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Worker/Participant

Hub

Employee Details Form

  1. Personal Details
Date of Birth
Day
Month
Year
  1. Contact Details
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  1. Emergency Contact

Contact 1

Contact 2

  1. Australian Work Rights
Are you an Australian citizen?

Evidence of Australian work rights may be requested separately by SilaCa administration.

  1. WWVP / NDIS Worker Screening

Working with Vulnerable People Card

This is the registration number on your WWVP Card

WWVP expiry date
Day
Month
Year

Worker Screening

NDIS Worker Screening Clearance

Please note: this is not the number on your WWVP card, you will find this number by logging into wwcforms.justice.tas.gov.au/MyLicence/

Worker screening expiry date
Day
Month
Year
  1. Secondary Employment
Will you have any other employment while working for SilaCa?
  1. Payroll Details
  1. Driver & Vehicle Details

Licence

Current Australian driver licence
Driver licence expiry date
Day
Month
Year

Vehicle

Reliable, roadworthy vehicle

Vehicle Insurance

Comprehensive Motor Vehicle Insurance

A current Certificate of Currency must be provided separately to SilaCa administration.

  1. Health / Workplace Adjustments
Do you have any injury, health condition, disability or other circumstance that may require a workplace adjustment or that SilaCa should be aware of to support you to perform your role safely?
  1. Privacy & Employee Declaration

Declaration:


I declare that the information I have provided in this form is true and correct to the best of my knowledge.


I understand that I am responsible for advising SilaCa Tasmania if any relevant information provided in this form changes during my employment.


I acknowledge that the personal information provided in this form will be collected, used and stored by SilaCa Tasmania for employment, payroll, workplace safety, compliance and emergency purposes in accordance with applicable privacy requirements and SilaCa policies.

Declaration
I confirm that I have read and agree to the above declaration.
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