Local Land Services Ballot

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1. Member Details (Required.)

First Name:

Surname:

Home Post Address:

Phone Number/s:

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2. Work Details: (Required.)

Division:

Location:

Classification:

Job Title:

Phone Number/s:

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3. Do you endorse the proposed Local Land Services Award (Required.)

Yes

No

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4. Do you endorse the proposed Local Land Services - Flexible Work Hours Agreement (Required.)

Yes

No

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5. Is there anything you want to tell us?