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Making a Personal Injury Claim
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 Making a Personal Injury Claim

Script 188 gives general information only, not legal advice. If you have a legal problem or need legal advice, you should speak to a lawyer. For the name of a lawyer to consult, call Lawyer Referral at 604.687.3221 in the lower mainland or 1.800.663.1919 elsewhere in British Columbia.

This script describes making a personal injury claim, going to court, and dealing with the Insurance Corporation of British Columbia, called ICBC.

If you’re hurt in an accident involving a vehicle, you may be entitled to compensation
First, you may be entitled to “no-fault accident benefits.” Everyone in BC who owns a vehicle must buy basic insurance from the Insurance Corporation of British Columbia, or ICBC. This insurance pays money, called “accident benefits,” to people injured in a vehicle accident. Even if you caused the accident, ICBC will pay you these no-fault accident benefits, as long as you’ve met the conditions of this insurance.

Second, if the accident wasn’t your fault (or only partly your fault), you have the right to another type of benefit, called “damages,” for your pain and suffering, lost past and future wages, and other losses.

How do you make a claim for accident benefits and damages?
You make both claims through ICBC. Report the accident by calling ICBC’s Dial-A-Claim at 604.520.8222 within the lower mainland or 1.800.910.4222 elsewhere in BC. An ICBC adjuster will then meet with you. The adjuster will investigate the accident and decide who caused it. The adjuster will also review your medical information and expenses, so keep all your receipts.

Report the accident promptly
You have to report it within 30 days after the accident. Some people prefer to see a lawyer before talking with ICBC. If you do that, your lawyer can report the claim to ICBC for you.

When must you submit your claim for no-fault accident benefits?
To claim accident benefits, you must “file” a completed accident benefits claim form with ICBC within 90 days after the accident. If you’re entitled to accident benefits, you should start to receive payments soon after that.

What about getting damages?
If someone else was fully or partly to blame for the accident – meaning you’re entitled to damages – ICBC will typically offer you money to settle or resolve your claim. Normally you won’t want to settle a personal injury claim until your medical condition is stable and your doctor can say when your injury will probably be better and whether you will have any lasting effects. Then, if you agree with ICBC’s offer, you can settle your claim. You won’t be able to make any further claims later.

What if you disagree with ICBC?
If you don’t agree with ICBC’s offer or its decision about who is at fault, or if you don’t know if the offer is fair, you can see a lawyer for advice. If you or your lawyer can’t reach an agreement with ICBC, you may sue in court. ICBC has a “Fairness Process” that you can also use if you’re not satisfied.

There are three situations where you may have to sue in court

  1. If ICBC refuses to pay any accident benefits, or it pays less than you think is fair, you can see a lawyer for legal advice. If you decide to sue, you have to start a lawsuit within 2 years after the accident (or within 2 years from the last payment, if you received some benefits).
  2. ICBC may decide that you’re totally or partly at fault for the accident. To claim damages or compensation for your injuries in addition to accident benefits, you would have to sue the owner and driver of the other vehicle in the accident. This must usually be done within 2 years of the accident, but in some cases, the deadline is much sooner.
  3. ICBC may not want to pay as much damages as you think you should get for your pain and suffering, wage loss, business loss or other losses. This may happen even though ICBC decides that you were not at fault. In this case, you’d have to start a lawsuit within 2 years of the accident.

Where do you sue?
Sue in Small Claims Court if you are suing for $25,000 or less. You don’t need a lawyer in Small Claims Court, but you can have one. Check scripts 165 to 169 on Small Claims Court.

Sue in BC Supreme Court if you are seeking more than the $25,000 limit in Small Claims Court. You should have a lawyer if you choose Supreme Court because the procedures are more complicated.

How much will it cost?
If you’re suing for damages, you have to pay your own lawyer. ICBC pays the lawyer for the people you are suing. If you win your lawsuit, the court may order the other side to pay some of your legal fees. But usually, lawsuits in Supreme Court don’t go to trial because both sides settle before trial. Sometimes, cases go to mediation and an independent, unbiased person acts as a mediator to help see if you and the other side can settle.

Can ICBC sue you?
Yes, ICBC can sue you in some cases. For example, if you drive while drunk and cause an accident that injures a person, that person may sue you. ICBC can pay the injured person and then demand that you pay it back. The various situations in which ICBC can collect that money from you are quite complex. So if you’re involved in such a situation, you should get legal advice.

Caution
Get legal advice before you proceed. Know all your rights and be prepared. Insurance companies, however fair, are in conflict of interest about what to do with your claim.

Summary
If you’re injured in a motor vehicle accident, you can claim accident benefits from ICBC. If the accident wasn’t your fault, you can also claim damages for pain and suffering and other losses. The ICBC adjuster can settle your claim if you agree. Because that agreement will be binding, you may want to see a lawyer before you agree to a settlement to find out if the offer is fair. If you can’t agree on the value of your claim, or who is responsible for the accident, a lawsuit and a trial may be necessary. There are strict time limits for when different lawsuits must be started, and if you miss the time limit, you lose your right to sue. So you should see a lawyer as soon as possible after an accident for legal advice.

Where can you find more information?

  • For more information on accident benefits and damages for accident victims, refer to script 185 on “Insurance Benefits and Compensation for Accident Victims.”
  • See the ICBC website at www.icbc.com.

[updated September 2008]


Dial-A-Law© is a library of legal information that is available:

  • by phone, as recorded scripts, and
  • in writing, on the CBA BC Branch website.

To access Dial-A-Law, call 604.687.4680 in the lower mainland or 1.800.565.5297 elsewhere in BC. Dial-A-Law is available online at www.cba.org/bc in Public & Media.

The Dial-A-Law library is prepared by lawyers and gives practical information on many areas of law in British Columbia. Dial-A-Law is funded by the Law Foundation of British Columbia and sponsored by the Canadian Bar Association, British Columbia.

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