Employer application form

Required fields are marked with an asterisk (*).

Employer details

ABN *

Registered name *

Trading Name

Street address *

Suburb *

State

Postcode *

Do you have a different mailing address?

Yes
No

Postal address

Suburb

State

Postcode

Contact details

Contact name *

Contact position *

Email *

Phone *

Mobile

Fax

Other details

Work classification

Preferred internet flag

Check this box if you wish to complete your Worker Service Return online

Applicant name *

Applicant position *

Message

Acknowledgement of Country

QLeave acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Owners of this country throughout Australia, and their connection to land and community.

We pay our respect to all Traditional Owners and to their Elders past and present.