THIS PAGE IS ONLY FOR EMPLOYEE'S INFORMATION

You MUST send this completed form to us

before your scheduled appointment time

THIS FORM IS FOR EMPLOYEES ONLY - YOU AS THE WORKER

We need to be able to assess your information prior to your appointment to enable us to accurately determine your scenario

ALL INFORMATION IS ACCEPTED IN STRICT CONFIDENCE - GURANTEED NOT TO BE SHARED WITH ANY 3RD PARTY - THAT'S OUR PROMISE TO YOU!

Your Name*

The Phone number we will call you on*

Your Email*

Award you are employed under*

Grade or Level of employment*

Employment status - Casual, Part/Full Time, other

Your current Age*

Do you have an employment agreement? YES/NO*

How long have you worked for this employer?*

How do you record your attendance at work? Manual Timesheet/ Electronic/Other*

Do you have a method of recording your paid and unpaid breaks?*

Attach 2 payslips & rosters

Attachments (0)

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