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Submission Received

Request for Missing Service Form
Thank you, your submission has been received.QLeave will assess your request and attached documentary evidence and on completion, provide a response to you with the outcome.Please note that processing time depends on a number of factors and may be up to 8 weeks until completion.

Submission Enquiries:
To check the progress of your submission you can contact QLeave:
Email: cci@qleave.qld.gov.au
Phone: 1800 675 819
Post: PO Box 315, Virginia BC, QLD, 4013

Next steps

You are required to complete these additional forms to finalize your request.
Your Tracking Code is:
Please quote your Tracking Code when enquiring about your submission.

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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? *
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 CorporationACT 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

Request Details

Request for Missing Service Form
Fields marked with * are required

Please provide further information about your missing service

Request

How were you engaged by the business? *
ABN:
Will you provide your gross ordinary wages on a weekly or annual basis? *
Annual gross ordinary wages:
Weekly gross ordinary wages:

Proof

Type of proof provided:
Please attach proof to support your request.
File name:
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)

Do you have service missing from another employer?

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