The Carers Leave Certificate Template – Australia is offered in several formats including PDF, Word, and Google Docs. Each version is designed to be both editable and printable, ensuring you can use it effectively according to your requirements.
Carers Leave Certificate Template – Australia Editable | PrintableSample
1. Employee Details 2. Carer’s Leave Period 3. Contact Information of the Person Cared For 4. Medical Professional Details 5. Certification Declaration
PDF
WORD
Examples
[Employee’s Name]
[Employee’s ID Number]
[Employee’s Address]
[Employee’s Phone Number]
[Employee’s Email]
[Organisation Name]
[Organisation ID Number]
[Organisation Address]
[Organisation Phone Number]
[Organisation Email]
Carers Leave Certificate for [Date Range]
This certificate confirms that [Employee’s Name] was required to take Carers Leave from [Start Date] to [End Date] to care for a family member, as defined under the Fair Work Act 2009.
The family member being cared for is [Name of Family Member], who is in need of assistance due to [Reason for Care – e.g., illness, disability, etc.].
This certificate is issued based on the recommendation of [Healthcare Provider’s Name], [Provider’s Qualifications], who can be contacted at [Provider’s Contact Information] for verification.
By signing this document, I confirm the accuracy of the information provided and the necessity of my leave during the specified period.
Sincerely,
[Employee’s Signature]
[Employee’s Name]
[Employee’s Name]
[Employee’s ID Number]
[Employee’s Address]
[Employee’s Phone Number]
[Employee’s Email]
[Organisation Name]
[Organisation ID Number]
[Organisation Address]
[Organisation Phone Number]
[Organisation Email]
Carers Leave Certificate for [Date Range]
This document certifies that [Employee’s Name] was eligible for Carers Leave from [Start Date] to [End Date] in accordance with the applicable workplace regulations.
The care was provided to [Name of Family Member], who required support due to [Reason for Care – e.g., health condition, personal circumstances].
This certificate is issued on the basis of advice from [Healthcare Provider’s Name], [Provider’s Qualifications], who is available at [Provider’s Contact Information] to discuss the necessity of this leave.
I acknowledge that the information provided above is correct and that I required leave for the duration specified.
Sincerely,
[Employee’s Signature]
[Employee’s Name]
Printable
