AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form Telephone screening form: Telephone screening form

This form is a preliminary screening tool used by the Fair Work Ombudsman (FWO). It helps determine if an initial conversation or inquiry requires further investigation into workplace rights and obligations.

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Form Overview

Fair Work Ombudsman Form Telephone screening form - Telephone screening form

This form is a preliminary screening tool used by the Fair Work Ombudsman (FWO). It helps determine if an initial conversation or inquiry requires further investigation into workplace rights and obligations.

It collects fundamental details about the employment relationship and the nature of the dispute being raised.

Risk Radar

Scan points
  • 1Do not assume a phone call replaces the need for formal written submission.
  • 2Mixing up personal details with employer records
  • 3Omitting key dates of alleged pay issues
  • 4Providing vague descriptions instead of specific examples
  • 5Assuming the form solves all disputes without follow-up action

Plain English

If you have questions about your pay, hours, or workplace rules, this form guides you through basic details. It helps the FWO understand your situation before a full investigation begins.

Submission Date

  • Filing date: Complete this form when you first realize you need assistance with a pay, leave, or work arrangement issue. There are no specific deadlines listed for initial screening.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • * Use this form when you need to determine if your workplace issue requires an investigation.
  • * It guides preliminary discussions about rights or obligations under Australian law.
  • * Do not use this form if you are filing a formal complaint online.
  • * This helps structure the initial conversation with FWO staff.

Form selector

Use this form or another form?

Dispute over pay rates

A dedicated claim requires specific details and evidence.

Check official FWO payment portal for required forms.

Formal Pay Claim Form

Workplace bullying investigation request

Specific complaints require detailed personal statements and supporting documents.

Ensure you are using the correct online submission channel.

Complaint Submission Portal

General workplace policy query

Simple questions do not need a formal screening form.

Use direct contact methods for quick advice.

General Inquiry Contact Method (Phone/Web Chat)

Deadline or filing window

The form is meant for initial screening, so there are generally no immediate deadlines unless advised by an FWO representative.

Before you submit

  1. 1Ensure you have gathered all relevant dates and names.
  2. 2Confirm that the contact details provided are accurate for follow-up calls.
  3. 3Attach copies of supporting documents, if applicable (e.g., payslips).
  4. 4Read the purpose statement to confirm this is only a screening tool.
  5. 5Sign or acknowledge the form's declaration regarding accuracy.

How to file this form

  1. 11. Complete all sections using plain language and factual details.
  2. 22. Gather any necessary supporting documentation before filling out the form.
  3. 33. Review the completed form for clarity and completeness.
  4. 44. Submit the form via the specified Fair Work Ombudsman method (e.g., online portal or fax).
  5. 55. Keep a record of the submission date and any reference number provided.

Known limitations

  1. 1This form only determines if an investigation is needed; it does not resolve disputes itself.
  2. 2The information gathered is preliminary and not binding legal evidence.
  3. 3Do not rely on this screening process to replace formal documentation or legal advice.
  4. 4If the Ombudsman advises against action, you may still have recourse through other channels.

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
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Current form status
FAIR_WORK_OMBUDSMAN

This is a preliminary screening tool used by the Fair Work Ombudsman to assess initial workplace inquiries. It helps determine if a conversation requires further investigation into employment rights.

What changed or needs a fresh check

  • Confirm if your employment status has changed since the last submission.
  • Verify all details about the alleged misconduct or pay issue are current.
  • Check if any new workplace laws (e.g., minimum wage changes) apply to your situation.
  • Review specific sections related to industry awards or enterprise agreements.

Quick Facts

This form is typically completed by employees or individuals seeking advice regarding workplace disputes or entitlements.
It collects fundamental details about the employment relationship and the nature of the dispute being raised.
Complete this form when you first realize you need assistance with a pay, leave, or work arrangement issue. There are no specific deadlines listed for initial screening.
Submission methods are not confirmed in official source; check the FWO website for current guidelines on submitting forms online or by post.
Submitting accurate information ensures the Ombudsman can correctly assess your claim and direct you to the right resolution path. Errors may delay necessary advice.
Read all questions carefully before answering. Provide factual details about dates, pay rates, and people involved. Do not include legal opinions; stick only to what happened at work.

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Sources

  • SRCAgency: Fair Work Ombudsman
  • SRCForm Name: Telephone screening form
  • SRCPurpose: Preliminary assessment of workplace rights and obligations
  • SRCContext: Used before formal investigation into employment issues

Common confusion points

Mistaking this screening form for a formal complaint submission.

Assuming completing the form guarantees an investigation will start.

Providing opinions or emotional accounts instead of factual details.

Failing to update personal contact information, leading to missed follow-up calls.

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Source transparency

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