Form 1567 · Help
Status Resolution Support Services (SRSS) Medical Certificate Form
What the form is for and who lodges it. The form itself is the Department's own PDF; nothing is completed or submitted here.
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The official source has changed since these records were last reviewed. Our copy last changed on 30 September 2026. Confirm the current record at the official source. Official source ↗
Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
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This form should be used when your patient is seeking support due to a medical reason from the Department of Home Affairs (the Department) through the Status Resolution Support Services (SRSS) Program.
Purpose
This form is used to provide medical information to the Department of Home Affairs to support a person seeking assistance for a medical reason under the Status Resolution Support Services (SRSS) Program, helping the department decide how long support may be required.
About this explanation
Dated copy · captured
Our recheck of this copy is overdue, so treat every entry as historical: check the Home Affairs forms directory ↗ before relying on one.
Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
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Who lodges it
A treating medical practitioner or health specialist completes the certificate for their patient, who then provides it to their SRSS service provider for submission.
When it is used
It is used when an SRSS client's medical condition affects their capacity to work and the department needs a practitioner's assessment to inform decisions about the level and duration of support.
Official form
Open the Department's own PDF or instructions page.
Open official form 1567 ↗