Introduction Use this form only if we have referred you to the Workplace Advice Service. You will need to give us your Commission case ('matter') number and other details. Content This form is only available if you are involved in an existing Fair Work Commission case and have been referred to the Workplace Advice Service. I understand and have been referred by the Fair Work Commission I do not have a case number or a referral No referral instructions If you have not been referred, but would still like to understand what legal advice might be available to you, please visit our Where to get legal advice page. Instruction The Workplace Advice Service offers eligible applicants and respondents the opportunity to speak with a lawyer from our network of partner organisations. If you would like to speak with a lawyer about your case please complete the form below. Please fill out all the fields marked with an asterisk. If you need help completing it, please call us on 1300 799 675 and speak with a member of the Workplace Advice Service team. Who needs help? I need help (employee) My business needs help (employer) Case number Referred by Your name Address Suburb Postcode State or territory - Select -ACTNSWNTQLDSATASVICWA Contact email Telephone number Which of the following does your case relate to - Select -DismissalJobKeeperGeneral protectionsWorkplace bullying Legal name of employer We need this information so we can make sure to refer you to a lawyer who is not also assisting your employer. We will not be contacting your employer. The legal name is not the trading name or business name of the employer. It is also not the name of your manager. You can find the legal name of the employer on your pay slips, PAYG payment summary, appointment letter or employment contract. Business or employer address To help us allocate you to the most suitable provider, please select your annual income. Less than $50,000 Between $50,000 and $60,000 Between $60,000 and $80,000 Between $80,000 and $100,000 More than $100,000 Do you require special assistance? A hearing loop A translator Other No What special assistance do you need? What language do you need a translator for? Privacy notice instruction By signing and submitting this form, you are confirming you have read the Workplace Advice Service Terms & Conditions and consent to the Workplace Advice Service team and its partner organisations using the information provided in accordance with these conditions. Terms & Conditions I have read the Workplace Advice Service Terms & Conditions Signature instruction Please type your full name in the field provided Signature Case number Referred by Business name Business ABN/ACN Business address State or territory - Select -ACTNSWNTQLDSATASVICWA Your name Your role Contact email Telephone number Which of the following does your case relate to - Select -DismissalJobKeeperGeneral protectionsWorkplace bullying What is the name of the employee or applicant in the case? Do you require special assistance? A hearing loop A translator Other No What special assistance do you need? What language do you need a translator for? Privacy notice instruction By signing and submitting this form, you are confirming you have read the Workplace Advice Service Terms & Conditions and consent to the Workplace Advice Service team and its partner organisations using the information provided in accordance with these conditions. Terms & Conditions I have read the Workplace Advice Service Terms & Conditions Signature instruction Please type your full name in the field provided Signature Leave this field blank
