Forms (operative from 1 January 2012)
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IMPORTANT NOTICE to Private Sector Employees and Employers
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Industrial Relations Act 1999
Industrial Relations (Tribunals) Rules 2011
General Approved Forms
Certified Agreements Forms
Industrial Organisations Forms
Workers' Compensation and Rehabilitation Act 2003
Form for Appeals against Q-COMP review decisions
Work Health and Safety Act 2011
Forms for applications under the Work Health and Safety Act 2011
General Instructions
- The block at the top of each form, and the endnotes to a form, are not part of the form itself. When using a form - set out the form number and the relevant rule number or section number in the lower left corner of the page.
- Words in italics with round brackets are instructions for the completion of the form.
- Words in square brackets are to be inserted or omitted as is appropriate in the particular case.
- Helpful Information Sheets on filing of applications and court room procedure.
- Click on the form you require in either Word or PDF format. To view a PDF document, you will need the Adobe Acrobat Reader.
Industrial Relations Act 1999
Industrial Relations (Tribunals) Rules 2011
General Approved Forms
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Form Name |
Download |
Download |
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Form 2 - Application starting a proceeding - non-chapter 12 approved form |
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Form 3 - Amended Application |
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Form 4 - Application in existing proceeding |
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Form 5 - Application to appeal |
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Form 6 - Application for leave to appeal to full bench |
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Form 7 - Notice of appeal |
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Form 8 - Application for stay of decision under appeal or review |
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Form 10 - Notice of industrial dispute Information sheet |
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Form 11 - Notice to show cause |
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Form 12 - Application for Reinstatement Reinstatement Kit |
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Form 13 - Application for payment instead of long service leave Instructions for completion of Form 13 |
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Form 14 - Application under section 278 for proportionate payment for long service leave Instructions for completion of Form 14 |
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Form 15 - Application to recover unpaid wages etc Information Sheet |
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Form 16 - Wages attachment notice |
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Form 17 - Discharge by employee for payment received |
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Form 18 - Application for order for repayment of fee received by a private employment agent |
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Form 19 - Affidavit of service |
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Form 20 - Affidavit |
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Form 21 - Certificate of exhibit to affidavit |
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Form 22 - Response |
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Form 23 - List of documents |
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Form 24 - Notice to admit facts |
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Form 25 - Notice to admit documents |
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Form 26 - Notice of discontinuance for section 74 |
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Form 27 - Request to discontinue application other than for section 74 |
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Form 28 - Attendance notice for compulsory conference |
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Form 29 - Request for attendance notice |
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Form 30 - Attendance notice for production and to give evidence |
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Form 31 - Attendance notice to give evidence |
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Form 32 - Attendance notice to produce |
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Form 33 - Notice of appointment of agent |
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Form 34 - Lawyer's notice of address for service |
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Form 35 - Notice of withdrawal of appointment as lawyer or agent |
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Form 36 - Notice of change of lawyer or agent |
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Form 37 - Notice of change of address for service |
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Form 53 - Certificate of amount to be paid under order (s336) |
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Form 67- IM Notice of appeal |
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Form 68 - Application for a claim before an industrial magistrate |
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Form 69 - Warrant of commitment where punishment is by imprisonment |
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Form 75 - Notice of intention to retire from an industrial agreement |
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Form 76 - Application for student's work permit |
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Form 77 - Student's work permit |
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Form 78 - Application for aged or infirm person's permit |
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Form 79 - Notice of hearing of application by person who is aged or infirm |
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Form 80 - Permit for person who is aged or infirm |
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Form 81 - Notice of objection to proposed declaration (s31 TH Act) |
Certified Agreement Forms
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Form Name |
Download |
Download |
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Form 38 - Advice of intention to begin negotiations for a project agreement |
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Form 39 - Notice to be party to a project agreement |
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Form 40 - Application for certificate as to requested representation |
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Form 41 - Certificate as to requested representation |
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Form 42 - Application for certificate of cessation of requirement under section 144(3) |
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Form 43 - Certificate of cessation of requirement under section 144(3) |
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Form 44 - Request for help to make certified agreement |
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Form 45 - Application to revoke determination |
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Form 46 - Application for certification of agreement |
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Form 47 - Application for decision about designated award for certified agreement |
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Form 48 - Application to extend nominal expiry date of certified agreement |
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Form 49 - Application to amend certified agreement |
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Form 50 - Notice terminating certified agreement under section 172(1) or Notice of intention to terminate certified agreement under section 173(2) |
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Form 51 - Application for approval of termination of certified agreement under section 172(2) or section 173(1) |
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Form 52 - Notice of giving of authorisation of industrial action |
Industrial Organisations - Chapter 12 Forms
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Form Name |
Download |
Download |
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Form 54 - Application to Industrial Registrar for issue of an authority under section 364 |
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Form 55 - Certificate of Exemption from membership of an organisation |
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Form 56 - Application starting a proceeding - chapter 12 approved form |
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Form 57 - Application starting a proceeding - other than chapter 12 approved form |
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Form 58 - Notice of Objection |
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Form 59 - Response to notice of objection |
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Form 60 - Notice of objection for amalgamations and ballot exemptions |
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Form 61 - Statement answering notice of objection |
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Form 62 - Notice of withdrawal of applications under chapter 12 |
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Form 63 - Ballot paper |
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Form 64 - Certificate of Registration |
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Form 65 - Prescribed election information for Industrial Registrar to arrange for conduct of elections |
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Form 66 - Officers Register |
Workers' Compensation and Rehabilitation Act 2003
Form - Appeals against Q-COMP review decisions
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Form Name |
Download |
Download |
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Form 9 - WCR Notice of appeal - Information on the appeals process |
Work Health and Safety Act 2011
Forms
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Form Name |
Download |
Download |
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Form 70 - Application to industrial registrar for issue of WHS entry permit |
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| Form 71 - Application to revoke WHS entry permit | ||
| Form 72 - WHS show cause notice | ||
| Form 73 - Application to deal with a WHS dispute | ||
| Form 74 - Application for WHS review |