UCJF Claims

Pedestrian Personal Injury Protection (“PIP”) Claims

Pedestrians injured in an accident with a private passenger automobile, with no other available coverage, may be entitled to PIP benefits pursuant to the Unsatisfied Claim and Judgment Fund Law, N.J.S.A. 39:6-60 et seq. Notice of the claim must be given within two years of the injury. A Notice of Intention to Make a Claim (“NOI”) form can be downloaded here.

Uninsured Motorist (“UM”) Claims

Individuals injured in a motor vehicle accident involving an uninsured vehicle may be entitled to UM benefits if no other coverage is available. The UM claims’ process begins with the filing of a Notice of Intention to Make a Claim (“NOI”) within 180 days as required by N.J.S.A. 39:6-65. All statutory requirements of the Unsatisfied Claim and Judgment Fund Law, N.J.S.A. 39:6-61 et seq. must also be satisfied. An NOI form can be downloaded here.

Hand putting coin into car bank

What Documents Do I Need?

You must file a Notice of Intention to Make a Claim (“NOI”) with respect to your accident if you are seeking to file a claim with the UCJF. An NOI form can be downloaded here. In addition to the NOI, the Association requires the other following forms which can be downloaded from the Forms library on the Association’s website:

NOI FORM: FORM LINK

Written notice to the Association that a claim may be made as required under N.J.S.A. 39:6-65. Separate notice must be filed on behalf of each claimant.

AFFIDAVIT IN SUPPORT OF UCJ ELIGIBILITY:FORM LINK

Sworn statement made in support of a claim. Must be fully completed, notarized and submitted to the Association.

PIP APPLICATION: FORM LINK

Form made in support of a claim. Must be fully completed and submitted to the Association.

CERTIFICATE OF MEDICARE ELIGIBILITY: FORM LINK

Sworn statement made in support of a claimant’s Medicare beneficiary status. Must be fully completed and submitted to the Association.

HIPAA PRIVACY AUTHORIZATION: FORM LINK

Authorization for use or disclosure of protected health information pursuant to the Health Insurance Portability and Accountability Act.

You are not eligible to collect from the UCJF if any of the following are true:

You fail to notify us of your intention to make a claim within 180 days of the date of accident. N.J.S.A. 39:6-65.

The injuries or death are covered by workers’ compensation. N.J.S.A. 39:6-70

You are the spouse, parent or child of the judgment debtor (person against whom the claim is made). N.J.S.A. 39:6-70.

At the time of accident, you were operating or riding in a motor vehicle which you had stolen or helped to steal or were operating or riding in a motor vehicle without the owner’s permission. N.J.S.A. 39:6-70

You were the owner or registrant of an uninsured vehicle. N.J.S.A. 39:6-70

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