---
title: Application for Benefits Form
date: 2025-09-12T13:36:00+10:00
author: "webmaster@walkerdesigns.com.au"
canonical_url: "https://maib.tas.gov.au/resources/application-for-benefits-form"
section: Resources
---
#  Application for Benefits Formpdf 

 Posted 12 September 2025

 

 

If you have been injured in, and/or received medical treatment as the result of a motor accident, complete this form to submit a claime to the Motor Accidents Insurance Board of Tasmania (MAIB)

 

 [Download ](https://maib.tas.gov.au/volumes/documents/Forms/MAIB-Application-for-Benefits-Form-B.pdf) 

 

 

 

  [All Resources](https://maib.tas.gov.au/resources)