Official form guide
This form is an application submitted to the Fair Work Commission regarding personal leave. It seeks a formal order from the Commission related to entitlements or disputes about time off work.
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Form Overview
This form is an application submitted to the Fair Work Commission regarding personal leave. It seeks a formal order from the Commission related to entitlements or disputes about time off work.
Plain English
If you and your employer cannot agree on how much or what type of personal leave you are entitled to, this form helps start a formal process with the government body that handles workplace law.
Submission Date
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Dispute over pay rate
Use this if the core issue is wages, not just time off.
✓ Check specific dispute details first
General dispute resolution application
Seeking general advice on entitlements
This form requires a formal order, not just advice.
✓ Confirm your desired outcome is an 'order'
Information request form (if available)
Reporting workplace safety issues
FWC handles employment disputes; use the correct body for safety matters.
✓ Ensure the issue is purely related to leave entitlement.
WorkSafe Victoria reporting portal
Resigning from employment
This form addresses existing entitlements, not the act of leaving work.
✓ Confirm you are still employed and disputing a specific leave matter.
Resignation notice or termination documentation
There are no universal deadlines; submission timing depends entirely on when the disagreement about leave arises and requires formal resolution.
Field map
Applicant
1 items
Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.
Respondent
1 items
The exact legal name and ABN of the employer or other party the application is made against.
The Matter
2 items
Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.
A clear description of what happened, relevant dates, and the outcome you are seeking.
Dates
1 items
Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.
Supporting
1 items
Any documents that support your application, such as letters, contracts, or notices.
Declaration
1 items
Sign and date the form. Applications may also require a fee or an application for a fee waiver.
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Fillable formOpen in Editor->This application is handled by the Fair Work Commission (FWC). Check the official FWC website for the most current guidelines and submission methods.
Quick Facts
Downloads & source
Confusing 'personal leave' with other paid leave types (e.g., annual leave).
Assuming the FWC will mediate the dispute without formal evidence being provided.
Submitting incomplete forms because some sections are optional but necessary for context.
Believing the Commission can mandate specific dates off work, rather than an order about entitlements.
Source transparency
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