REQUEST FOR S189 & S189A
FACILITATOR FOR OPERATIONAL REQUIREMENTS FACILITATION
Section 189A Labour Relations Act, 19958
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Step
1
of 6
Name of company
*
Company registration number
Company VAT number
Number of employees employed by the employer
Physical address
Full name and surname of representative
Telephone number
*
Cell phone
*
Email
*
Position
Next
Union A
Name of union A
Physical address
Full name and surname of representative
Telephone number
Cell phone
Email
Position
Union B
Name of union B
Physical address
Full name and surname of representative
Telephone number
Cell phone
Email
Position
Union C
Name of union C
Physical address
Full name and surname of representative
Telephone number
Cell phone
Email
Position
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What sector is the employer in?
How many employees are employed in the company?
How many employees are affected / to be consulted with?
What are the reasons for the operational requirements facilitation?
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Have the parties agreed a date for the facilitation?
No (If no, Tokiso will consult with parties on the date of the facilitation)
Yes
If Yes then provide the date
Please select where you is the facilitation to take place
Online
Tokiso to arrange a venue
Employer Premises
Other
Provide address / location
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Have the parties agreed to a facilitator from Tokiso’s panel?
No
Yes
If Yes provide the name of the arbitrator
Do you require an interpreter for your inquiry?
No
Yes
If Yes specify language/s
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I attach
A copy of the allegations of conduct or capacity
If the employee’s consent is not signed above, a copy of the collective agreement or contract of employment confirming consent to the IBA
If agreed, and if the employee’s consent is not signed above, a copy of the consent to the agreed arbitrator (if applicable)
Proof of service of this form on the employee
File Upload
Click or drag files to this area to upload.
You can upload up to 4 files.
I confirm:
I am authorized to represent the employer and refer this IBA to Tokiso.
On submission of this form, Tokiso may send me an invoice which the employer will pay or provide a purchase order.
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