A 'stat dec' form for declaration in the Commonwealth of Australia for a worker who is a carer who needs to provide evidence for leave taken for medical reason(s) and who can't (reasonably) go to doctor for medical certificate but is still entitled to payment for leave under https://www.fairwork.gov.au/leave/sick-and-carers-leave/paid-sick-and-ca.... A note relating to the penalty for false declaration is attached. A list of all persons qualified to witness or affirm the signature of the declarant under the
Statutory Declarations Act 1959 (Cth) under Regulations 2018
is attached. (L-23040)
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Document:
![application/msword](/modules/file/icons/x-office-document.png)
Price:
AUD $5.50
No. of pages:
4
Example of simple stat dec as evidence for leave for medical purpose (L-23040)
Reference:
L-23040