Complaint form - employer obligation

Who should use this form?

Workers can use this form to lodge a complaint with QLeave about their employer if they're not adding service for them.

It's a legislative requirement for employers in Queensland's building and construction, contract cleaning and community services industry to report their workers' eligible service to QLeave. If they're not doing this, they may be breaching the legislation and we will follow up and take appropriate action.

In your complaint, please provide as much detail as possible about the employer so we can contact them to make sure they're fulfilling their obligations.

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Your details

Which industry do you work in?

-- Please Select --Building and constructionContract cleaningCommunity services

Have you talked to your employer about your missing service? *

• Yes
• No

Your first name *

Your last name *

Your QLeave worker number *

Phone *

Email *

What time period has this employer failed to record service for you?

Employer details

Employer name *

QLeave employer number (if known)

Employer ABN

Employer email

Employer phone

Declaration

I certify that the information provided is true and correct to the best of my knowledge. *

• Yes
• No

I give permission for QLeave to speak to this employer about my complaint *

• Yes
• No

Name

Date *