Official form guide
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
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.
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
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Dispute over pay rates
A dedicated claim requires specific details and evidence.
✓ Check official FWO payment portal for required forms.
Workplace bullying investigation request
Specific complaints require detailed personal statements and supporting documents.
✓ Ensure you are using the correct online submission channel.
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)
The form is meant for initial screening, so there are generally no immediate deadlines unless advised by an FWO representative.
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 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.
Quick Facts
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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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