Right to Work in Australia Verification Form

Employer Details

• Business Name: [INSERT BUSINESS NAME]
• Trading Name (if applicable): [INSERT TRADING NAME]
• ABN: [INSERT ABN]
• Address: [INSERT BUSINESS ADDRESS]
• Contact Person: [INSERT SUPERVISOR NAME]
• Date of Check: [INSERT DATE]

Worker Details

• Full Name: [INSERT WORKER FULL LEGAL NAME]
• Date of Birth: [INSERT DATE OF BIRTH]
• Address: [INSERT WORKER RESIDENTIAL ADDRESS]
• Position / Role: [INSERT JOB TITLE]
• Start Date: [INSERT EMPLOYMENT START DATE]

Section 1: Citizenship Status Is the worker an Australian Citizen? [ ] YES [ ] NO

Section 2: Evidence of Citizenship (If YES to Section 1) I have sighted the original document(s) listed below. Acceptable documents include an Australian Birth Certificate, Australian Passport, or Certificate of Australian Citizenship.

• Document Type: [e.g. Australian Passport]
• Document Number: [INSERT PASSPORT NUMBER]
• State/Country of Issue: [e.g. Australia]
• Expiry Date: [INSERT EXPIRY DATE or N/A]

Section 3: Visa Status (If NO to Section 1) Is the worker a New Zealand Citizen holding a Special Category Visa (Subclass 444)? [ ] YES Must sight valid NZ Passport [ ] NO

Is the worker a Permanent Resident? [ ] YES Must sight valid Passport or ImmiCard [ ] NO

Is the worker a Temporary Visa Holder? [ ] YES

Section 4: Visa Verification Details VEVO (Visa Entitlement Verification Online) Check

• Date of VEVO Check: [INSERT DATE]
• VEVO Reference Number: [INSERT REFERENCE NUMBER]
• Visa Subclass: [INSERT VISA SUBCLASS e.g. 500, 482]
• Visa Description: [INSERT VISA DESCRIPTION e.g. Temporary Graduate Visa]
• Expiry Date: [INSERT VISA EXPIRY DATE]
• Work Conditions: [INSERT CONDITIONS e.g. Limited to 40 hours per fortnight]

Section 5: Declaration

Employer Declaration: I declare that I have sighted the original documents identified above or have conducted a VEVO check. I believe the documents are genuine and belong to the worker. I understand that it is an offence to employ an unlawful non-citizen.

• Employer Signature: ______________________
• Print Name: ______________________
• Date: ______________________

Worker Declaration: I declare that the information provided in this form is true and correct. I understand that my employment is subject to me holding valid work rights in Australia.

• Worker Signature: ______________________
• Date: ______________________