About you

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* 1. Name

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* 3. Phone number

Your Work Details

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* 4. What company do you work for?

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* 5. Do you work for any other companies?

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* 6. If answered yes to the above question, what's the name of the company?

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* 7. How long have you been working for this company?

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* 8. Do you perform work for this company on regular hours everyday?

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* 9. Do you have a written employment contract, agreement or an ABN?

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* 10. Do you receive any of the following? (tick all that apply)

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* 11. Do you wear a company uniform and/or drive a company vehicle?

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* 12. Do you know of anyone else at the company in a similar situation?

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* 13. Do you have any other comments?

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