Register Your Interest For Portable Long Service Leave

First name*

Last name*

Phone*

Email*

Employer name*

Year commenced in industry*

Year commenced with current employer*

Current employment status*

Is this different to when you commenced with your current employer?

What was your status on commencement with your current employer?

What year did your status change?*

Have you taken long service while with your current employer?

How many weeks long service leave did you take?

What is your current long service leave accrual in weeks?*

Details