Official form guide
This 'Reference checking form' is used by the Fair Work Ombudsman (FWO) process. It helps verify details provided about an individual or employment history. Use it when confirming information related to workplace entitlements or disputes.
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Form Overview
This 'Reference checking form' is used by the Fair Work Ombudsman (FWO) process. It helps verify details provided about an individual or employment history. Use it when confirming information related to workplace entitlements or disputes.
Plain English
If you are involved with a work issue and need official confirmation of someone’s background, this form assists that process. Think of it as verifying key details about previous jobs or qualifications. It helps ensure all parties have accurate records.
Submission Date
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Need to lodge an initial complaint
This form is specifically for verifying existing details, not starting a case.
✓ Confirm the correct purpose before filling out.
General Complaint Form (if available)
Requesting pay advice or payslips
The Ombudsman needs proof of wages, which requires different documentation.
✓ Ensure you have gathered all required payslip evidence first.
Specific Pay Claim Form (if applicable)
Deadlines are set by the FWO case manager; always adhere strictly to their instructions regarding submission timing.
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 form is used specifically within an ongoing Fair Work Ombudsman investigation or dispute process. Always follow instructions from your assigned FWO case officer.
Quick Facts
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Mistaking this form for an initial complaint filing (it is only for verification).
Assuming that submitting the form automatically resolves the underlying dispute.
Providing vague or generalized dates instead of specific start and end dates.
Failing to attach supporting documentation, which will delay processing.
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