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AU Government Certificate of Capacity for Work 2016-2026 free printable template

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Certificateofcapacityforwork PartAProvidesamedicalassessmentofyourworkcapacity First name___ Last name ___Dateofbirth___/___/___ Currentoccupation___Dateassessed___/___/___ Clinical symptoms/diagnosis______Commentsonphysical
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AU Government Certificate of Capacity for Work Form Versions

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AU Government Certificate of Capacity for Work 2016
4.8 Satisfied (86 Votes)
AU Government Certificate of Capacity for Work 2015
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How to fill out AU Government Certificate of Capacity for Work

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How to fill out AU Government Certificate of Capacity for Work

01
Provide personal details including your name, address, and contact information.
02
Fill in the details of your employer or the organization you are associated with.
03
Indicate the nature of your injury or illness that affects your capacity to work.
04
Specify the date of your injury or illness.
05
Include the name and contact details of your treating doctor.
06
Complete the section detailing your current work capacity, including what tasks you can or cannot perform.
07
If applicable, attach any relevant medical documentation to support your claim.
08
Sign and date the form to certify that the information provided is correct.

Who needs AU Government Certificate of Capacity for Work?

01
Individuals who have suffered an injury or illness that impacts their ability to work.
02
Employees who need to provide proof of their capacity to work to their employer or relevant authorities.
03
Workers seeking compensation or rehabilitation support related to a work-related injury.
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The AU Government Certificate of Capacity for Work is a document used to assess an individual's ability to work, often required for support services, insurance claims, or injury compensation purposes.
Individuals who are applying for work-related benefits, compensation due to injury, or needing assessment of their capacity to work typically need to file the AU Government Certificate of Capacity for Work.
To fill out the AU Government Certificate of Capacity for Work, individuals must provide personal details, describe their medical condition, outline any work restrictions, and include information from their healthcare provider.
The purpose of the AU Government Certificate of Capacity for Work is to evaluate an individual's fitness to work and provide necessary details for claims or entitlements.
The information that must be reported includes personal identification, medical diagnosis, work capacity assessment, recommended treatment, and any specific work limitations.
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