U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Document Checklist - Personal Injury

May 22, 2026
Resource type
Resources

Change Log:

May 22, 2026: 

  • Included required documents under replacement services section
  • New information under pension information for Police and Firemen’s Retirement System of New Jersey (PFRSNJ)
  • Default health insurance amount revised from $2,400 to $7,654

February 13, 2026: added text stating that ACH form can be uploaded instead of only mailed or faxed.

February 1, 2024: added replacement services section detailing required documents.

Updated the document checklist to remove the need for originals, including Exhibit A, and removed Exhibit 1 from the minimally required document list.

November 15, 2022: Notable updates include:

  • Updated information regarding documents to prove presence.
  • Changes related to NYSLRS members and documents to support claims for lost earnings.
  • Removed references to NYCERS/NYSLRS worksheet and Union and Defined Benefit Plan worksheet as these documents are no longer needed for these claims.
  • Added reference to new Lead Personal Representative Form.
Associated document(s)
Topics
Filing a Claim