What qualifies as a serious injury? ›

The law defines a serious injury as an injury that results in any of the following: death. significant disfigurement. dismemberment.

How long can you claim after accident? ›

Car accident claim time limit: Car accidents and road traffic accidents in general have a three-year limit from the date of the accident. If you were left incapacitated and unable to claim for some time after your accident, you would have a three-year limit from the date of recovery.

What are examples of serious injury? ›

Common Examples of Serious Bodily Injury
  • Paralysis.
  • Severe burns.
  • Spinal injuries.
  • Deep lacerations.
  • Permanent scarring.
  • Serious disfigurement.
  • Loss of a limb, via amputation or severance at the scene.
  • Traumatic brain injuries (TBI)
10 Jan 2022

Can you make two insurance claims? ›

Yes, you'll typically always have to file two separate insurance claims — one for the damage to your car, and one to the damage to your home and personal property. This is the case even if you bundle your home and auto insurance with the same company. Why?

How many times car insurance can be claimed? ›

As per industry experts, there is no restriction to the number of claims you can file under your car insurance policy in a year. In cases of frequent damage to your vehicle due to accidents, you can file as many claims as you want.

Can you file two separate claims for same accident with different insurance? ›

Unfortunately, you would be filing a collision claim which would be categorized by your insurer as an at-fault accident.

What is the average payout for a personal injury claim UK? ›

Minor back injuries: up to £10,450. Moderate back injuries: £10,450 – £32,420. Severe back injuries: £32,420 – £134,590. Dislocated shoulder (with possible permanent damage): £10,670 – £16,060.

How long does an insurance company have to investigate a claim? ›

Generally, the insurance company has about 30 days to investigate your auto insurance claim, though the number of days vary by state.

How many insurance claims can you file? ›

Although there is no limit to how many car insurance claims you can file per year, you will find that most car insurance companies will notify you that your policy could be dropped soon if you file two claims within two years. Once you file a third claim, there is a chance that the insurer will drop you.

How do insurance claims work? ›

An insurance claim is a formal request by a policyholder to an insurance company for coverage or compensation for a covered loss or policy event. The insurance company validates the claim and, once approved, issues payment to the insured or an approved interested party on behalf of the insured.

Why car insurance claims are rejected? ›

Non accidental loss of vehicle – In case your vehicle is damaged without facing an accidental scenario or natural calamity your claim might get rejected, as insurance companies settle claims or offer cashless benefits only in case of circ*mstantial damage and no claims for repair or wear/tear will be entertained.

What is the process of claim after accident? ›

Call your insurance company immediately after the accident and inform them about the damage. Intimate the police about the incident and obtain an FIR. Record the details of the car, the driver, and the witnesses in the FIR. File a claim with your insurance company and ask them to assign a surveyor to evaluate the loss.

What are the disadvantages of claiming car insurance? ›

Disadvantages of Car Insurance Policy:
AdvantagesDisadvantages
Legal RequirementHassle-free Claim Settlement
Coverage for Medical ClaimsPoor Customer Support
Protects driver and passenger liability
The benefit of NCB, and Personal Accident Covers
3 more rows

Can insurance drop you for too many claims? ›

Insurers can cancel policies or choose not to renew at the end of a policy term. Non-renewal can occur after multiple accidents or filing too many claims. At the same time, more immediate cancellations can result from serious issues like loss of driving privileges or insurance fraud.

Who is the third party in an accident claim? ›

The term 'third party' refers to a person involved with a car insurance claim who is not you – (the holder of the policy or the driver). So this is usually the other driver involved in an accident.

How many comprehensive claims is too many? ›

Although we've outlined that comprehensive claims are not that expensive, having multiple claims can put you at risk to be dropped by your insurance provider. While it can vary, three claims within a three-year period may result in policy non-renewal or cancellation.

Can I claim for anxiety after car accident? ›

If you were involved in a car accident that was not your fault, you may be eligible to claim compensation for all injuries, physical as well as mental. This includes anxiety.

Should I accept the first compensation offer? ›

Unless you have taken independent legal advice on the whole value of your claim, you should not accept a first offer from an insurance company.

How long does it take to receive a offer of compensation? ›

Once an insurance company has admitted liability and agreed to process the claim, they tend to move quickly. Some claimants receive their compensation in a few days. More commonly, the claimant will receive their compensation payment within 2 and 4 weeks.

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