Industrial Relations Commission of NSW

Forms

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

Industrial Relations Commission Forms

Number  Title
Form 1 

Application, General Form (PDF, 76.8 KB)

Application, General Form (DOC, 55.0 KB)


Form 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)


Form 3

Summons to Show Cause  (PDF, 119.8 KB)

Summons to Show Cause (DOC, 41.5 KB)


Form 4

Notification to Industrial Registrar of Industrial Dispute - File Online

Notification to Industrial Registrar of Industrial Dispute (PDF, 115.7 KB)

Notification to Industrial Registrar of Industrial Dispute (DOC, 73.0 KB)


Form 4A 

Notice of Appeal - Public Sector Discipline - File Online

Notice of Appeal - Public Sector Discipline (PDF, 127.7 KB)

Notice of Appeal - Public Sector Discipline (DOC, 85.5 KB)


Form 4B

Employer's Response - Public Sector Discipline - File Online

Employer's Response - Public Sector Discipline (PDF, 114.0 KB)

Employer's Response - Public Sector Discipline (DOC, 69.0 KB)


Form 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)


Form 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)


Form 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)


Form 7A

Unfair Dismissal Application - File Online

Unfair Dismissal Application (PDF, 93.1 KB)

Unfair Dismissal Application (DOC, 41.8 KB)


Form 7B

Employer's Response to Unfair Dismissal Application - File Online

Employer's Response to Unfair Dismissal Application (PDF, 116.0 KB)

Employer's Response to Unfair Dismissal Application (DOC, 38.5 KB)


Form 8

Application for Review/Appeal under Police Act 1990 (PDF, 84.5 KB)

Application for Review/Appeal under Police Act 1990 (DOC, 80.0 KB)


Form 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)


Form 14A

Application in respect of an Industrial Instrument (PDF, 134.9 KB)

Application in respect of an Industrial Instrument (DOC, 86.5 KB)


Form 15

Notification of Proposed Enterprise Agreement (PDF, 7.7 KB)

Notification of Proposed Enterprise Agreement (DOC, 39.5 KB)


Form 19

Application for Relief from Victimisation (PDF, 69.8 KB)

Application for Relief from Victimisation (DOC, 57.0 KB)


Form 21 

Application for an Inquiry into an Election (PDF, 175.6 KB)

Application for an Inquiry into an Election (DOC, 44.0 KB)


Form 22

Application to Establish an Industrial Committee  (PDF, 163.1 KB)

Application to Establish an Industrial Committee  (DOC, 44.0 KB)


Form 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)


Form 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)


Form 27

Form of Application for Leave (PDF, 78.1 KB)

Form of Application for Leave (DOC, 44.0 KB)


Form 28

Application for Leave to Appeal and Appeal  (PDF, 146.0 KB)

Application for Leave to Appeal and Appeal (DOC, 106.0 KB)


Form 29

Appeal Where Leave Not Required (PDF, 59.7 KB)

Appeal Where Leave Not Required (DOC, 45.0 KB)


Form 29A

Notice of Contention (PDF, 111.8 KB)

Notice of Contention (DOC, 74.0 KB)


Form 33

Application to Industrial Registrar Re Procedural Requirements (PDF, 113.6 KB)

Application to Industrial Registrar Re Procedural Requirements (DOC, 42.0 KB)


Form 34

 Application for Directions or Order (PDF, 62.4 KB)

Application for Directions or Order (DOC, 44.0 KB)


Form 35

Application to Waive Compliance with Procedural Requirements (PDF, 62.4 KB)

Application to Waive Compliance with Procedural Requirements (DOC, 44.5 KB)


Form 39

Summons to Confer (s.165(3)(a)) (PDF, 14.4 KB)

Summons to Confer (s.165(3)(a)) (DOC, 50.0 KB)


Form 40

Summons to Give Evidence (PDF, 12.1 KB)

Summons to Give Evidence (DOC, 59.0 KB)


Form 41

Summons to Produce (PDF, 148.1 KB)  (PDF, 23.8 KB)

Summons to Produce (DOC, 80.5 KB)  (DOC, 78.5 KB)


Form 42

Summons to Produce and Give Evidence (PDF, 24.8 KB)

Summons to Produce and Give Evidence (DOC, 74.5 KB)


Form  43

Affidavit (PDF, 81.9 KB)

Affidavit (DOC, 39.5 KB)


Form 43A

Witness Statement (PDF, 71.9 KB)

Witness Statement (DOC, 51.5 KB)


Form 44

Affidavit of Service (PDF, 74.0 KB)

Affidavit of Service (DOC, 44.0 KB)


Form 46

Notice to Produce  (PDF, 111.2 KB)

Notice to Produce  (DOC, 41.5 KB)


Form 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)


Form 48

Notice Disputing Facts or Authenticity of Documents (PDF, 124.4 KB)

Notice Disputing Facts or Authenticity of Documents (DOC, 42.0 KB)


Form 49

 Certificate of Result of Conciliation Conference (PDF, 51.3 KB)

Certificate of Result of Conciliation Conference (DOC, 41.5 KB)


Form 50

Certificate of Attempted Conciliation (PDF, 51.0 KB)

Certificate of Attempted Conciliation (DOC, 39.5 KB)


Form 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)


Form 52

Reference by Industrial Registrar to President (PDF, 11.8 KB)

Reference by Industrial Registrar to President (DOC, 50.0 KB)


Form 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)


Form 54

Reference of Function to Committee (PDF, 3.2 KB)

Reference of Function to Committee (DOC, 22.5 KB)


Form 56

Reference by Committee to Commission (PDF, 3.4 KB)

Reference by Committee to Commission (DOC, 23.5 KB)


Form 58

Delegation by Full Bench to Single Member (PDF, 3.0 KB)

Delegation by Full Bench to Single Member (DOC, 22.5 KB)


Form 59

Application for Reinstatement of Injured Worker (PDF, 12.7 KB)

Application for Reinstatement of Injured Worker (DOC, 74.5 KB)


Form 61

Notification of Claim for Compensation (PDF, 13.5 KB)

Notification of Claim for Compensation (DOC, 48.0 KB)


Form 62

Answer to Claim for Compensation (PDF, 3.9 KB)

Answer to Claim for Compensation (DOC, 23.5 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 Requirement (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
Form 6A 

Notice of Appearance - File Online

Notice of Appearance

Form 20

Notice of Motion (PDF, 82.8 KB)

Notice of Motion (DOC, 75.5 KB)

Form 33 

Notice of Discontinuance - File Online

Notice of Discontinuance (PDF, 96.1 KB)

Notice of Discontinuance (DOC, 54.0 KB)

Form 77

Notice of Change of Solicitor or Appointment of Solicitor - File Online

Notice of Change of Solicitor or Appointment of Solicitor

Form 78

Notice of Removal of Solicitor - File Online

Notice of Removal of Solicitor (PDF, 64.1 KB)

Notice of Removal of Solicitor (DOC, 59.5 KB)

Form 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)

Form 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
Last updated:

22 Mar 2024

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