Western Australian Industrial Relations Commission

Form M1 - Request for Mediation

Download a copy of Form M1 here

(Note: A request for mediation may also be made by writing a letter, email or fax containing the same information as required in Form M1)


Form M2 - Appointment of a Representative

Download a copy of Form M2 here


Form M3 - Registration of Mediation Settlement Agreement

You can view a sample of Form M3 here

 
Form M4 - Referral of an Employment Dispute to the Commission

 

Download a copy of Form M4 here


Form M5 - Notice of Withdrawal of Referral of an Employment Dispute

 

Download a copy of Form M5 here

 


If your employment arrangements are covered by the provisions of the Commonwealth Fair Work Act 2009, please use Form 1 below:

Form 1 - Application to conduct dispute resolution process.

 

Download a copy of Form 1 here

 

(Form prescribed by the Employment Dispute Resolution Regulations 2008 (opens in a new window))




 

You can also download the form, complete it and lodge it at the Registry in person or by post, fax, or email attachment.

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If it is urgent call us on (08) 9420 4444 or
1800 624 263 (tollfree) and we will complete the paperwork over the telephone.

Contact us

Western Australian Industrial Relations Commission
17th Floor
111 St Georges Terrace
PERTH WA 6000

Phone : (08) 9420 4444
Facsimile : (08) 9420 4500
Free Call : 1800 624 263
Free Fax : 1800 804 987

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