Official form guide
This Australian government form is used to request an order from the Fair Work Commission regarding personal leave disputes in the workplace. Employees use it when they have disagreements with employers about personal leave entitlements, access to leave, or related matters that cannot be resolved directly.
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Form Overview
This Australian government form is used to request an order from the Fair Work Commission regarding personal leave disputes in the workplace. Employees use it when they have disagreements with employers about personal leave entitlements, access to leave, or related matters that cannot be resolved directly.
Plain English
If you're having trouble getting approved for personal leave or disagree with how your employer is handling your leave, this form helps you formally ask the Fair Work Commission to make a decision. It's like asking a neutral referee to help sort out disagreements between you and your boss about time off for illness, family care, or other personal reasons.
Submission Date
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Form selector
Dispute about unfair dismissal
Different processes and time limits
✓ Confirm the nature of your termination
Dispute about wages or penalty rates
Different types of workplace entitlements
✓ Verify whether the issue is specifically about leave or other payments
Dispute about flexible work arrangements
Different legal protections
✓ Determine if your request relates to leave arrangements or work schedule flexibility
Dispute about general workplace rights
Different information requirements
✓ Check if you need information rather than an official order
Applications for personal leave orders generally must be submitted within 21 days from when the dispute arose. Time limits may be extended in certain circumstances, but you should seek advice from the Fair Work Commission if you believe this applies to your situation.
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->Not confirmed in official source. The form may have been updated recently to reflect changes to personal leave regulations under the Fair Work Act.
Quick Facts
Downloads & source
Confusing personal leave with other types of leave like annual or long service leave
Not understanding the difference between paid and unpaid personal leave
Missing the time limit for submitting the application
Not properly serving the form on all relevant parties
Failing to provide adequate evidence to support the claim
Misunderstanding the role of the Fair Work Commission in resolving personal leave disputes
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