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New portable long service leave scheme for community service workers
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New portable long service leave scheme for community service workers
How portable long service leave works
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You may use this form to apply for a reconsideration if you are dissatisfied with a decision, determination, direction or notice made by QLeave.
Step 1 of 3 - Your Details
Worker/Employer/Levy Payer number
*
Title
-- Please Select --
Mr
Mrs
Ms
Miss
First Name
*
Last Name
*
Company name (if applicable)
Phone
*
Email
*
Address
*
Suburb
*
State
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TAS
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Postcode
*
Do you have a different mailing address?
Yes
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Postal address
Suburb
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
I certify that the information provided is true and correct to the best of my knowledge.
*
Yes
No
Step 2 of 3 - Decision Summary
What was the decision about?
Please attach a copy of the decision (for example a letter, email, notice or other document) to your application.
*
Date of the decision
Who made the decision?
Step 3 of 3 - Reason for application
Why are you requesting a reconsideration?
*
Please attach any supporting documents
*
Supporting documents must be attached. For example, payslips, payment summaries, invoices, or any other documents that support your request.
Please note, we don't accept notices of assessment as evidence for reconsideration requests.
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Date
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