Employer: fraud and non-compliance referral form

Allegation

Why are you reporting this employer? *

Please provide details about your concerns * Be as specific as possible.

Please describe any evidence you have to substantiate the allegation

Please attach any images or documents that may be evidence (4Mb Max) Note: files may take a few minutes to upload when you click ‘Next page’.

Document/image

Are you pursuing action through any other process under the Return to Work Act 2014 to address your concerns? * For example an application to the South Australian Employment Tribunal?

Please provide details

Have you reported this matter to another agency? For example, referring the matter to the Fair Work Ombudsman or the Australian Tax Office?

Please provide details

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Employer: fraud and non-compliance referral form