Applications should be accompanied by a copy of the 'Notice of Appointment of Liquidator/Receiver' and the Statement of Affairs, if applicable. Attach a copy of any relevant award(s), decision(s) etc. For details of other supporting documentation that may be required, please refer to the Employer Representative Information Guide.
An application is not complete until the printed signed form, along with all supporting documentation has been received by this office.
I am the Employer Representative making an Insolvency Claim or returning to an existing Insolvency Claim: