You or someone acting on your behalf can submit an application to us. This includes a family member or your Compulsory Third Party insurance provider.

There are a number of ways we are notified of a motor vehicle accident where you may have sustained the type of injuries covered by the LSS. These include:

  • You or your family
  • South Australian Police
  • Major hospital treating teams
  • Emergency Department staff.

Once we have received notification of your motor vehicle accident, the LSA will provide you and/or your supports with information about the LSS and How to Apply.

To understand the extent of your injuries, we will request consent to access all relevant medical information and to also speak with your family and/or supports. We will only share your information if you have given us permission to do so.

  • an application form including consent page signed by applicant or guardian
  • proof of applicants identity
  • a medical certificate signed by an appropriately qualified medical specialist
  • injury specific assessment evidence.

  • the person who is the subject of the application was injured
  • the person's injury was caused by a motor vehicle accident
  • the motor vehicle accident occurred on South Australian (SA) roads
  • the injury meets the criteria set out in the LSS Rules.

Your application must be made within three years of the date of the motor vehicle accident.

If you require assistance in collecting the essential information and supporting documents, the LSA can help you. Please contact us on (Toll free) 1300 880 849 or email LSANotifications@sa.gov.au.

Only complete applications with the correct attachments can be reviewed for eligibility, as required by the LSS Rules. Please ensure your application includes:

Document Type

Required Documents

Additional Info

LSA Application Form

  • Signed   consent must accompany all Applications
  • Consent form   must be signed by Applicant or Guardian
  • Consent form must be signed by Applicant or Guardian

Proof of Applicant’s
Identification

  • Copy must accompany all Applications
  • This can be a:
  • drivers licence
  • passport
  • birth certificate

Injury Specific Evidence Required to support Application Process

Amputation

  • Signed LSA Medical Certificate - completed by an appropriately qualified medical specialist relevant to the injury type.
 

Blindness  

  • Signed LSA Medical Certificate - completed by an appropriately qualified medical specialist relevant to the injury type.
 

Brachial Plexus avulsion or rupture

  • Signed LSA Medical Certificate - completed by an appropriately qualified medical specialist relevant to the injury type.

 

Brain Injury

For adults and children over 8 years of age:

A score of 5 or less on any item of the FIM™ due to the brain injury

For children aged between 3 – 8 years:

A score 2 less that age norm on any item of the WeeFIM ®

For children under 3 years of age:

Medical certificate from paediatric rehabilitation physician or specialist stating probable permanent impairment due to brain injury resulting in significant adverse impact on their normal development

Burns

 

Spinal Injury

  • Signed LSA Medical Certificate - completed  by an appropriately qualified medical specialist relevant to the injury type.
  • Requires evidence of permanent neurological deficit required as evidenced by ASIA using ISNCSCI and/or ISAFSCI
  • American Spinal Injury Association (ASIA) scale impairment score conducted as part of an assessment using the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)

and / or

  • Residual significant impact on autonomic nervous system as evidenced using the ‘International Standards to Document Remaining Autonomic Function after Spinal Cord Injury (ISAFSCI)

*Application Criteria may change from time to time and this checklist is based on the Lifetime Support Scheme Rules 2018.

** LSA medical certificate must be used

Page last updated: 30 September 2020