Published: 01 Feb 2015
Certificate of Capacity - no barcode
Health providers fill in this form to describe a person's injury, illness and capacity to work.
Health providers fill in this form to describe a person's injury, illness and capacity to work.
A Certificate of Capacity for a mental injury, must:
Providing this information in the Certificate of Capacity helps eligible workers access their compensation entitlements faster. It also reduces requests from WorkSafe for more information.
This form is for health providers to communicate with employers and case managers about an injured person’s ability to work. Information to be completed by certifiers about the injured worker includes:
The worker and the certifier must both sign declarations at the end.