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Declaration
Payroll Tax: Employment Agency Contracts – Chain of On-hire Declaration
Fields marked with
*
are required
Collection statement
The SRO requires the information on this form to be collected to determine who will pay the payroll tax liability that arises from employment agents involved in chain of on-hire arrangements. If this information is not provided both employment agents may be liable for payroll tax. In most cases this form will be retained by one of the employments agents, and they can inform you how they will manage your personal information. If this information is later provided to the SRO, the information may be used for the purposes of other SRO legislation. Where authorised by law to do so, we may disclose this information to other government agencies, including the ATO, State and Territory Revenue Offices and law enforcement agencies. You can find out more about how we use and protect information in the Privacy Policy on
www.sro.vic.gov.au
.
Declaration
I declare that I am authorised to make this declaration.
The information provided on this form and in any attached documents is complete and correct. I understand that penalties apply for giving false or misleading information or omitting information.
Signature
Date (DD/MM/YYYY)
First name
Middle name(s)
Family name
Position (if applicable)
Organisation (if applicable)
Mobile number
Phone number
Email
Chain of on-hire details
Payroll Tax: Employment Agency Contracts – Chain of On-hire Declaration
Fields marked with
*
are required
Worker details
First name
Middle name(s)
Family name
Mobile number
Phone number
Email
Agent 1 details
Legal name of the employment agent that has contracted with the worker (Agent 1)
ABN (if applicable)
Mobile number
Phone number
Email
Agent 2 details
Legal name of the employment agent that has contracted with Agent 1 and will be further on-hiring the worker (Agent 2)
ABN (if applicable)
Mobile number
Phone number
Email
Agent 2 declares to Agent 1 that:
Agent 2 is not liable for payroll tax
Agent 2 is liable for payroll tax and will pay the payroll tax liability that arises from on-hiring the worker to our client
Client details
Legal name of the client that has contracted with Agent 2 and will be the ultimate end-user of the labour provided by the worker
ABN (if applicable)
Mobile number
Phone number
Email
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