--- title: "Certificate of capacity / certificate of fitness (SIRA)" url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-sira-certificate-of-capacity" type: "precedent" site: "AI Law Framework" id: "a21-form-nsw-sira-certificate-of-capacity" area_id: "A21" kind: "form" ai_level: "yellow" version: 1 task_ids: ["A21-WR20261022-4", "A21-WR20261022-2", "A21-T1-R5"] law_stated_as_at: "2026-10-23" --- # Certificate of capacity / certificate of fitness (SIRA) > Link to SIRA's certificate of capacity and certificate of fitness for workers compensation and CTP, including the doctor's certificate and the person's employment declaration. Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-sira-certificate-of-capacity Law stated as at: 2026-10-23 Site index for agents: https://ailawframework.com/llms.txt ## Key facts - Kind: Form. A form to complete, or a guide to completing an official one. - Practice area: [Personal Injury & Compensation](https://ailawframework.com/precedents/personal-injury-and-compensation.md) - Jurisdictions: New South Wales - AI level: Yellow. You and the tool draft together, with you directing. You check every statement you rely on. - Law stated as at: 2026-10-23 - Status: Maintained. Checked on 2026-10-23 against the official form at sira.nsw.gov.au and the 2 authorities it cites, for New South Wales. ## When to use it Use when a treating medical practitioner certifies capacity for work after a work injury or a CTP injury in NSW, and when the injured person must complete the employment declaration before the certificate goes to the insurer or employer. ## Used for these tasks - [Review a work capacity decision against the capacity evidence](https://ailawframework.com/practice/personal-injury-and-compensation/review-a-work-capacity-decision-against-the-capacity-evidence.md) - [Work out weekly compensation from earnings, capacity and time on payments](https://ailawframework.com/practice/personal-injury-and-compensation/work-out-weekly-compensation-from-earnings-capacity-and-time-on-payments.md) - [Draft the pre-action notice or statutory claim form from the instructions](https://ailawframework.com/practice/personal-injury-and-compensation/draft-the-pre-action-notice-or-statutory-claim-form-from-the-instruction.md) ## How AI may be used The tool may check that the certificate on the file has the practitioner's section and the person's employment declaration, and it writes nothing in either of those sections. **AI may:** - Check a certificate already on the file for the injured person's details, the review date and whether section 3 is signed - List certificates by date so a gap in certification can be seen - Record the practitioner's name, provider number and the date of examination from the certificate **AI must not:** - Must not write the treating practitioner's certificate, diagnosis, capacity opinion or clinical reasoning - Must not write section 3, the employment declaration, or state whether the person has worked - Must not sign the certificate or send it to the insurer or employer - Must not put health information into a tool that is not firm-controlled **The lawyer checks:** - The certificate is the current SIRA form. The PDF opened is catalogue SIRA08719, copyright 0718, as linked from the forms index on 23 October 2026 - For a CTP claim, the form says certificate of fitness means certificate of fitness for work, whether or not the person was employed - If the next review is more than 28 days away, the form asks for clinical reasoning - Section 3 is completed by the person, not the doctor, before the certificate is sent - The form states a penalty of imprisonment for 2 years or 500 penalty units, or both, for a false or misleading statement in making a claim - Health, wage and other personal information stays in a firm-controlled tool. Check confidentiality under ASCR r 9 and APP 11, and whether any breach is notifiable under the Privacy Act 1988 (Cth). ## Authorities - [State Insurance Regulatory Authority, Certificate of capacity / certificate of fitness (catalogue SIRA08719)](https://www.sira.nsw.gov.au/resources-library/workers-compensation-resources/forms/health-professionals-for-workers-compensation/SIRA08719-Certificate-of-capacity-certificate-of-fitness-for-work.pdf) - [State Insurance Regulatory Authority, Workers compensation forms](https://www.sira.nsw.gov.au/resources-library/workers-compensation/forms) ## Official form [Official form](https://www.sira.nsw.gov.au/resources-library/workers-compensation-resources/forms/health-professionals-for-workers-compensation/SIRA08719-Certificate-of-capacity-certificate-of-fitness-for-work.pdf) ## Where this comes from The official form is published by sira.nsw.gov.au; this page is a completion guide. Last checked on 2026-10-23. ## Full text and drafting notes The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-sira-certificate-of-capacity and through the signed-in MCP connector https://ailawframework.com/mcp/firm. *Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*