Su001 1209en PDF
Su001 1209en PDF
Su001 1209en PDF
3. Has a claim been made, or is a claim likely to be made, for workers compensation? No 4. What was/is the person's final gross payment including leave and $ redundancy payments? 5. Did you pay (in the last 12 months), or will you pay the person, any unused No leave entitlements or final gross redundancy payments on termination?
Type of leave Date paid/ to be paid
Yes
Period covered Gross amount $ (number of working Tax free portion days or weeks) $ $ $ $ $ $ $ $ $ $ not applicable not applicable not applicable not applicable not applicable not applicable not applicable $
Eligibile Termination Payment (ETP) component $ $ $ $ $ not applicable not applicable not applicable $
Redundancy In lieu of notice Gratuity or golden handshake Sick Leave Rostered days off Annual leave Maternity Leave Long Service Leave Other
6. If the person was paid a redundancy payment, in lieu of notice or gratuity, what was the person's average gross weekly wage? (see page 2 Definition) 7. In the last 12 months, did this person cash in any leave entitlements for money before finishing work?
Type of leave Number of working days Amount $ (gross)
$ No Yes
8. Employer details
Business/Trading name Address
SU001.1209
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Clear
How can I make enquiries about Employment Separation Certificates? Human Services provides a direct service to employers through its National Business Gateway. Our staff will answer any further questions you may have about the Employment Separation Certificate. The National Business Gateway is also your first point of contact for any other information you may require about us in the future. The direct phone number to the National Business Gateway is 131 158 or fax 132 115. Superannuation Guarantee Employers have obligations to pay superannuation for eligible employees and some contractors. For further information visit ato.gov.au or call the Australian Taxation Office on 131 020.
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Definitions Average gross weekly wage: This is usually contained in the industrial instrument that applies to that workplace (i.e. the appropriate award, workplace agreement or common law contract). Some workplaces include regular overtime and allowance as part of their average weekly wage. ETP Employment Termination Payments: Only certain payments paid to an employee on termination of employment are ETPs. These payments are taxed differently from other kinds of payments made on termination of employment.
Note: Your payments may be delayed for the following reasons: If you have been paid, or are entitled to be paid, a redundancy payment or leave entitlements such as annual leave, long service leave, sick leave or maternity leave, you may not be paid by Centrelink for a period equal to that covered by the leave payments that you received. You may also have a waiting period depending on the amount of liquid assets (e.g. money, shares) you have available. Remember: You should contact us as soon as possible once you cease employment. To speak to us in languages other than English, call 131 202. Note: Call charges apply calls from mobile phones may be charged at a higher rate.
SU001.1209
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