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Subcontractor Application Form
1
Applicant Details
2
Subcontracting
3
Employees
4
Payslips
5
Skills
6
Health, Safety and the Environment (HSE)
7
Applicant/Contact Details
Company Name
*
Trading Name
*
Contact Number
*
Email Address
*
Subcontracting
Does your company subcontract to another entity, or intend to subcontract to another entity, any of the services your company will provide Gemini Property Maintenance Group Pty Ltd?
*
Yes
No
List independent subcontractor companies and the services they provide.
Do you monitor your companyâs subcontractorâs compliance with workplace laws?
*
Yes
No
Employees
Does your company directly employ any staff (other than a working sole director) to carry out the services provided to Gemini Property Maintenance Group Pty Ltd?
*
Yes
No
Does your company provide all of its employees a copy of the Fair Work Information Statement when they start work?
*
Yes
No
Find out more at www.fairwork.gov.au/fwis
Payslips
Find out more at www.fairwork.gov.au/payslips
In the last 5 years, have you or your company been investigated by the Fair Work Ombudsman?
*
Yes
No
In the last 5 years, have you or your company been involved in any court proceedings in relation to non-compliance with workplace laws?
*
Yes
No
In the last 5 years, have you or your company had any compliance issues relating to superannuation or workplace health & safety?
*
Yes
No
Have you, your company or any of its directors ever previously been disqualified from working with Gemini Property Maintenance Group Pty Ltd or any of its clients?
*
Yes
No
Skills
Can your company provide workers with the necessary skills and experiences to complete the proposed work?
*
Yes
No
Health, Safety and the Environment (HSE)
Has your company had any on-the-job fatalities or permanent disabilities as a result of a workplace incident?
*
Yes
No
If âYesâ, please provide details.
Have you, your company or any of its directors ever been fined or convicted of any HSE related offences?
*
Yes
No
If âYesâ, please provide details.
Resources (All Subcontractors)
We recommend you read the additional resources to ensure ongoing compliance www.fairwork.gov.au/basicsquiz/br>
Pay and Conditions Tool
www.fairwork.gov.au/pact
Declaration
By ticking the box below before submitting this form you declare as a director or authorised representative of the (Authorised representatives full name) company and on behalf of the Company declare that the information provided above is true in every particular and any false statement will lead to a breach of any future subcontractor agreement with Gemini Property Maintenance Group Pty Ltd.
Name
*
First
Last
Position
*
Email
*
Date of submission
*
MM slash DD slash YYYY
Acknowledgement
*
I declare I am authorised to submit this application
Name
This field is for validation purposes and should be left unchanged.
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