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2.—(1) An application for a certificate shall be made to the Department and shall include the following particulars––
(a)the full name and address of the traffic casualty;
(b)the date of birth, and where known, the national insurance number of that person;
(c)the date of the incident;
(d)the nature of the injury; and
(e)the name and address of any hospital at which the traffic casualty received treatment in respect of his injury.
(2) In a case to which section 24(8) applies (compensation payment made in circumstances where no certificate either issued or in force and no application made in period prescribed under section 24(9)(b) prior to making a compensation payment) an application for a certificate must be made within 14 days of the date on which the compensation payment is made.
(3) The prescribed period for the purposes of section 24(9)(b) is a period of 28 days ending immediately before the day on which the compensation payment is made.
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