Australian Industrial Relations Commission

NOTICE OF EMPLOYER'S APPEARANCE  TERMINATION OF EMPLOYMENT

Commission use only

Date received

Workplace Relations Act 1996 (Cth)

Section 170CE

Please place a tick or cross where necessary in the boxes below

Application details (as stated in Form R18)

1  Applicant’s full name

Mr  Mrs  Ms 

(first name)   (family name)

2  Commission Case/File Number

U

Employer details

3  Employer named on application

4  Has the applicant given the employer's correct name?

Yes      No 
If no, correct name is

5  Address

postcode

6  Contact person

(first name)   (family name)

(phone)

(fax)

(mobile)

7  Employer details

  Company

ACN/ABN_______________

  Partnership

  Sole trader

  Government Authority

  Other (specify)

8  Was the employer named in 3 or 4 above the employer of the applicant at the time of termination?

 Yes      No
If no, give name and address of employer at time of termination

9  Was the applicant employed under an award or agreement (including an Australian Workplace Agreement) immediately prior to the termination?

 Yes      No
If yes, was it Federal or State? Federal  or State 

If State, which State?

Representation details

10  Is anyone representing the employer?

Yes    go to 11

No    go to 14

11  Name of solicitor, legal firm, employer organisation or other representative

12  Contact details of solicitor, legal firm, employer organisation or other representative

(first name)    (family name)

(phone)

(fax)

(mobile)

13  Address of solicitor, legal firm, employer organisation or other representative

postcode

Address for notices

14  Where does the employer want notices sent?

Address in 5 

or address in 13 

(choose one only)

Reasons for termination

15  Brief summary of reason(s) given for termination

(write here or attach document)

Late lodgment objection (if applicable)

16  If the application was lodged in the Commission more than 21 days after the day on which the termination took effect, the Commission must decide whether to accept the application. The Commission may accept an application that is lodged out of time if the Commission considers that it would be unfair not to do so.

If the application was lodged out of time, please indicate whether the employer intends to object to the Commission extending the time for lodgment.



I object to the Commission extending the time for lodgment and also object to conciliation before determination of the application to extend time; OR



I object to the Commission extending the time for lodgment but do not object to conciliation before determination of the application to extend time; OR



I do not object to the Commission extending the time for lodgment.

Jurisdictional objection (if applicable)

17  If the employer believes the Commission does not have jurisdiction in the matter, please indicate whether the employer intends to object to the Commission hearing the application.



I object, on jurisdictional grounds, to the Commission hearing the application and also object to conciliation before determination of the jurisdictional issue (documentation that you will rely on to substantiate your jurisdictional objection must accompany this Notice); OR



I object, on jurisdictional grounds, to the Commission hearing the application but do not object to conciliation before determination of the jurisdictional issue; OR



I do not object, on jurisdictional grounds, to the Commission hearing the application.

18  If the employer is objecting on jurisdictional grounds, please indicate the basis of the objection (section 170CC Workplace Relations Act 1996 and regulations 30B and 30BB Workplace Relations Regulations 1996).



The applicant was engaged under a contract of employment for a specified period of time.



The applicant was engaged under a contract of employment for a specified task.



The applicant was serving a period of probation or a qualifying period of employment, the duration or maximum duration of which was determined in advance and was three months or less, or otherwise reasonable given the nature and circumstances of the employment.



The applicant was a casual employee engaged for a short period.

A casual employee is taken to be engaged for a short period unless:

(a) the employee is engaged by a particular employer on a regular and systematic basis for a sequence of periods of employment during a period of at least 12 months; and

(b) the employee has, or but for a decision by the employer to terminate the employee’s employment, would have had, a reasonable expectation of continuing employment by the employer.

(Subregulation 30B (3) Workplace Relations Regulations 1996).



The applicant was a trainee employed under a traineeship agreement or an approved traineeship for a specified period, or whose employment was for any other reason limited to the duration of the agreement.



The applicant was not employed under award conditions and whose annual remuneration immediately before termination exceeded a specified rate ($69 200, July 1999).



The applicant is not covered by a federal award or agreement (may only be a relevant objection in NSW, Qld, WA, SA, Tas).



The employer is not a constitutional corporation (may only be a relevant objection in WA, SA & Tas).

 Other jurisdictional grounds

(please specify)

Declaration

I declare that all the facts in this notice are correct and complete to the best of my knowledge and belief.

The employer must sign this notice unless a solicitor, legal firm, employer organisation or other representative has prepared the notice.

(signature of employer)

(date)              /        /

(signature of solicitor, legal firm, employer organisation or other representative)

(date)               /       /