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Wage Assistance Application and Agreement

By Denise Clark,2014-12-02 11:59
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Wage Assistance Application and Agreement

    Wage Assistance Application and Agreement

    This application must be lodged within 28 days of the job seeker commencing work

    with the employer.

1 Employer’s trading name

2 Employer’s full legal name (If different from Question 1)

    3 Your answers to questions 3 to 8 will determine whether you are eligible for Wage Assistance.

Is your organisation a CDEP?

    No

    Yes ? Your application cannot be accepted

    4 Do you agree to abide by the Wage Assistance Agreement if your application is approved? No ? Your application cannot be accepted

    Yes

    5 Do you understand that if you knowingly make any false or misleading statements, you may be liable for prosecution?

    No ? Your application cannot be accepted

    Yes

6 Is the employee employed under an Award or Agreement?

    No ? Your application cannot be accepted

    Yes

    7 Is the job likely to cease in the next 9 to 12 months barring unforeseen circumstances? No

    Yes ? Your application cannot be accepted

8 How many hours per week will the employee work?

TICK ONE ONLY

    Full-time (35 or more hours per ? Go to next question

    week or as defined by an Award)

Part-time (minimum 15 hours ? Go to next question

    per week)

Less than 15 hours per week ? Your application cannot be accepted

9 Details of employee

    It is very important that the name is spelled correctly and that you enter the correct date of birth

Family name or surname

First given name

Other initial

Is the employee known by any other name(s)?

    No

    Yes ? Write other names

Date of birth (DD / MM / YYYY)

Male

    Female

10 Does the employee have a Centrelink Job Seeker ID?

    No

    Yes ? Job Seeker ID

    11 Your contact details

Postal address

Postcode

Telephone number

Mobile telephone number

Facsimile number

Email address

    12 Your ABN (must be supplied)

13 Is your business registered for GST purposes?

    No

    Yes

    14 Nature of your business

15 Which category best describes your business?

     Tick ONE only

    Agriculture, Forestry and Fishing - A

    Mining - B

    Manufacturing - C

    Electricity, Gas and Water Supply - D

    Construction - E

    Wholesale Trade - F

    Retail Trade - G Accommodation, Cafes and Restaurants - H

    Transport and Storage - I

    Communication Services - J

    Finance and Insurance - K

    Property and Business Services - L Government Administration and Defence - M

    Education - N

    Health and Community Services - O

    Cultural and Recreational Services - P

    Personal and Other Services - Q

16 Is the business indigenous owned or managed?

    No

    Yes