Case Law[2025] ZAKZDHC 31South Africa
Majozi v Road Accident Fund (D10075/2023; D10076/2023) [2025] ZAKZDHC 31 (5 February 2025)
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# South Africa: Kwazulu-Natal High Court, Durban
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## Majozi v Road Accident Fund (D10075/2023; D10076/2023) [2025] ZAKZDHC 31 (5 February 2025)
Majozi v Road Accident Fund (D10075/2023; D10076/2023) [2025] ZAKZDHC 31 (5 February 2025)
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sino date 5 February 2025
IN
THE HIGH COURT OF SOUTH AFRICA
KWAZULU-NATAL
LOCAL DIVISION, DURBAN
CASE
NO.:
D10075/2023
In
the matter between:
VINCENT
VUSUMUZI MAJOZI
Applicant
and
ROAD
ACCIDENT
FUND
Defendant
AND
Case No.:
D10076/2023
In the matter between:
NKOSINETHEMBA
HOPEWELL
MTSHALI
Applicant
and
ROAD
ACCIDENT FUND
Defendant
ORDER
The following orders
shall issue:
In
the matter of VV Majozi v Road Accident Fund, Case No.: D10075/2023
:
1.
The
application is dismissed.
In
the matter of NH Mtshali v Road Accident Fund, Case No.: D10076/2023:
1.
The
application is dismissed.
JUDGMENT
Gajoo
AJ
[1]
This judgment
addresses two applications brought by the applicants against the Road
Accident Fund (“the RAF”). These
applications have been
consolidated as the issues for determination in both matters are the
same. The applicants seek a declaratory
order in the following terms:
(a)
That the RAF
is directed to record the registration of the applicants’
claims for compensation arising out of injuries sustained
by them in
a motor vehicle accident;
(b)
The
applicants’ lodgment documents are declared to be substantially
compliant with the provisions of s 24 of the Road Accident
Fund Act,
No. 56 of 1996 (“
the
RAF Act
”);
and
(c)
The RAF is to
pay the attorney/client costs of the application.
[2]
The applicants
were both involved in the following motor vehicle collisions:
(a)
Vincent
Vusumuzi Majozi (“Majozi”) was a pedestrian involved in a
motor vehicle accident on 12 October 2021 while crossing
Inwabi Road,
Isipingo. The driver of the vehicle was identified as Goolam Hoosen;
and
(b)
Nkosinethemba Hopewell Mtshali (“Mtshali”) was a driver
involved in a motor collision
on 14 February 2021 on Mfule Mission
Road (P574) involving an unidentified motor vehicle.
[3]
Both men
suffered injuries as a result of the motor vehicle collisions, and on
this premise, they sought compensation from the RAF.
They both
engaged with an attorney to aid them in pursuing their claim.
Lodgment
[4]
On 4 April
2023, Majozi’s claim was lodged by registered post with the RAF
under the cover letter dated 31 March 2023. On
2 May 2023, the RAF
returned the documents to Majozi’s attorney together with a
letter.
[5]
The letter
advised that the documents lodged had been pre-assessed for
compliance with s 24 of the Act and the Stipulated Terms
and
Conditions Upon Which Claims For Compensation Shall Be Administered,
which were published by the RAF pursuant to s 4(1)
(a)
of the Act (“the Terms and Conditions”). The letter
advised further that the documents submitted did not meet the
requirements for a substantially compliant and valid claim as the
reports of an Occupational Therapist and Industrial Psychologist
had
not been included in the lodgment documents.
[6]
Similarly,
Mtshali’s lodgment documents were sent by registered post on
1
February 2023 under a cover letter dated 27 January 2023. In answer
to the documents were returned under the cover of a letter
dated 13
February 2023.
[7]
The letter
advised that the documents lodged had been pre-assessed for
compliance with s 24 of the RAF Act and the Terms and Conditions.
The
letter advised further that the documents lodged did not meet the
requirements for a substantially compliant and valid claim,
as the
following documents had not been included in the lodgment documents:
(a)
Accident Report or Docket with sketch plan;
(b)
RAF 4 Form with medico-legal report;
(c)
Occupational therapy and industrial psychologist’s report;
(d)
Documentation confirming any disability grant; and
(e)
Copy of certified ID.
[8]
Both objection
letters explained that based on the failure to include these
specified documents, the RAF objects to the validity
of the claims
submitted in accordance with s 24(5) of the Act. The RAF accordingly
did not accept the lodgment documents, which
were returned together
with the letters to the applicants’ attorneys.
[9]
The applicants
argue that the documents lodged met the substantial compliance
requirements set by the provisions of s 24 of the
Act. They argue
that once they had substantially complied with the provisions of the
Act, their claims should have been lodged
and thereafter assessed and
investigated further by the RAF.
[10]
The RAF argued
that it is mandated in terms of s 4 of the Act to investigate and
settle claims against it. The RAF explains that
the
claimants’/applicants’ lodgment documents did not, in
their assessment, meet the requirements of s 24, which rendered
the
claims invalid as it did not enable the RAF to investigate the claims
and be in a position to settle the claims.
Point
in limine: non-compliance with the Promotion of Administrative
Justice Act
[11]
The
RAF raised a point in limine that it is an organ of state and that
the objection letters constitute an administrative action
as defined
in the Promotion of Administrative Justice Act (“PAJA”).
[1]
In the premises the RAF complains that the applications should have
been brought under the provisions of s 6(1) of PAJA.
[12]
The applicants
argue that the RAF under the provisions of s 24(1)
(b)
holds a statutory obligation to acknowledge, in writing, receipt of
the lodgment documents. This section must be read together
with the
provisions of s 24(5) which allows for an objection to the validity
of the claim within 60 days the documents being sent
by registered
post. The objection letters delivered specifically provided that the
documentation had been pre-assessed for compliance
with the
provisions of s 24.
[13]
The Applicants
argue that any action contrary to the obligations contained in the
Act are
ultra
vires
,
inferring that the objection letters are an act by the Fund acting
outside the prescripts of the Act. They argue further that
actions by
the RAF do not constitute administrative action. The Applicant
however rightly sibmits that the RAF is entitled to object
to the
validity of the claim in terms of s 24(5) of the Act.
[14]
The
purpose of s 24(5) is to regulate procedural matters. Considering the
function of s 24(5), the Supreme Court of Appeal (“the
SCA”)
in
Thugwana
v Road Accident Fund
[2]
held as follows:
‘
[6]
In upholding the special plea, the Court
a quo
found
that the purpose of s 24(5) was to regulate the procedural
matters set out in that section and nothing further.
The court found
support for this view in
Krischke v Road Accident Fund
. In
that case the court (Jajbhay J) found that the structure of s
24 entailed procedures for the completion and
lodging of a claim
form with the Fund. The purpose of the section was to afford the Fund
sufficient time to consider the claim
and to decide whether to
contest or settle it. The learned judge then concluded that s
24(5) had no bearing on substantive
law, and (in that case)
could not be relied upon to revive a claim that had become
prescribed.
[8]…
On the other hand the purpose of s 24 is to ensure that,
before the onset of litigation, sufficient particulars
about the
claim are placed before the Fund to enable it, timeously, to make a
decision whether it resisted or settled the claim. The
section
has nothing to do with issues not specified therein. Simply put it is
incapable of breathing life into a claim that failed
to arise because
of non-compliance with the substantive requirement found in reg
2(1)
(c)
.
’
(Footnotes omitted.)
[15]
This
view was reiterated in
Mautla
and Others v Road Accident Fund and Others
[3]
where
the court found as follows:
‘
[31]
It must be emphasized at the outset that the submission or delivery
of a claim is a precursor to the RAF’s “
investigation
”
obligations. The Act
specifically provides in section 24(5) that after receiving the
claim, the RAF then has 60 days within which
to object to the
validity of the claim. If there is no objection to the validity
of the claim, this does not mean that an
otherwise invalid claim is
then deemed to be valid. Section 24 however deals only with
procedural matters and the deeming provision
does not apply to the
substantive requirements. This is well established in our law.’
(Footnote omitted.)
[16]
The objection
letters delivered by the RAF indicate that an evaluation of the forms
had been undertaken and the lodgment documents
failed to comply with
the requirements applicable at that time. The RAF objects to the
validity of the claims based on the procedural
irregularities in the
form of the missing documents listed therein.
[17]
The provisions
of s 24 of the Act require the claimants to provide all the duly
completed forms and documents listed therein. The
RAF made an
assessment, within the prescribed 60 days, that the applicants’
claims did not comply with the requirements and
therefore objected
thereto under the provisions of s 24(5), which allows for that
decision and process to be followed. The obligation
then is placed on
the applicants to remedy the issues and relodge their documents.
[18]
The applicants
argue that the requirements applied were overly onerous and
irregular. At the time the applicants’ lodgments
were made, the
prevailing guide to the form in which the lodgment must be made was
set out in the Terms And Conditions Upon Which
Claims For
Compensation Shall Be Administered in Board Notice 271 of 2022
published, by the RAF, in Government Gazette No. 46322
on 6 May 2022
(“
the Terms and
Conditions”)
.
These Terms and Conditions provided a schedule of documents which the
RAF required to be lodged with the lodgment of a claim.
It is the
same Terms and Conditions referred to in the objection letters by the
RAF, which it complains the applicants fall foul
off.
[19]
The amendment
of the RAF 1 form was effected by the Minister of Transport in terms
of s 26 of the Act, when he published Board Notice
302 of 2022 in
Government Gazette No. 46652 of 4 July 2022. This new form stipulated
that any form that is not completed in its
full particulars shall not
be acceptable as a claim and references s 24(4)
(a)
of the Act.
[20]
The
Terms and Conditions, new RAF 1 form and their implementation has
come under scrutiny in the Pretoria High Court in the matter
of
Legal
Practitioners Indemnity Insurance Fund NPC and Others v Road Accident
Fund and Others
.
[4]
The court made an order that the Form RAF 1, prescribed by the
Minister of Transport in terms of s 26 of the Act and published
in
Board Notice 302 of 2022 in Government Gazette No. 46653 of 4 July
2022 was declared unlawful and reviewed and set aside.
[21]
The court made the same order in
respect of the Terms and Conditions. Leave to appeal has been granted
against this part of the
order, and the matter is pending a hearing
before the Supreme Court of Appeal.
[22]
The applicants
argue that the RAF is now obliged to accept the documents lodged
under the provisions of the old RAF 1 form. The
applicants, having
complied with the provisions of the old RAF1 form, argue that the
declaratory order should be granted. However,
their applications fall
short.
[23]
Stydom
AJ in the matter of
Radebe
v Road Accident Fund
[5]
considered an application of a similar nature to the one before me,
wherein she found:
‘
[35]
The framing of the relief sought as declaratory of nature, is a
proverbial renaming of a rose. It does not change the fact
that the
Applicants essentially want this Court to find that the decision to
object was wrong or incorrectly taken. In the absence
of a review
application, the Applicant’s arguments, regarding the lack of
statutory foundation for exercising of the RAF’s
powers under
Section 24(5), are, with respect, irrelevant if the RAF exercised
such powers within the prescribed 60 days.’
[24]
In
Mlamli
v Johnstone NO and Another
[6]
the court did grant a declaratory order, but in circumstances where
no objection letter was delivered together with the lodgment
documents. In that matter, there was no indication that the documents
had been assessed, nor had the RAF entered a formal objection
to the
documents at all. The declaratory order in those circumstances was
appropriate.
[25]
Here the applicants both face a
formal objection letter. I agree that in light of the judgment of
Legal Practitioners Indemnity
Insurance Fund
the underlying
premise of the decision may be flawed but the objections still stand.
[26]
It
is not permissible to rely in administrative law litigation directly
on the common law or s 33 of the Constitution where PAJA
provides
relief. PAJA is a codification of these administrative rights and
must be used to give effect to them. PAJA is intended
to ensure that
when the bureaucratic machinery of the State, in all its various
guises, is implementing policy it does so in a
manner that is
procedurally fair.
[7]
[27]
The question
that arises is whether the objection letters evidence administrative
action by the RAF. The basic assessment of whether
the action is
considered administrative action is whether it adversely affects the
rights of any person, which these decisions
by the RAF do, and
whether it has a direct external legal effect, which similarly it
does, in refusing the applicants the opportunity
to timeously lodge
their claims.
[28]
In
the matter of
Road
Accident Fund v Duma
and
Three Similar Cases
,
[8]
the SCA, considering the RAF’s approach to RAF 4 forms, held as
follows:
‘
[24]
Recognition that the Fund's decision to reject the plaintiffs' RAF 4
forms constituted administrative action, dictates that
until that
decision was set aside by a court on review or overturned in an
internal appeal, it remained valid and binding
(see eg
Oudekraal
Estates (Pty) Ltd v City of Cape Town and Others
2004
(6) SA 222 (SCA)
([2004]
3 All SA 1)
para 26). The fact that the Fund gave no reasons for the
rejection, or that the reasons given are found to be unpersuasive or
not
based on proper medical or legal grounds, cannot detract from
this principle. The same holds true for the respondents' argument
that it appeared from the medical evidence presented by them at
the trial that the Fund was wrong in deciding that their injuries
were not serious. Whether the Fund's decisions were right or wrong is
of no consequence. They exist as a fact until set aside or
reviewed
or overturned in an internal appeal. It was therefore not open to the
high court to disregard the Fund's rejection of
the RAF 4 forms on
the basis that the reasons given were insufficient; or that they
were given without any medical or legal
basis; or that they were
proved to be wrong by expert evidence at the trial.’
[29]
The SCA held
further as follows:
‘
[19]…
Appreciation
of this basic
principle, I think, leads one to the following conclusions:
(a)
Since the Fund is an organ of state as
defined in s 239 of the Constitution and is performing a public
function in terms of legislation,
its decision in terms of regs
3(3)
(c)
and
3(3)
(d)
,
whether or not the RAF 4 form correctly assessed the claimant's
injury as “serious”, constitutes “administrative
action” as contemplated by the Promotion of Administrative
Justice Act 3 of 2000 (PAJA). (A “decision” is defined
in
PAJA to include the making of a determination.) The position is
therefore governed by the provisions of PAJA.
(b)
If the Fund should fail to take a
decision within reasonable time, the plaintiff's remedy is under
PAJA.
.
(c)
I
f
the Fund should take a decision against the plaintiff, that decision
cannot be ignored simply because it was not taken within
a reasonable
time or because no legal or medical basis is provided for the
decision, or because the court does not agree with the
reasons given.
(d)
A decision by the Fund is subject to an
internal administrative appeal to an appeal tribunal
.
(e)
N
either
the decision of the Fund nor the decision of the appeal tribunal is
subject to an appeal to the court. The court’s
control over
these decisions is by means of the review proceedings under PAJA
.’
[30]
So, too, here
in consideration of these applications, the RAF is an organ of State
and is performing a public function in terms
of legislation; its
decision to pre-assess and object to the lodgment documents in terms
of s 24(5) constitutes administrative
action as contemplated by PAJA.
[31]
The RAF’s
decision to object to the validity of the claims cannot be ignored
simply because it has no factual or legal basis
or because the court
does not agree with the reasons given for the objection.
[32]
The objection
by the RAF is not subject to an internal appeal as there is no
provision for same in the Act or Regulations; however,
it is open to
the applicants to relodge their claims under the provisions of s 24
or in terms of the order granted at paragraph
(vii) in the matter of
Legal Practitioners Indemnity
Insurance Fund.
[33]
The RAF’s
decision is not subject to an appeal to the court. The court’s
control over these decisions is by means of
review proceedings under
PAJA.
[34]
In
Nedbank
Ltd v Mendelow and Another NNO
[9]
Lewis JA held:
‘
[25]
Administrative action entails a decision, or a failure to make a
decision, by a functionary, and which has a direct legal effect
on an
individual.
A
decision must entail some form of choice or evaluation. Thus while
both the Master and the Registrar of Deeds may perform administrative
acts in the course of their statutory duties, where they have no
decision-making function but perform acts that are purely
clerical
and which they are required to do in terms of the statute that so
empowers them, they are not performing administrative
acts within the
definition of the PAJA or even under the common law. As Nugent JA
said in
Grey’s
Marine
:
“
Whether
particular conduct constitutes administrative action depends
primarily on the nature of the power that is being exercised
rather
than upon the identity of the person who does so . . .”’
(Footnotes omitted.)
[35]
In the
circumstances, both applications suffer the same flaw in terms of
their substantive premise. There was an evaluation by the
Raf and an
objection entered which must be addressed before the documents are
deemed properly lodged. I find that the applications
do not support
an exercise of my discretion in favour of the declaratory relief
sought and should have been brought under the prescripts
of PAJA. I
find that the point in limine must be upheld.
Order
[36]
The following orders shall issue:
In
the matter of VV Majozi v Road Accident Fund, Case No.: D10075/2023
:
1.
The
application is dismissed.
In
the matter of NH Mtshali v Road Accident Fund, Case No.: D10076/2023:
1.
The
application is dismissed.
Gajoo
AJ
Appearances
Counsel
for applicants
:
Adv
M Oliff
Instructed
by
:
Thorrington-Smith
& Silver Attorneys
Counsel for
defendant
:
Ms Dlamini
Instructed
by
:
State
Attorney
Date
of Hearing:
:
25
October 2024
Date
of Judgment
:
05
February 2025
[1]
Promotion
of Administrative Justice Act 3 of 2000
.
[2]
Thugwana
v Road Accident Fund
2006
(2) SA 616 (SCA).
[3]
Mautla
and Others v Road Accident Fund and Others
[2023] ZAGPPHC 1843
.
[4]
Legal
Practitioners Indemnity Insurance Fund NPC and Others v Road
Accident Fund and Others
2024 (4) SA 594 (GP).
[5]
Radebe
v Road Accident Fund
[2024]
ZAGPPHC 25
.
[6]
Mlamli
v Johnstone NO and Another
2024 (4) SA 611 (ECMk).
[7]
TMT Services & Supplies (Pty) Ltd t/a Traffic Management
Technologies v The MEC: Department of Transport, Province of KwaZulu
Natal & Others (Case No.: 1059/2020)
[2022] ZASCA 27
(15 March
2022) paragraph 8;
Grey’s
Marine Hout Bay (Pty) Ltd and Others v Minister of Public Works and
Others
[2005] ZASCA 43
;
2005
(6) SA 313
(SCA); P Van Blerk
Precedents
for Applications in Civil Proceedings
(2018) at 229,
[8]
Road
Accident Fund v Duma
and
Three Similar Cases
2013 (6) SA 9
(SCA).
[9]
Nedbank
Ltd v Mendelow and Another NNO
2013 (6) SA 130
(SCA).
sino noindex
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