Forms

Note: Fees for services in the Industrial Relations Commission are prescribed by the Industrial Relations (General) Regulation 2020. See: Summary of Fees.

Industrial Court Forms from 1 July 2024

Crt 1	Application to commence proceedings for a summary offence - File online Application to commence proceedings for a summary offence (PDF, 104.8 KB) Application to commence proceedings for a summary offence (DOCX, 34.5 KB)
Crt 2	Court summons (PDF, 82.2 KB) Court summons (DOCX, 34.2 KB)
Crt 3	Notice of appearance (PDF, 15.5 KB) Notice of appearance (DOCX, 29.8 KB)
Crt 4	Application, general form - File online Application, general form (PDF, 22.5 KB) Application, general form (DOC, 57.5 KB)
Crt 5	Application for recovery of money or civil penalties (PDF, 78.3 KB) Application for recovery of money or civil penalties (DOC, 71.5 KB)

Industrial Relations Commission Forms

Number	Title
IRC 1	Application, general form (PDF, 76.8 KB) Application, general form (DOC, 55.0 KB)
IRC 2x	Application - s.146B of the Industrial Relations Act 1996 (PDF, 40.5 KB) Application - s.146B of the Industrial Relations Act 1996 (DOC, 70.5 KB)
IRC 3	Summons to show cause (PDF, 119.8 KB) Summons to show cause (DOC, 41.5 KB)
IRC 4	Notification to Industrial Registrar of industrial dispute - File Online Notification to Industrial Registrar of industrial dispute (PDF, 513.1 KB) Notification to Industrial Registrar of industrial dispute (DOCX, 15.8 KB)
IRC 4A	Notice of appeal - Public sector discipline - File online Notice of appeal - Public sector discipline (PDF, 464.2 KB) Notice of appeal - Public sector discipline (DOCX, 19.9 KB)
IRC 4B	Employer's response - Public sector discipline - File online Employer's response - Public sector discipline (PDF, 385.6 KB) Employer's response - Public sector discipline (DOCX, 13.9 KB)
IRC 4Ent	Application re Dispute arising pursuant to Section 20 of the Entertainment Industry Act 2013 (PDF, 70.9 KB) Application re Dispute arising pursuant to Section 20 of the Entertainment Industry Act 2013 (DOC, 57.5 KB)
IRC 5	Particulars of small claim made during other proceedings (PDF, 11.4 KB) Particulars of small claim made during other proceedings (DOC, 41.0 KB)
IRC 6	Notification of intention to commence mutual gains bargaining (PDF, 49.7 KB) Notification of intention to commence mutual gains bargaining (DOC, 49.5 KB)
IRC 6A	Declaration that mutual gains bargaining is unresolved (PDF, 104.0 KB) Declaration that mutual gains bargaining is unresolved (DOC, 68.5 KB)
IRC 7A	Unfair dismissal application - File online Unfair dismissal application (PDF, 146.6 KB) Unfair dismissal application (DOCX, 44.5 KB)
IRC 7B	Employer's response to unfair dismissal application - File Online Employer's response to unfair dismissal application (PDF, 140.8 KB) Employer's response to unfair dismissal application (DOCX, 42.0 KB)
IRC 8	Application for review/appeal under Police Act 1990 - File Online Application for review/appeal under Police Act 1990 (PDF, 278.1 KB) Application for review/appeal under Police Act 1990 (DOCX, 15.8 KB)
IRC 11	Undertaking not to proceed with other redress relating to dismissal (PDF, 66.2 KB) Undertaking not to proceed with other redress relating to dismissal (DOC, 54.5 KB)
IRC 14A	Application in respect of an industrial instrument - File online Application in respect of an industrial instrument (PDF, 173.4 KB) Application in respect of an industrial instrument (DOCX, 43.0 KB)
IRC 15	Notification of proposed enterprise agreement (PDF, 7.7 KB) Notification of proposed enterprise agreement (DOC, 39.5 KB)
IRC 19	Application for relief from victimisation - File online Application for relief from victimisation (PDF, 255.0 KB) Application for relief from victimisation (DOCX, 11.2 KB)
IRC 21	Application for an inquiry into an election (PDF, 175.6 KB) Application for an inquiry into an election (DOC, 44.0 KB)
IRC 22	Application to establish an industrial committee (PDF, 163.1 KB) Application to establish an industrial committee (DOC, 44.0 KB)
IRC 23	Application for dissolution or extension of term of a committee (PDF, 162.5 KB) Application for dissolution or extension of term of a committee (DOC, 43.5 KB)
IRC 24	Agreement to be a member of a committee (PDF, 7.5 KB) Agreement to be a member of a committee (DOC, 34.5 KB)
IRC 27	Form of application for leave (PDF, 78.1 KB) Form of application for leave (DOC, 44.0 KB)
IRC 28	Application for leave to appeal and appeal (PDF, 138.1 KB) Application for leave to appeal and appeal (DOCX, 22.4 KB)
IRC 29	Appeal where leave not required (PDF, 59.7 KB) Appeal where leave not required (DOC, 45.0 KB)
IRC 29A	Notice of contention (PDF, 111.8 KB) Notice of contention (DOC, 74.0 KB)
IRC 33	Application to Industrial Registrar Re Procedural requirements (PDF, 113.6 KB) Application to Industrial Registrar Re Procedural requirements (DOC, 42.0 KB)
IRC 34	Application for directions or order (PDF, 62.4 KB) Application for directions or order (DOC, 44.0 KB)
IRC 35	Application to waive compliance with procedural requirements (PDF, 62.4 KB) Application to waive compliance with procedural requirements (DOC, 44.5 KB)
IRC 39	Summons to confer (s.165(3)(a)) (PDF, 14.4 KB) Summons to confer (s.165(3)(a)) (DOC, 50.0 KB)
IRC 40	Summons to give evidence - File online Summons to give evidence (PDF, 275.7 KB) Summons to give evidence (DOCX, 14.5 KB)
IRC 41	Summons to produce - File online Summons to produce (PDF, 357.1 KB) Summons to produce (DOCX, 21.8 KB)
IRC 42	Summons to produce and give evidence - File online Summons to produce and give evidence (PDF, 357.7 KB) Summons to produce and give evidence (DOCX, 20.7 KB)
IRC 43	Affidavit - File online Affidavit (PDF, 103.8 KB) Affidavit (DOCX, 32.8 KB)
IRC 43A	Witness statement - File online Witness statement (PDF, 75.3 KB) Witness statement (DOCX, 35.9 KB)
IRC 46	Notice to produce (PDF, 111.2 KB) Notice to produce (DOC, 41.5 KB)
IRC 47	Notice to admit facts or authenticity of documents (PDF, 126.5 KB) Notice to admit facts or authenticity of documents (DOC, 41.0 KB)
IRC 48	Notice disputing facts or authenticity of documents (PDF, 124.4 KB) Notice disputing facts or authenticity of documents (DOC, 42.0 KB)
IRC 49	Certificate of result of conciliation conference (PDF, 51.3 KB) Certificate of result of conciliation conference (DOC, 41.5 KB)
IRC 50	Certificate of attempted conciliation (PDF, 81.9 KB) Certificate of attempted conciliation (DOC, 51.0 KB)
IRC 51	Reference to Full Bench of the Industrial Relations Commission (PDF, 52.8 KB) Reference to Full Bench of the Industrial Relations Commission (DOC, 40.0 KB)
IRC 52	Reference by Industrial Registrar to President (PDF, 11.8 KB) Reference by Industrial Registrar to President (DOC, 50.0 KB)
IRC 53	Reference of matter from Industrial Registrar to Commission (PDF, 7.6 KB) Reference of matter from Industrial Registrar to Commission (DOC, 35.0 KB)
IRC 54	Reference of function to committee (PDF, 3.2 KB) Reference of function to committee (DOC, 22.5 KB)
IRC 56	Reference by committee to Commission (PDF, 3.4 KB) Reference by committee to Commission (DOC, 23.5 KB)
IRC 58	Delegation by Full Bench to single member (PDF, 3.0 KB) Delegation by Full Bench to single member (DOC, 22.5 KB)
IRC 59	Application for reinstatement of injured worker (PDF, 12.7 KB) Application for reinstatement of injured worker (DOC, 74.5 KB)
IRC 61	Notification of claim for compensation (PDF, 13.5 KB) Notification of claim for compensation (DOC, 48.0 KB)
IRC 62	Answer to claim for compensation (PDF, 17.4 KB) Answer to Claim for compensation (DOC, 23.5 KB)
	Chronology - File online Chronology (PDF, 75.8 KB) Chronology (DOCX, 11.1 KB)
	Expert report cover sheet - File online Expert report cover sheet (PDF, 69.4 KB) Expert report cover sheet (DOCX, 23.8 KB)
	List of authorities - File online List of authorities (PDF, 68.3 KB) List of authorities (DOCX, 9.8 KB)
	Application to access file (PDF, 117.7 KB) Application to access file (DOC, 84.5 KB)
	Section 173 objection and request (PDF, 12.9 KB) Section 173 objection and request (DOC, 52.5 KB)
	Application for a special wage permit (PDF, 25.0 KB) Application for a special wage permit (DOC, 57.0 KB)
	Application for an authority to enter premises
	Application for inclusion on register of award participants (PDF, 59.1 KB) Application for inclusion on register of award participants (DOC, 81.5 KB)
	Auditor's report (PDF, 16.7 KB) Auditor's report (DOC, 24.6 KB)
	Certificate by accounting officer of a state organisation (PDF, 16.6 KB) Certificate by accounting officer of a state organisation (DOC, 24.5 KB)
	Certificate by committee of management of a state organisation (PDF, 16.6 KB) Certificate by committee of management of a state organisation (DOC, 25.9 KB)
	Certificate by the secretary of a state industrial organisation (PDF, 16.3 KB) Certificate by the secretary of a state industrial organisation (DOC, 42.0 KB)
	Fee waiver form (PDF, 117.4 KB) Fee waiver form (DOC, 280.5 KB)
	Financial accountability and reporting requirements (PDF, 15.0 KB) Financial accountability and reporting requirements (DOC, 44.0 KB)
	Nomination for membership of a committee (PDF, 124.7 KB) Nomination for membership of a committee (DOC, 48.5 KB)
	Official oath to be taken by a member of an industrial committee (PDF, 33.4 KB) Official oath to be taken by a member of an industrial committee (DOC, 304.0 KB)
	Part-time work agreement (PDF, 19.0 KB) Part-time work agreement (DOC, 49.0 KB)
	Statement of particulars of loans, grants and donations by an officer of an organisation (PDF, 15.4 KB) Statement of particulars of loans, grants and donations by an officer of an organisation (DOC, 22.8 KB)
	Statutory declaration by officer in support of application for the issue of a Work Health & Safety Permit (PDF, 63.5 KB) Statutory declaration by officer in support of application for the issue of a Work Health & Safety Permit (DOC, 46.0 KB)
	Statutory declaration by the secretary for the issue of a Work Health & Safety Permit (PDF, 61.6 KB) Statutory declaration by the secretary for the issue of a Work Health & Safety Permit (DOC, 46.0 KB)
	Statutory declaration for lost permit (PDF, 96.6 KB) Statutory declaration for lost permit (DOC, 46.5 KB)
	Statutory declaration the secretary of a state organisation (PDF, 87.2 KB) Statutory declaration the secretary of a state organisation (DOC, 24.9 KB)
	Termination information sheet and form (DOC, 45.0 KB)
	Time to pay application for companies (PDF, 84.7 KB) Time to pay application for companies (DOC, 93.0 KB)

UCPR Forms

Number	Title
UCPR 6A	Notice of appearance - File online Notice of appearance (DOC, 58 KB)
UCPR 20	Notice of motion - File online Notice of motion (PDF, 82.8 KB) Notice of motion (DOC, 75.5 KB)
UCPR 33	Notice of discontinuance - File online Notice of discontinuance (PDF, 96.1 KB) Notice of discontinuance (DOC, 54.0 KB)
UCPR 41	Affidavit of service - File online Affidavit of service (PDF, 25.9 KB) Affidavit of service (DOC, 51.0 KB)
UCPR 77	Notice of change of solicitor or appointment of solicitor - File online Notice of change of solicitor or appointment of solicitor
UCPR 78	Notice of removal of solicitor (PDF, 64.1 KB) Notice of removal of solicitor (DOC, 59.5 KB)
UCPR 79	Notice of intention to file notice of ceasing to act - File Online Notice of intention to file notice of ceasing to act (PDF, 61.3 KB) Notice of intention to file notice of ceasing to act (DOC, 55.0 KB)
UCPR 80	Notice of ceasing to act - File online Notice of ceasing to act (PDF, 16.9 KB) Notice of ceasing to act (DOC, 58.0 KB)
	Uniform civil procedure rules (UCPR) forms

Forms

Industrial Court Forms from 1 July 2024

Industrial Relations Commission Forms

UCPR Forms

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