Commonwealth Numbered Regulations

WORKPLACE RELATIONS REGULATIONS 2006 (SLI NO 52 OF 2006) - SCHEDULE 1

(regulation 1.3, definition of Form )

Form 1         Ballot paper under Part 3 of Chapter 3

(regulation 9.10)

Workplace Relations Act 1996 , Part 9, Division 4

The proposed industrial action to which this ballot applies is [description] .

DIRECTIONS TO VOTERS

1.     Record your vote on the ballot paper as follows:

·     if you approve the proposed industrial action, tick the YES box opposite the question;

·     if you do not approve the proposed industrial action, tick the NO box opposite the question.

2.     Do not place on this paper any mark or writing that may identify you.

QUESTION(S) FOR VOTERS

INFORMATION FOR VOTERS

1.     The applicant is [name] . ¹

1.     The applicant's agent is [name] . ¹

        ¹ omit if inapplicable

2.     The employees who are to be balloted are [description] .

3.     The ballot agent authorised to conduct the ballot is [name] .

YOUR VOTE IS SECRET, AND YOU ARE FREE TO CHOOSE WHETHER OR NOT TO SUPPORT THE PROPOSED INDUSTRIAL ACTION.

Form 2         Permit to enter and inspect premises

(regulation 15.3)

Workplace Relations Act 1996 , regulation 15.3

PERMIT TO ENTER AND INSPECT PREMISES

This permit is issued to [ name ], an official of [ name of organisation ].

The holder of this permit is entitled, while the permit is in force, to exercise the powers and functions given to the holder of this permit by Part 15 of the Workplace Relations Act 1996 .

The permit remains in force for 3 years from and including the date of this permit, unless, before the end of that period, it is revoked or the person named in the permit ceases to be an official of the organisation named in the permit, whichever occurs first.

Dated                                      20

Registrar

Note    This permit must be returned to the Registrar within 14 days after it expires or is revoked.

Form 3         Permit to enter and inspect premises

(regulation 15.6)

Workplace Relations Act 1996 , regulation 15.6

EXEMPTION CERTIFICATE

This certificate is issued to [ name of organisation ].

Section 747 of the Workplace Relations Act 1996 authorises entry to premises for the purpose of investigating breaches, or potential breaches, of certain laws, awards or agreements. This certificate exempts the organisation from the obligation to comply with the notice requirements under section 748 of that Act for entry to the premises.

For this certificate:

(a) The premises to which it applies are

            [ name of premises ]

(b) The day or days on which it operates are

            [ day or days ]

(c) The suspected breach or breaches to which it relates are

            [ particulars of breach or breaches ]

Dated                                      20

Registrar

Notes

(a)   Entry to the premises must be on a day specified in this certificate.

(b)   The organisation must give a copy of this certificate to the occupier of the premises not more than 14 days before the entry.

Form 4         Notice of proposed terminations

(regulation 12.9)

Workplace Relations Act 1996 , section 660 (2)

NOTICE OF PROPOSED TERMINATIONS

TO: CENTRELINK

I, [ full name of employer or person completing notice on behalf of employer ], the [ position held ] of [ name of employer of person completing notice ], give notice, under section 660 of the Workplace Relations Act 1996 , that [ name of employer ] proposes to terminate the employment of 15 or more of its employees, for the following reasons:

[ Set out reasons for proposed terminations. Reasons may be of an economic, technological, structural or similar nature, or for reasons including such reasons ]

The number and categories of employees likely to be affected by the proposal are:

[ Set out the categories and number per category ]

It is intended that [ name of employer ] will carry out the proposed terminations at the following time/s, or over the following period/s of time:

[ Provide specific dates if known, or approximate period of time ]

Dated

……………………………………

Signature

……………………………………

Position

Form 5         Application to the Commission to have a dispute resolution process conducted

(regulation 13.2)

Workplace Relations Regulations 2006 , regulation 13.2

AUSTRALIAN INDUSTRIAL RELATIONS COMMISSION

APPLICATION TO HAVE A DISPUTE RESOLUTION PROCESS CONDUCTED

[ Name of applicant ] applies to the Commission to have a dispute resolution process conducted under [ insert Division 3, 4 or 5 ] of Part 13 of the Workplace Relations Act 1996 .

The matter in dispute relates to [ description of matters in dispute ].

Note    Identify:

(a)   the provision(s) in the Workplace Relations Act to which the dispute relates (for example, a particular entitlement that is guaranteed by the Australian Fair Pay and Conditions Standard); or

(b)   the award or workplace agreement to which the dispute relates.

The parties to the matter in dispute are [ description of parties ].

Note    If the application relates to collective bargaining negotiations, identify the other persons or organisations with whom you propose to reach an agreement.

The following steps of the dispute settling process have been taken:

[ List the steps taken and enclose a copy of the dispute settling process ].

The type(s) of assistance sought from the AIRC is or are:

[ Describe the assistance ].

Note    The types of assistance that the AIRC might provide can be varied by agreement while the dispute resolution process is underway.

Dated             20 .

[A pplicant's signature ]