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X
Report dispute
REPORT OF DISPUTE
CMAC REF. NO:
Please tick the correct box. As the Referring party / Applicant
An employee
An employer
A trade union
An employer's Organization
1. APPLICANT
Name
*
Applicant
Email
*
I.D. Number
Number of People Affected
Contact Person
Postal Address
Apartment, suite, etc
Telephone
Cell
2. RESPONDENT
Name
Contact Person
Physical Address
Region/Town
Postal Address
Telephone
Cell Phone
Email Address
3. EMPLOYMENT DETAILS
Date Employment Began
Capacity Employed
Did you receive written Particulars of Employment when you were Employed or anytime thereafter
Yes
No
How much were you paid (GROSS)
SZL
How were you paid your wages?
DAILY
WEEKLY
FORTH NIGHTLY
MONTHLY
Select one
4. TERMINATION OF EMPLOYMENT DETAILS
Have you been Dismissed?
YES
NO
If YES, was it verbal or in writing
Date of Dismissal
5. Dispute Details
State the Nature of the Dispute
Date Dispute first Arose
Month
Select month
1
2
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5
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12
Day
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Year
Select Year
2125
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2110
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1926
1925
Summarize the Particulars of all the facts giving rise to this Dispute as precisely as possible
Have you followed all Internal Grievance / Disciplinary Procedures before coming to CMAC (YES/NO)
YES
NO
Describe the procedures followed
6. ISSUES IN DISPUTE
Was the Dismissal procedurally Unfair? (YES/NO)
YES
NO
If YES, Why?
Was the Dismissal Substantively Unfair? (YES/NO)
YES
NO
If YES, Why?
What Outcome do you require from Conciliation?
7. Department of Labour Intervention
Has the Commissioner of Labour previously intervened in the Dispute in terms of Section 82(1)? (YES/NO)
YES
NO
If the Answer is YES, what was the Outcome of the intervention? (EXPLAIN)
Submit