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Click ‘Get Form’ to open the a12 form in the editor.
In Part 1, enter the association's name and registration number. Select the principal activity by ticking one box that best describes your association.
Proceed to Part 2 and fill in the current public officer's details, ensuring you provide a physical address in NSW where documents can be received.
In Part 3, specify the date of financial year end as per your association's constitution.
For Part 4, input the date of your annual general meeting (AGM), ensuring it is after the financial year end date.
In Part 5, confirm Tier 2 reporting by answering questions a. to d. with Yes or No.
Complete Part 6 by confirming membership numbers and ensure you have at least five members and three committee members.
Finally, in Part 7, authorize the declaration by signing and dating it before submission.
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S.C. Code Regs. 67-411 - Employers Report of Injury, Form
The employer shall make a record of all work-related injuries reported by its employees on the Form 12A and retain the record for a period of two years.Read more
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