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Labour Hire for
Construction, Earthmoving & Trades

Labour Hire Worker Request Form

To be completed by Host Employer

* Client Name:
* Contact Email:
* Site Location (include full address):
* On-Site Supervisor Name:
* Telephone:
* Purchase Order No:
 
* Date Required:
* Start Time On-site:
* Number of workers required:
 
* Type of Work to be carried out:
* Any plant, equipment or substances the worker may be required to operate or handle:
* Licences, qualifications required:
* Skills, knowledge and experience required:
* Any additional information:

  Yes, All details are correct to the best of my knowledge