History Details
Workplace Agreements Regulations 1993
11 November 1998 - 14 September 2003

Schedule 1

FORMS

Form 1

[reg. 3 (3)]
Workplace Agreements Act 1993 sections 29 and 40F

APPLICATION FOR REGISTRATION OR APPROVAL OF AGREEMENT

Please complete sections 1 - 7 inclusive

1. I/we wish to have the attached agreement registered as (where applicable):

o An individual workplace agreement.

o A collective workplace agreement (other than an agreement intended to prevail over a federal award).

o An agreement under section 23 (1) of the Act (addition of party or parties to a collective workplace agreement).

o An agreement under section 24 (1) of the Act (cancellation of a workplace agreement).

o A collective workplace agreement or addition to a collective workplace agreement intended to prevail over a federal award. (If this option is ticked, a Form 2 must also be complete. See Employer Guide for details).

2. EMPLOYER (complete below or state page number in agreement where details are found).
COMPANY NAME (Pty. Ltd., Ltd., Inc. or individual's name)
TRADING NAME
BUSINESS ADDRESS
MAILING ADDRESS
(if different)
Postcode:
PHONE
CONTACT NAME & POSITION
3. EMPLOYEE(S)

Attach typed schedule OR state page of agreement where details are found OR enter details on reverse of this form.

4. A party requests a meeting with the Commissioner/Tribunal. Indicate name(s) if ticked. [ü] if yes o

5. Have you previously lodged a workplace agreement with this office?

[ü] if yes o

6. Is the employer a public sector agency? [ü] if yes o

7. Signature(s) of applicant (s)

……………………………………………………………………………..

Date

……………………………………………………………………………..

Name(s) (PLEASE PRINT)

If this form is lodged by a bargaining agent authorized to do so

Name of bargaining agent: ………………………………………………

Address for service: ……………………………………………………….

Form 2

[reg. 3 (4)]
Workplace Agreements Act 1993 section 40F

INFORMATION FOR TRIBUNAL'S CONSIDERATION UNDER SECTION 40G

Page 1

Page 2 of Form 2

COMPLETE THIS PAGE FOR EACH AWARD CLASSIFICATION GROUP WHERE TERMS AND CONDITIONS ARE THE SAME

Please make copies of this page if necessary or phone
(08) 9482 7800 for copies.


If this form is lodged by a bargaining agent authorized to do so

Name of bargaining agent: .................................................................................

Address for service: ...........................................................................................


Form 3

[reg. 5 (1) (a)]
Workplace Agreements Act 1993 section 79 (1)

NOTICE OF INTENTION TO TAKE INDUSTRIAL ACTION

Expired workplace agreement No. of 19

Date of expiry …………………
………………………………….

Signature(s) of party or parties
intending to take industrial action

………………………………….

Date

(Attach schedule if insufficient space

for all signatures on this form)


File Attachment Icon
Workplace Agreements Regulations 1993 - Schedule.pdf