You may use this form to apply for a reconsideration/internal review if you are dissatisfied with a decision, determination, direction or notice made by QLeave.

Step 1 of 3 - Your Details
Do you have a different mailing address?
Step 2 of 3 - Issue/decision summary
How were you made aware of this decision? *
For example, a copy of the letter or email you received.

Step 3 of 3 - Reason for application
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.
If you're making this reconsideration because your registration was cancelled, please attach documentation that shows that you were performing eligible work in the industry during the four year gap in your service record.
Have you performed eligible work in another Australian state or territory?
Select the state or territory you have worked in If you've recorded service with multiple interstate schemes, please select all that apply.
You can get copies of your interstate long service leave statements by contacting the relevant interstate scheme. Click here to find the contact details for each interstate scheme.
I understand that failure to attach supporting documentation may affect the outcome of this reconsideration application *
I certify that the information provided here is true and correct to the best of my knowledge *