Forms

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Forms

The forms on this page are PDF interactive downloadable documents. To view a form you require, you will need the Adobe Acrobat Reader

How to lodge a completed form

Email:	qirc.registry [at] qirc.qld.gov.au
Hardcopy:	Level 21, Central Plaza 2, 66 Eagle Street, Brisbane
Facsimile:	(07) 3221 6074
Post:	GPO Box 373, Brisbane Qld 4001

Approved forms

Form Number	Title
Form 1	Parties list [pdf]
Form 1	Parties list [word]
Form 2	Application to Queensland Industrial Relations Commission - non-chapter 12 approved form
Form 2A	Application to Industrial Court of Queensland - non-chapter 12 approved form
Form 3	Amended application
Form 4	Application in existing proceedings
Form 5	Application to appeal
Form 6	Application to appeal to full bench
Form 7	Notice of appeal
Form 8	Application for stay
Form 9	WCR Notice of appeal
Form 9A	Appellant’s statement of facts and contentions psychiatric and/or psychological injuries
Form 9B	Appellant’s statement of facts and contentions physical and/or psychiatric/psychological secondary injuries
Form 9C	Respondent’s statement of facts and contentions
Form 10	Notice of industrial dispute
Form 11	Notice to show cause
Form 12	Application for reinstatement
Form 12A	Employer response to application for reinstatement
Form 13	Application for payment instead of taking long service leave
Form 14	Application for proportionate payment of long service leave
Form 15	Application to recover unpaid wages, superannuation contributions etc
Form 16	Wages attachment notice
Form 17	Discharge by employee for payment received
Form 18	Application for order for repayment of fee received by a private employment agent
Form 19	Affidavit of service
Form 20	Affidavit
Form 20	Affidavit
Form 21	Certificate of exhibit to affidavit
Form 22	Response and counter claim
Form 23	List of documents [pdf]
Form 23	List of documents [word]
Form 24	Notice to admit facts
Form 25	Notice to admit documents
Form 27	Request to discontinue application
Form 29	Notice of non-party disclosure
Form 31	Certificate of lawyer under rule 64D
Form 32	Request for attendance notice
Form 32A	Attendance notice to give evidence
Form 32B	Attendance notice to produce
Form 32C	Attendance notice for production and to give evidence
Form 33	Notice of appointment of agent
Form 34	Lawyer’s notice of address for service
Form 35	Notice of withdrawal of appointment of lawyer or agent
Form 36	Notice of change of lawyer or agent
Form 37	Notice of change of address for service
Form 38	Advice of intention to begin negotiations for a project agreement
Form 39	Notice to be a party to a project agreement
Form 40	Application for certificate as to requested representation
Form 41	Certificate as to requested representation
Form 42	Application for certificate of cessation of requirement in section 171(4)
Form 43	Certificate of cessation of requirement under section 171(4)
Form 44	Request for help to make certified agreement
Form 46	Application for certification of agreement
Form 47	Application for decision about designated award for a certified agreement
Form 48	Application to extend nominal expiry date of bargaining instrument
Form 49	Application to amend bargaining instrument
Form 50	Notice of intention to terminate certified agreement or arbitration determination
Form 51	Application for approval to terminate certified agreement or arbitration determination
Form 52	Application for approval to engage in industrial action
Form 53	Certificate of amount to be paid under order
Form 54	Application for issue of an authority
Form 56	Application to Queensland Industrial Relations Commission – chapter 12 approved form
Form 57	Application to Queensland Industrial Relations Commission – other than chapter 12 approved form
Form 58	Notice of objection
Form 59	Response to objection
Form 60	Notice of objection for amalgamations and ballot exemptions
Form 61	Statement answering notice of objection
Form 62	Notice of withdrawal of application
Form 63	Ballot paper
Form 64	Certificate of registration
Form 65	Prescribed information for Industrial Registrar to arrange for conduct of elections
Form 66	Register of Officers of an [employer][employee] organisation
Form 67	IM notice of appeal
Form 68	Application for claim before an Industrial Magistrate
Form 69	Warrant of commitment where punishment is by imprisonment
Form 70	Application for issue of a WHS entry permit
Form 71	Application to revoke WHS entry permit
Form 72	WHS show cause notice
Form 73	Application to deal with a dispute about right of entry
Form 73A	Notice of WHS dispute
Form 74	Application for WHS review
Form 76	Application for student’s work permit
Form 77	Student’s work permit
Form 78	Application for aged or infirm person’s permit
Form 79	Notice of hearing of application by person who is aged or infirm
Form 80	Aged or infirm person’s permit
Form 81	Notice of objection to proposed declaration
Form 82	Application for an order to stop bullying
Form 83	Application for exemption or renewal of exemption
Form 84	Application for an order protecting complainant’s interests
Form 85	Referral of a matter
Form 85A	Complainant’s statement of facts and contentions
Form 85B	Response to the complainant’s statement of facts and contentions
Form 86	Application for review of Commissioner’s decision
Form 87	Request to file agreement
Form 88	Appeal notice – Public Service Act 2008

Form Number

Title

Form 1