Updated 13 Oct 2026Print this page

This sample letter is to be used by the employer to request a medical certificate where an employee intends to work within the six week period before the expected date of birth of the child (as provided by the National Employment Standards). The medical certificate needs to be provided within seven days of the request and should contain a statement as to whether the employee is fit for work, and if so, whether there are any risk factors with continuing in their present position.

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