Your Name (first and last) (required)
Your Email (required)
Your contact phone number (required)
Your City/Suburb/Town (required)
Your State (required) Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia
What is the trading name of your business? (required)
How many employees do you have? less than 15more than 15
What date did the employee start employment? (required) (dd/mm/yyyy)
What date was the employee dismissed? (required) (dd/mm/yyyy)
What was their job title when when they were dismissed?
What award were they covered by?
What award classification were they employed under? What was their annual earnings at the date of dismissal? less than $142,000.00more than $142,000.00
What basis were they employed? CasualContractorPart-TimeFull-Time
What was the reason/s you gave for their dismissal? (required)
Have you received an application from the former employee through the Fair Work Commission? YesNo
Please provide relevant dates and details for conversations and emails relating to the reason for your dismissal. Feel free to attach additional pages if necessary.
Did you provide any warnings (verbal or written) about their conduct or performance at work during their employment? (required) NoYes
What was their (gross) weekly pay? (whole dollars) (required)
Were they paid notice in lieu of their dismissal? YesNo
Were they paid all entitlements owing to you? (annual leave, leave loading, long service leave, superannuation) YesNo
Have they filed any other claims or applications with the Fair Work Commission or any other organisation in relation to your dismissal? NoYes
Please provide copies of any relevant contracts of employment, policies and procedures or other relevant documentation. Please tick the relevant box of the documents you will be providing to Cate & Cº Lawyers and Associates. Contract of EmploymentEnterprise Agreement/Collective AgreementFinal Pay PayslipRelevant PoliciesTermination of Employment Letter/EmailAllegation LetterWritten response to the Allegation LetterSeparation CertificateOther
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Any other information?
1: I confirm that by clicking this box the information is true and correct within my knowledge. 2: I acknowledge that by completing this online form at this stage I have not engaged Cate & Cº Lawyers and Associates to act in connection with my proposed unfair/unlawful dismissal matter. 3: I acknowledge that I have NOT received advice from Cate and Cº Lawyers and Associates, until I have engaged them to represent me.
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