Sample Application - Fair Work Division
This page links to an example of a completed form. This is the actual form with sample text added in each section.
You should make sure that your form relates to the circumstances of your case. If you need help to fill out your form, you should get
legal advice.
Do not try to file this sample form.
This sample form is provided in PDF
and Word
formats.
For instructions on how to fill out this form, see
Instructions for filling out an Application - Fair Work Division.