Trade Union Access Request Form

Please complete all fields. All information requested is mandatory unless otherwise stated. On submission, an automated response should confirm that the information has been received and that the request will be responded to within the expected time frame.

Name of Trade Union(Required)

Certificate of independence(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 5.

Location(s) for Physical Access(Required)

If physical access is requested, specify and/or describe the workplace(s) involved (so far as known).

Trade Union Official(s) submitting the access request on behalf of the trade union

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City Postcode

Additional person(s) name, email and address:

Trade Union Official(s) authorised to conduct negotiations for an access agreement

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Additional person(s) name, email and address:

A contact for further information

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Additional person(s) name, email and address:

Trade Union Official(s) who would have responsibility for the requested access under the proposed access agreement

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Additional person(s) name, email and address:

Description of the workers (Required)

Provide a general description of the workers to which access is being sought.

Purpose of Access (Required)

State the purpose of the access request, in line with section 70ZA(6) of the Trade Union and Labour Relations (Consolidation) Act 1992.

Type of Access Requested(Required)

Physical

Communications/Digital

Both

Please state below if the access is to be on one or more occasion(s) (Required)

Please provide a description of the access being sought. An example may be access to a private room once per week or month.

Reasons why the access set out above is being requested(Required)

This includes if this is an application to multiple sites and the rationale for why the Trade Union is applying for multiple sites in one request.

Assistance the Trade Union will need (Required)

Provide details of any assistance the TU anticipates they will need from the employer to facilitate the access. For example, this might be a room.

Frequency of Access (Required)

Specify the frequency and duration of each occasion of access requested and the reasons for each.

Practical Information for the Visit(Required)

Provide contact details for the trade union official responsible for the access (e.g. email address or alternative contact information).

Notice Period(Required)

State the notice period the trade union will give between access being agreed and the first access taking place, as well as arrangements for notice for subsequent visits.