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Subcontractors Statement Regarding Worker's Compensation, Payroll Tax and Remuneration (NSW) Mobile App

This Subcontractors Statement Regarding Worker's Compensation, Payroll Tax and Remuneration (NSW) Mobile App helps users complete a form that provides the details of a workers' compensation contract between a principal contractor and an independent subcontractor. It also reviews the necessary legal information required to be read before entering into the contract.

As employers, use this app to facilitate an agreement addressing any future work-related injury that may happen to independent contractors on-the-job. Use this app to stipulate the details of compensation coverage for an injured worker in a way that promotes the employer-employee relationship regarding contract, wages, and benefits according to required law. The app contains signature and date fields for the subcontractor to sign, as well as a field to attach any necessary photos.

  • Lendlease
  • The Cooperative
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  • Red Bull
  • Mirvac

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Take a peek inside the Subcontractors Statement Regarding Worker's Compensation, Payroll Tax and Remuneration (NSW) Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    For the purposes of this Statement a "subcontractor" is a person (or other legal entity) that has...

  • Ico statictext

    This Statement must be signed by a "subcontractor" (or by a person who is authorised, or held out...

  • Ico statictext

    SUBCONTRACTOR'S STATEMENT (Refer to the back of this form for Notes, period of Statement retentio...

  • Ico textbox

    Subcontractor:

  • Ico textbox

    ABN:

  • Ico textbox

    Address of Subcontractor:

  • Ico textbox

    Business Name of Principal Contractor:

  • Ico textbox

    ABN:

  • Ico statictext

    (Note 2)

  • Ico textbox

    Contract Number/Identifier:

  • Ico statictext

    (Note 3)

  • Ico date

    Start Date:

  • Ico date

    End Date:

  • Ico statictext

    (Note 4)

  • Ico date

    Subject of the Payment Claim Dated:

  • Ico statictext

    (Note 5)

  • Ico textbox

    I,

  • Ico statictext

    , a Director or a person authorised by the Subcontractor on whose behalf this declaration is made...

  • Ico statictext

    (Note 6)

  • Ico statictext

    (a) The abovementioned Subcontractor has either employed or engaged workers or subcontractors dur...

  • Ico statictext

    You must choose one box.

  • Ico checkbox

    Check if true and comply with (b) to (g) below, as applicable.

  • Ico checkbox

    If it is not the case that workers or subcontractors are involved or you are an exempt employer f...

  • Ico date

    (b) All workers compensation insurance premiums payable by the Subcontractor in respect of the wo...

  • Ico statictext

    (Note 7)

  • Ico statictext

    (c) All remuneration payable to relevant employees for work under the contract for the above peri...

  • Ico statictext

    (Note 8)

  • Ico statictext

    (d) Where the Subcontractor is required to be registered as an employer under the Payroll Tax Act...

  • ...and More!

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