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Schedule 3.3Forms relating to entry to premises Form3Exemption certificates

Form3—Exemption certificates

(regulation 3.28)

Fair Work Regulations 2009, regulation 3.28


This certificate is issued to [name of organisation].

Section 481 of the Fair Work Act 2009 authorises entry to premises for the purpose of investigating contraventions, or suspected contraventions, of the Fair Work Act 2009, or a term of a fair work instrument. The organisation issued with this certificate is exempted from the obligation to comply with the notice requirements for entry to premises under section 487 of that Act.

For this certificate:

(a) The premises to which it relates are:

[name and address of premises]

(b) The day or days on which the entry may occur are:

[day or days]

(c) The suspected contravention or contraventions to which the entry relates are:

[particulars of suspected contravention or contraventions]



Delegate of Fair Work Commission


Fair Work Regulations 2009

Compilation No. 36

Compilation date: 11/09/2021

Registered: 19/10/2021

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