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Section : AFFECTED MEMBER CERTIFICATE
Domain : Human Resource Management
Classification : Not Identified

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This certificate is issued to [ name of organisation ]. Section 520 of the Fair Work Act 2009 authorises Fair Work Australia to issue an affected member certificate if a permit holder seeks to enter premises for the purpose of investigating contraventions, or suspected contraventions, of the Fair Work Act 2009 , or a term of a fair work instrument. For section 520 of the Fair Work Act 2009 , Fair Work Australia is satisfied that:

  •  a member of the organisation performs work on the premises below; and
  •  the organisation is entitled to represent the industrial interests of the member; and
  •  a suspected contravention of the Fair Work Act 2009 , or a term of a fair work instrument, relates to, or affects, that member. For this certificate:
  • (a) The premises to which it relates are: [ name and address of premises ]
  • (b) The suspected contravention or contraventions to which it relates are: [ particulars of suspected contravention or contraventions ] Dated 20 Delegate of Fair Work Australia

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