You must enable JavaScript in order to fill out this form.
Return to Form
Section Hierarchy
Cancel / Exit
Errors
errors found:
warnings found:
Open Your Saved Form
Request for Missing Service Form
To resume your form please complete the following details.
Tracking Code
When you saved your form you should have been provided a Tracking Code.
Tracking Code
*
Security Question
Your answer to this question must match the information you previously provided.
Close Dialog
What kind of proof can I provide?
Examples of suitable proof/documentary evidence are:
Employees (PAYG) provide copies of:
•
payslips
•
group certificate/payment summary/PAYG statement
•
superannuation statement
Eligible Labour Only Subcontractors provide copies of:
•
invoices - for each employer for the start and finish of the contract and at 3 monthly intervals if the contract is over a longer period
A diary is not suitable documentary evidence.
Group Navigation Bar
Please resolve the following issues before proceeding
Click on an issue to go directly to the related section of the form.
errors found:
warnings found:
Submission Received
Request for Missing Service Form
Thank you for submitting a missing service request.
We are receiving a high volume of long service leave requests due to the current pandemic situation. Our processing time for missing service requests can be up to 6 weeks.
Please be patient as we work with you to access your entitlements.
Next steps
You are required to complete these additional forms to finalize your request.
Task Button
Your Tracking Code is:
Please quote your Tracking Code when enquiring about your submission.
For your records
Would like a copy of this submission for your personal records?
Your email address
*
Send Now
OR
Download a copy
Check your email
We've sent a copy of your submission to your email address (
).
If you didn't receive it or would like another copy, just select one of the options below.
Email another copy
OR
Download a copy
Return to portal
Introduction
Request for Missing Service Form
Fields marked with
*
are required
Let's get started...
For this request, was all of the work performed in Queensland?
*
Yes
No
Press select Continue.
QLeave is unable to investigate missing service that was performed outside Queensland.
For any contract cleaning work performed outside Queensland, please contact the scheme in the state that the work was performed:
•
NSW Long Service Corporation
•
ACT Long Service Leave Authority
At this time, portable long service leave schemes for contract cleaners exist only in QLD, NSW and ACT.
If you would like QLeave to investigate your missing Queensland service, please select Continue.
Your Details
Request for Missing Service Form
Fields marked with
*
are required
Please provide your details to begin your request
QLeave Membership number
*
Given name
*
Surname
*
Date of birth
*
Please enter your address
Address Line 1
*
Address Line 2
Suburb
*
State
*
QLD
NSW
ACT
NT
SA
TAS
VIC
WA
Postcode
*
Mobile phone
*
Home phone
E-mail address
*
Confirm e-mail address
*
Are you planning to make a claim for Christmas 2021?
*
Yes
No
Request Details
Request for Missing Service Form
Fields marked with
*
are required
Please provide further information about your missing service
Request
Employer name
*
Contact name
*
Please enter ABN for this Employer
Contact number
*
Please enter the employer's address
Address line 1
*
Address line 2
Suburb
*
State
*
QLD
NSW
ACT
NT
SA
TAS
VIC
WA
Postcode
*
Start date
*
End date
How were you engaged by the business?
*
Employee (PAYG)
Labour-only subcontractor
Please provide the ABN you used to perform this work
*
ABN:
Will you provide your gross ordinary wages on a weekly or annual basis?
*
Annual
Weekly
Please advise your average
annual
gross ordinary wages during the above period
*
Annual gross ordinary wages:
Please advise your average
weekly
gross ordinary wages during the above period
*
Weekly gross ordinary wages:
What type of work did you perform?
*
Proof
What kind of proof are you providing?
*
PAYG Payment Summary
Separation Certificate
Payslip
Letter from employer
Invoice
Industry Super statement
Type of proof provided:
Please attach proof to support your request.
Click to Upload
File name:
Download Attachment
Maximum individual file size is 2MB. Acceptable file types are document or image files only (ie. .doc, .docx, .png, .jpg, .jpeg, .pdf, .tif or .gif)
Add Proof
Do you have service missing from another employer?
Do you have service missing from another employer?
Yes
If no, please select Continue to proceed.
Declaration
Request for Missing Service Form
Fields marked with
*
are required
Please confirm and press Submit when ready
•
I certify that the information provided is true, correct and complete to the best of my knowledge and belief, knowing it is an offence to provide false or misleading information.
*
•
I agree that this declaration is to be used within the meaning of the
Electronics Transactions (Queensland) Act 2001
as an electronic communication containing my signature for the purpose of that Act.
*
Go Back
Continue
Submit
Go Back
btnMobileMenu
error(s) Found
Please touch here to resolve the first error.