Begin application Fill out the form below to submit your application. Contact Details of NotifierName* First Last Organisation* Email Address* Mobile Number*Landline NumberContact Details of Employer/UnionName* First Last Organisation* Email Address* Mobile Number*Landline NumberDetails of disputeProject name and location* Number of employeesSpecific issues in contentionCurrent status of dispute. Is work proceeding as normal?* Yes No If no, please provide detailsProvide a brief history of the dispute and explanation of the steps taken in accordance with the dispute procedure provided in the applicable Enterprise Agreement. Please provide relevant details including dates of meetings.Attach any relevant documents Drop files here or Select files Max. file size: 2 MB. Which of the Panel's services are requested?* Select All Conference with Panel Hearing by Panel Conference with Chairperson Site inspection NotificationEmployer / Union representatives and any others who are to receive a copy of notification1. Name and Organisation 1. Email 1. Phone2. Name and Organisation 2. Email 2. Phone3. Name and Organisation 3. Email 3. Phone4. Name and Organisation 4. Email 4. PhoneUnions involved in the dispute* Select All CFMMEU CEPU (PPTEU) Enterprise Agreement ID number(s) Full title of Enterprise Agreement(s)Notifier of disputeConsent* I declare that, to the best of my knowledge, all the information I have provided is true and correct.*Name* First Last Date DD slash MM slash YYYY CAPTCHA
