• Industrial Intake Form

  • What type of issue are you dealing with?*

  • Disciplinary

  • To assist you in responding to allegations or a show cause notice, please review and complete our Disciplinary Module. The module contains a template to help you prepare a draft response to any allegations you have received.

    Module link: https://bit.ly/4eym26G

    If you have received written allegations, please use the template in the module to prepare a draft response as soon as possible.

  • Have you received written allegations from your employer?*
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  • When is your response to the allegations due?
     - -
    2 digit day, 2 digit month, 4 digit year
  • Have you prepared a draft response to the allegations?*

  • If 'no' and you have received the allegations, please use the template in our module to prepare a draft response as soon as possible. 

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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Dismissed by Employer

    Applications for unfair dismissals are subject to a 21-day limitation period from the date of termination. It is, therefore, important that we receive the relevant information as soon as possible. Please upload the requested documents so an Industrial Officer can assess your matter.
  • What date was your employment terminated? *
     - -
    2 digit day, 2 digit month, 4 digit year
  • Have you received a termination letter?*
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  • Did you respond to a show cause notice before your employment was terminated?*
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  • Have you received any other correspondence from your employer / sent any other correspondence to your employer leading up to the termination?*
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  • Did the employer refer to any workplace policies when terminating your employment?*
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  • As far as you can tell, was your final pay correct?*
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Performance Management

  • Has your employer met with you to raise concerns about your performance?*
  • Have you been placed on a formal Performance Improvement Plan (PIP) or similar process?*
  • Have you provided any written response to the performance concerns?*

  • To assist us in providing advice, please upload the following (if available):

    • Performance Improvement Plan (PIP);
    • performance management documentation;
    • any correspondence from your employer relating to the performance concerns;
    • any written response you have provided to your employer;
    • your position description;
    • your employment contract.
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Bullying and Harassment / General Grievance

  • We recommend that you review our bullying and harassment module, which includes guidance and a template document to assist you in preparing a written overview of the behaviour: https://bit.ly/4099UVU

  • Have you formally raised your concerns with your employer?*
  • Has your employer taken any steps to address the issue?*
  • Have you prepared a written summary or grievance outlining the behaviour?*
  • To assist us in providing advice, please upload the following (if available):
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  • We recommend that you use the template in the module, accessible through this link: https://bit.ly/4099UVU, to prepare a written overview of the behaviour prior to your consultation. The requested material is required before an intake appointment can be arranged with an Industrial Officer.

  • Pay Issues

  • What type of pay issue are you experiencing?*

  • Incorrect Classification

  • Have you raised the issue with your employer (e.g. payroll, manager or HR)?*
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Underpayment

  • Has the issue occurred over multiple pay periods?*
  • Have you raised the issue with your employer?*
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Overpayment

  • Has your employer requested repayment?*
  • Has your employer provided a repayment proposal?*

  • Please upload the following, if available:

    • impacted payslips;
    • any correspondence from your employer regarding the overpayment;
    • employment contract;
    • any repayment proposal or agreement.
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Rostering Issues

  • Have you raised the issue with your employer?*

  • Please upload the following (if available):

    • copies of the relevant rosters;
    • recent payslips (if relevant to the issue);
    • employment contract;
    • any correspondence exchanged with your employer relating to the rostering issue.
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Workplace Health and Safety

  • Is the issue ongoing?*
  • Have you raised the safety concern with your employer?*

  • Please upload the following (if available):

    • any incident or hazard reports submitted
    • any response from your employer
    • any emails or correspondence relating to the issue
    • any photos or supporting material
    • any relevant workplace policies or procedures.
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Workers' Compensation

  • The requested information documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

    Please also note that our Union provides limited assistance with workers’ compensation matters, given the specialised nature of this area of law. Where appropriate, we may refer your matter to Hall Payne Lawyers for specialist legal advice.

  • Have you lodged a claim for workers' compensation?*
  • Has your claim been accepted?*
  • What type of injury have you sustained?*
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  • Workplace Change / Restructure

  • Is there any direct impact on your role?*
  • Have you provided any feedback as part of the consultation process?*
  • If yes, has your employer responded to your feedback?*

  • Please upload the following (if available):

    • any correspondence from your employer about the proposed change;
    • any consultation or restructure documents;
    • any feedback you have provided, your position description (if available);
    • your employment contract (if available).
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Redundancy

  • Has your employer confirmed that your role is redundant?*
  • If yes, when will the redundancy take effect?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Have you received any correspondence from your employer about the redundancy?*

  • Please upload the following (if available):

    • Correspondence from your employer regarding the redundancy;
    • Your contract of employment (if available); and
    • Your letter of offer from your employer (if available).
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Leave

  • What type of leave does your enquiry relate to?*
  • Are you experiencing any issues having the leave approved by your employer?*
  • Please upload the following (if available): your employment contract, any workplace leave policy, any correspondence exchanged with your employer relating to the leave request.
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  • The requested material is required before an intake appointment can be arranged with an Industrial Officer. Once the information has been received, the matter will be reviewed and we will be in contact regarding next steps.

  • Breach of EBA / Award Condition

  • Is the issue ongoing?*
  • Is the matter urgent?*
  • Have you raised the issue with your employer?*
  • Please upload the following (if available):
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Flexible Working Arrangements

  • Have you discussed or submitted a request to your employer?*
  • Has your employer provided a response?*

  • Please upload the following (if available):

    • any flexible working arrangement request submitted to your employer;
    • any written response from your employer;
    • any correspondence exchanged with your employer relating to the arrangement;
    • your employment contract;and
    • your employer’s flexible working policy.
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  • The requested material is required before an intake appointment can be arranged with an Industrial Officer. Once the information has been received, the matter will be reviewed and we will be in contact regarding next steps.

  • Independent Medical Examinations (IME) / Medical Information Requests

  • What has your employer requested?*
  • Has your employer explained why the medical information is required?*
  • When do you need to respond?
     - -
    2 digit day, 2 digit month, 4 digit year
  • Has the employer provided the request in writing?*
  • Have you already provided any medical information to your employer?*

  • Please upload the following (if available):

    • the employer’s request for medical information or attendance at an IME;
    • any correspondence exchanged with your employer relating to the request;
    • any medical authority or consent form provided by the employer (if applicable).
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.

  • Other Workplace Issues

  • Is the issue ongoing?
  • Have you raised the issue with your employer?
  • Is the matter urgent?

  • Please upload the following (if available):

    • any relevant correspondence;
    • your contract of employment; and
    • any relevant policies or other documents. 
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  • The requested documentation is required before an intake appointment with an Industrial Officer can be scheduled. Once we have received and reviewed your materials, we will contact you to confirm next steps.
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