APPLICATION FOR MEMBERSHIP

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1 Redundancy Payment Approved Worker Entitlement and Redundancy Payment Central No. APPLICATION FOR MEMBERSHIP To be completed by Incolink Registration No: Date of Registration: / / COMBINED APPLICATION FOR MEMBERSHIP AND DEED OF ADHERENCE REDUNDANCY PAYMENT APPROVED WORKER ENTITLEMENT FUND AND REDUNDANCY PAYMENT CENTRAL FUND Name of Company/Business: Trading Postal Street (Includes companies, partnerships, sole traders, etc) Telephone Number: ( ) Mobile Number: Facsimile Number: ( ) Type of Work Conducted by the Employer: Have you or your company Directors or Partners, as the case may be, been a Director, Partner, Sole Trader, Sole Proprietor or Working Sub-Contractor of any other company, partnership or business which at any time has been or continues to be a member of Incolink? YES NO *If yes, please provide full details, including the relevant registration number or numbers below: Enterprise Bargaining Agreement (EBA) Which of the standard EBA s have you signed or will be signing: CFMEU CEPU/PTEU MPAV (Master Painters Association of Victoria) Other (please specify and supply copy) The Employer hereby applies for membership of the Redundancy Payment Approved Worker Entitlement ( Approved No. ) established by a Deed of Trust made 10 March 004 (as amended from time to time) ( Approved Trust Deed ) between Master Builders Association of Victoria (MBAV), CFMEU and CEPU and Redundancy Payment Central Ltd. ACN Number (trading as Incolink) ( Trustee ) and of Redundancy Payment Central (Existing ) established by a Deed of Trust made 10 April 1989 (Existing Trust Deed) between MBAV, AWU and Unions predecessor to those above and agree to be bound by the terms and conditions of the Approved and Existing Trust Deeds (copies of which is available upon request from the offices of Incolink). The Employer acknowledges if its applications for membership are accepted then membership will take effect from the date of this application or such later date as may be notified by the Trustee. The Employer also warrants that the information set out in this Application Form and in A, B or C of Schedule 1 to this Application Form and in the registration forms which accompany this Application Form is true and correct and complete. NOTE: 1. Contributions in respect to apprentices are payable to Existing.. Contributions to Approved No. 1 reduce or satisfy the Employer s contribution obligations (other than in respect to apprentices) (if any) to Existing. DEED OF ADHERENCE 1. The Employer hereby acknowledges that if its applications for membership of Approved No. and Existing are accepted then it will be bound by the terms of the Trust Deeds (as they may be subsequently amended) on the basis that it is a member as defined in the Trust Deeds and that it must make contributions to the Trustee in accordance with the terms of the Trust Deeds in respect of the following:- (a) all employees (including Approved Workers and apprentices) engaged at any time in working on a project in the building and construction industry including those presently engaged whose names and other details are set out in the Employee Registration forms which accompany this Application Form or in an application to the Trustee under Clause 7 of the Trust Deed in relation to Approved workers; and/or; and/or (b) other employees whose names and addresses accompany this Application Form together with such other employees as may be advised to the Trustee from time to time. The Employer further acknowledges and agrees that the employees falling within category (b) will be treated as working on a project in the building and construction industry, for the purposes of the Trust Deeds.. The Employer must, to the extent permitted by law provide to the Trustee all information requested by it, including details about employees. 3. An Employer which is a trustee is bound both personally and in its capacity as a trustee. Signature of Employer: Full Name of Signatory (Please Print): (In the case of the company to be signed by director/partner of the Company) Dated: Signature of Witness: Address of Witness: Full Name of Witness: [email protected]

2 Authorised Contacts AUTHORISED CONTACTS PLEASE COMPLETE THIS SECTION TO INCLUDE AUTHORISED OFFICERS TO SIGN ON THE BEHALF OF YOUR COMPANY. This will allow the authorised officer to sign claim forms, separation certificates, letters of termination and any other correspondence relating to changes of company details. Company Authorised Officer/s: Authorised Signatory: (This must be signed by a director or partner of the company) (Please print) [email protected]

3 Redundancy Payment Approved Worker Entitlement and Redundancy Payment Central No. SCHEDULE 1 COMPLETE A, B OR C A If a Company/Trading Trust Name of Company: Name of Trading Trust: ACN No: ABN No: Date of Incorporation: Registered Directors of Company 1. Date of Birth: Tel: ( ) Incolink No:. Date of Birth: Tel: ( ) Incolink No: (If there are further directors please attach details) B If a Partnership Do you have employees? Yes No Trading Name of Partnership: ABN No: Date Registered: State Registered: Name of Partners (in full) 1. Date of Birth: Tel: ( ) Incolink No:. Date of Birth: Tel: ( ) Incolink No: (If there are further partners please attach details) C If a Sole Trader Do you have employees? Yes No Name of Sole Trader: Incolink No: Trading ABN No: Date Registered: State Registered: Drivers Licence No: Tel: ( ) Date of Birth: [email protected]

4 Construction Industry Portable Sick Leave Pay Scheme APPLICATION FOR MEMBERSHIP PORTABLE SICK LEAVE (PSL) To be completed by Incolink Registration No: Date of Registration: / / SCHEDULE 1 APPLICATION FOR MEMBERSHIP AND DEED OF ADHERENCE Name of Company/Business: ("Employer") (Includes companies, partnerships, sole traders, etc) Trading Postal Street Telephone Number: ( ) Mobile Number: Facsimile Number: ( ) Contact Person: Type of Work Conducted by the Employer: The Employer hereby applies for membership of the Construction Industry Portable Sick Leave Pay Scheme established by a Deed of Trust ( Trust Deed ) made 5th August 1997 by the Redundancy Payment Central Ltd, A.C.N. No trading as Incolink as Trustee and the parties set out in Schedule to this Deed (as amended from time to time) and agrees to be bound by the terms and conditions of the Trust Deed (a copy of which is available upon request from the offices of Incolink). The Employer acknowledges if its membership is accepted then membership will take effect from 1st April 1997 or such later date as may be notified to Incolink. Date: DEED OF ADHERENCE 1. The Employer hereby acknowledges that if its application for membership of the Construction Industry Portable Sick Leave Pay Scheme is accepted then it will be bound by the terms of the Trust Deed (as may be subsequently amended) on the basis that it is a Participating Employer as that phrase is defined in the Trust Deed and that it will make contributions to the Construction Industry Portable Sick Leave Pay Scheme in accordance with the terms of the Trust Deed.. The Employer undertakes to provide to the Trustee such information concerning employee s employment (including but not limited to commencement date, termination date, ordinary time pay and sick leave entitlements) as the Trustee may from time to time require by notice in writing to the Employer. Signature of Employer: Full Name of Signatory: (in the case of a company, to be signed by a director/partner of the Company) (please print) Signature of Witness: Full Name of Witness: Address of Witness: To be Completed by Incolink Registration Number: Date of Registration: [email protected]

5 Income Protection and Trauma Scheme APPLICATION FOR MEMBERSHIP INCOME PROTECTION AND TRAUMA (IPT) To be completed by Incolink Registration No: Date of Registration: / / Name of Company/Business: ("Employer") (Includes companies, partnerships, sole traders, etc) Trading Postal Street Telephone Number: ( ) Mobile Number: Facsimile Number: ( ) Contact Person: Type of Work Conducted by the Employer: The employer hereby applies for membership, as an Employer Member, of IPT Agency Co. Ltd (ACN ) and agrees to be bound by the terms and conditions of its Constitution (a copy of which is available upon request from the offices of Incolink). Date: Signature of Employer: Full Name of Signatory: (in the case of a company, to be signed by a director/partner of the Company) (please print) Signature of Witness: Full Name of Witness: Address of Witness: [email protected]

6 Apprentice Registration Form APPRENTICE REGISTRATION FORM You may only register an apprentice when they are working on a Commercial/Industry site Incolink Employer No: EMPLOYER DETAILS Employer Contact Telephone Number: ( ) Facsimile Number: ( ) APPRENTICE DETAILS Please ensure you complete ALL sections on this form and that you provide the correct information or Incolink will not be able to register the apprentice. Incolink No: If currently registered with Incolink Surname: First Names: Date of Birth: Apprenticeship Details Date joined Company: Type of Apprenticeship (trade): Current Apprenticeship Year: Date Commenced Apprenticeship: Did this apprentice begin his/her apprenticeship prior to commencing employment with your company: YES NO If Yes, please provide details: Employers Date Commenced Apprenticeship: You need to advise us of the date the apprentice commenced their apprenticeship. This may differ from the date they commenced employment with you if they commenced their apprenticeship with another employer. [email protected]

7 Employee Reigistration EMPLOYEE REGISTRATION (Apprentices cannot be registered using this form) Employer Member No: Authorised Office Signature: Name of Signatory: Surname: First Names: Please tick 4: Permanent Casual Date of birth: Trade: Start Date: Incolink Number: (required if currently registered with Incolink) Union: CFMEU CEPU/PTEU AWU AMWU FFTS Other Surname: First Names: Please tick 4: Permanent Casual Date of birth: Trade: Start Date: Incolink Number: (required if currently registered with Incolink) Union: CFMEU CEPU/PTEU AWU AMWU FFTS Other Surname: First Names: Please tick 4: Permanent Casual Date of birth: Trade: Start Date: Incolink Number: (required if currently registered with Incolink) Union: CFMEU CEPU/PTEU AWU AMWU FFTS Other

8 Employer Checklist EMPLOYER CHECKLIST Weekly Redundancy Rate is $74.50 Covers invoice period October 014 to September 015 $73.53 To the worker s account $00.97 Industry levy to provide a redundancy benefit for apprentices $ Weekly Contribution Rates Per Worker Redundancy contribution $74.50 Portable Sick Leave (PSL) contribution $1.54 * Income Protection & Trauma (IPT) contribution $17.05 * Training Levy Contribution: Construction $4.95 * Plumbers effective 1 March 014 $0.89 * Painters $11.00 * *inclusive of GST Incolink s Contributions Management System From November 014, employers are required to complete their monthly return online using EmployerLink, Incolink s online contributions management system. It is a convenient and easy way to manage your workers, and their relevant contribution payments for redundancy, Portable Sick Leave (PSL), Co-Managed Training Payment (CTP) and Income Protection and Trauma Insurance (IPT). To Access EmployerLink Employers will be provided with details of how to set up a Super User to access EmployerLink. EmployerLink is online and accessible 4/7. Authorised Officers When your Super User logs on to EmployerLink they will be able to set up other authorised users with a login and password. These users will be able to complete monthly returns and provide Incolink with relevant information needed for your company and workers. EmployerLink Benefits The ability to manage your workers register and terminate workers online as well as provide other worker information to Incolink. Online management of your company details. Electronic notification when monthly returns are due or become overdue. Payments options of bpay, cheque or credit card. Tax invoices will be available online once your payment has been received and your return has been processed. Monthly Returns Incolink will send you an notification once your monthly invoice is available. Payment is due by the 14 th of the following month. Any payments received after the end of that month will incur a late payment fee. Late Payments Payments received after the last day of the month following the month in which they were due will be subject to a 10% Late Payment Fee as prescribed in the Trust Deeds and any subsequent amendments to the Deeds. Registering New Workers When you register new workers you will need to supply the following details: Full name Mobile phone number Current address Incolink number (if previously registered) Date of birth Commencement date Trade/job title address Terminating Workers When you terminate workers you will need to supply the following details: Date of termination Termination reason, genuine redundancy Unused sick leave days (PSL) Apprentices Apprentices will be included on your monthly invoice. You will need to provide the number of days an apprentice has worked on site during the month in addition to paying PSL and IPT payments as required. Registering New Apprentices When you register new apprentices, you will need to supply all of the details required by Incolink for registering new workers (see above list), in addition to the following: Start date of their apprenticeship The apprentice s trade Incolink Benefits Leisure Time Illness/WorkCover Top-Up/TAC Top-Up & Workplace Death & Trauma Benefits (IPT) The standard IPT contribution rate is currently $17.05 per week (inc GST). Some EBAs allow for employers to pay a higher premium and therefore provide their workers with higher benefits. The premiums are payable every week that the worker is employed by your company (ie 100% of the time). IPT cannot be pro-rated, although if a worker is terminated, IPT is only payable for the weeks up until the time of termination. Terms and conditions do apply. Portable Sick Leave (PSL) If you are required to pay PSL under the terms of a workplace agreement (EBA) then a weekly contribution is payable for all workers who are covered by the EBA. The PSL contribution amount is currently $1.54 per week (inc GST). Co-managed Training Payment (CTP) Employers who are party to an industrial instrument which reflects the terms of the template CFMEU, CEPU or MPAV certified agreement are required to contribute to the Co-managed Training Levy. The CTP will be included in your monthly invoice. [email protected] FM7 1014

APPLICATION FOR MEMBERSHIP

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