Employer’s declaration in relation to a variation of a single interest employer agreement to add an employer and employee (Form F23FA)

Fill in parts 1, 2 and 4 if you are an employer (or are completing this form for an employer) that has lodged a Form F23F and you need to lodge a declaration in support of that application.

OR

Fill in parts 1, 3 and 4 if a union that has lodged a Form F23G and you need to lodge a declaration about that application on behalf of an employer.

Have this information ready before you begin. You will need to tell us:

• any material you gave employees about the variation of the agreement
• details of the voting process including dates and steps in the process
• the varied agreement and how you explained the terms of the agreement to employees
• information you gave employees about when and how to vote
• whether the varied agreement will cover employees in general building and construction work

You must send (serve) a copy of your declaration to each employer and employee organisation that is covered by the agreement.

We store your information in line with the Form F23FA privacy notice (pdf).

We will review your application and contact you with next steps. 

Fair Work Act 2009: Section 216D, Section 216DB