Industrial Magistrates Court of Western Australia

Applications & Forms

All applications, submissions and other documents can be filed or lodged with the Court via one of the following methods:

  • Electronically by emailing it as a PDF attachment to electroniclodgementIMC@wairc.wa.gov.au;
  • Facsimile to (08) 9420 4500;
  • Post to Locked Bag No. 1, Cloisters Square WA 6850; or
  • In person at Level 17, 111 St Georges Terrace, Perth WA 6000.

Practice Direction 1 of 2017 provides procedural information to be followed in relation to a number of the Court's applications and forms.

Practice Direction No1 of 2022 provides procedural information regarding representation by Industrial Agent.

Pursuant to changes arising out of the Industrial Relations Legislation Amendment Act 2021, minor amendments have been made to the Form 1.1 – Originating Claim (Court Copy), Form 1.2 – Originating Claim (Claimant’s Copy) and Form 1.3 – Originating Claim (Respondent’s Copy). To ensure use of the most recent versions of a Court form, please be sure to access all forms direct from the Court’s website.

 

General Jurisdiction Forms

Form 1.1 - Originating Claim (Court Copy) Word Document Adobe Acrobat Document
Form 1.2 – Originating Claim (Claimant's Copy) Word Document Adobe Acrobat Document
Form 1.3 – Originating Claim (Respondent's Copy) Word Document Adobe Acrobat Document
Form 2 – Response Word Document Adobe Acrobat Document
Form 3 – Affidavit of Service on a Person Word Document Adobe Acrobat Document
Form 4 – Affidavit of Service on a Public Authority Word Document Adobe Acrobat Document
Form 5 – Affidavit of Service on a Corporation Word Document Adobe Acrobat Document
Form 5.1 – Affidavit of Service on a Company Word Document Adobe Acrobat Document
Form 6 – Application Word Document Adobe Acrobat Document
Form 7 – Affidavit Word Document Adobe Acrobat Document
Form 8.1 – Case Outline/Further and Better Particulars of Case Outline Word Document Adobe Acrobat Document
Form 8.2 – Schedule – Case Outline/Further and Better Particular of Case Outline Word Document Adobe Acrobat Document
Form 9.1 – Disclosure of Documents Word Document Adobe Acrobat Document
Form 9.2 – Schedule – List of Documents Word Document Adobe Acrobat Document
Form 10.1 – Affidavit of Disclosure of Documents Word Document Adobe Acrobat Document
Form 10.2 – Schedule – List of Documents Word Document Adobe Acrobat Document
Form 11 – Request for Inspection of Documents Word Document Adobe Acrobat Document
Form 12.1 – Invitation to Admit Word Document Adobe Acrobat Document
Form 12.2 – Schedule - Invitation to Admit Word Document Adobe Acrobat Document
Form 13.1 – Response to Invitation to Admit Word Document Adobe Acrobat Document
Form 13.2 – Schedule – Response to Invitation to Admit Word Document Adobe Acrobat Document
Form 14.1 – Request for Answers to Interrogatories Word Document Adobe Acrobat Document
Form 14.2 – Schedule - Request for Answers to Interrogatories Word Document Adobe Acrobat Document
Form 15.1 – Answers to Interrogatories other than on Affidavit Word Document Adobe Acrobat Document
Form 15.2 – Schedule - Answers to Interrogatories other than on Affidavit Word Document Adobe Acrobat Document
Form 16.1 – Answers to Interrogatories on Affidavit Word Document Adobe Acrobat Document
Form 16.2 – Schedule – Answers to Interrogatories on Affidavit Word Document Adobe Acrobat Document
Form 17 – Memorandum of Consent to Order or Judgment Word Document Adobe Acrobat Document
Form 18 – Notice of Discontinuance – Whole of Claim Word Document Adobe Acrobat Document
Form 19 – Notice of Discontinuance – Part of Claim Word Document Adobe Acrobat Document
Form 22.1 – Summons to Witness Word Document Adobe Acrobat Document
Form 22.2 – Summons to Witness – Proof of Service Copy Word Document Adobe Acrobat Document
Form 23 – Notice of Appointment of Lawyer or Agent Word Document Adobe Acrobat Document
Form 24 – Notice of Change of Lawyer or Agent Word Document Adobe Acrobat Document
Form 25 – Notice of Change of Address for Service Word Document Adobe Acrobat Document
Form 26 – Notice of Change of Email or Fax Address for Service Word Document Adobe Acrobat Document
Form 27 – Notice of Cessation of Representation by Lawyer or Agent Word Document Adobe Acrobat Document
Form 28 - Attachment Word Document Adobe Acrobat Document
Form 29 – Multipurpose Form Word Document Adobe Acrobat Document
Form 32 – Application for Review of Decision of the Clerk Word Document Adobe Acrobat Document 

 

Construction Industry Portable Paid Long Service Leave Act 1985 Claim Forms

Form 1A.1 (Court) Word Document Adobe Acrobat Document
Form 1A.2 (Claimant) Word Document Adobe Acrobat Document
Form 1A.3 (Resp) Word Document Adobe Acrobat Document
Form 2A (Response) Word Document Adobe Acrobat Document
Form 3A (Affid for Person) Word Document Adobe Acrobat Document
Form 4A (Affid for Public Auth) Word Document Adobe Acrobat Document

 

Prosecution Jurisdiction Forms

Applic set aside decision made in absence - Form 7 - Resp Word Document Adobe Acrobat Document
Applic set aside decision made in absence - Form 7 - Applic Word Document Adobe Acrobat Document
Applic for witness summons - Form 9 - Applicant Word Document Adobe Acrobat Document
Application Review Crt Offic Dec - Form 14 - Court Word Document Adobe Acrobat Document
Application - Form 6 - Return of Service Word Document Adobe Acrobat Document
Application - Form 6 - Court Word Document Adobe Acrobat Document
Application - Form 6 - Applicant Word Document Adobe Acrobat Document
Application - Form 6 - Respondent Word Document Adobe Acrobat Document
Application Review Crt Offic Dec - Form 14 - Applicant Word Document Adobe Acrobat Document
Application Review Crt Offic Dec - Form 14 - Respondent Word Document Adobe Acrobat Document
Applic for witness summons - Form 9 - Court Word Document Adobe Acrobat Document
Applic set aside decision made in absence - Form 7 - Court Word Document Adobe Acrobat Document
Applic set aside decision made in absence - Form 7 - Retrn Word Document Adobe Acrobat Document
Court hearing notice - Form 5 - Court Word Document Adobe Acrobat Document
Court hearing notice - Form 5 - Return of service Word Document Adobe Acrobat Document
Court hearing notice - Form 5 - Endorsement Word Document Adobe Acrobat Document
Court hearing notice - Form 5 - Accused Word Document Adobe Acrobat Document
Written Plea of Accused - Form 5 page 2 Word Document Adobe Acrobat Document
Notice Court Hearing - Applic to set aside decision - Court Word Document Adobe Acrobat Document
Notice Court Hearing - Applic to set aside decision - Resp Word Document Adobe Acrobat Document
Notice Court Hearing - Applic to set aside decision - Applic Word Document Adobe Acrobat Document
Notice of adjournment - No appear after plea - Court Word Document Adobe Acrobat Document
Notice of adjournment - No appear after plea - Accused Word Document Adobe Acrobat Document
Notice of adjournment - No appear after plea - Prosecutor Word Document Adobe Acrobat Document
Notice of conviction - revenue Word Document Adobe Acrobat Document
Notice of conviction - trust Word Document Adobe Acrobat Document
Prosec Notice - Form 3 - Prosecutor Word Document Adobe Acrobat Document
Prosec Notice - Form 3 - Accused Word Document Adobe Acrobat Document
Prosec Notice - Form 3 - Court Word Document Adobe Acrobat Document
Prosec Notice - Form 3 - Return of Service Word Document Adobe Acrobat Document
Service Certificate Word Document Adobe Acrobat Document
Witness summons oral evidence - Form 10 - Court Word Document Adobe Acrobat Document
Witness summons oral evidence - Form 10 - Witness Word Document Adobe Acrobat Document
Witness summons oral evidence - Form 10 - Return of Svc Word Document Adobe Acrobat Document
Witness summons oral evidence - Form 10 - Applicant Word Document Adobe Acrobat Document
Witness Summons to produce - Form 11 - Court Word Document Adobe Acrobat Document
Witness Summons to produce - Form 11 - Applicant Word Document Adobe Acrobat Document
Schedule 2 - Information for witnesses Word Document Adobe Acrobat Document
Witness Summons to produce - Form 11 - Witness Word Document Adobe Acrobat Document
Witness Summons to produce - Form 11 - Return of Svc Word Document Adobe Acrobat Document

 

Undertaking - Industrial Magistrates Courts (General Jurisdiction) Regulations 2005 (Reg.46(6))

Reg 46(6) - undertaking Word Document Adobe Acrobat Document

 

Practice Direction

 

Practice Direction 1 of 2022 Word Document Adobe Acrobat Document
Practice Direction 1 of 2017 Word Document  Adobe Acrobat Document

 

General Information

Contact us

Access and Inclusion

Public Interest Disclosure

Disclaimer & Copyright Notice

Contact us

Industrial Magistrates Court of Western Australia
17th Floor
111 St Georges Terrace
PERTH WA 6000

Phone : 9420 4467
Facsimile : (08) 9420 4500
Free Fax 1800 804 987
For general queries, please email: registry@wairc.wa.gov.au
 For lodging a document electronically by means of an email attachment:  click here
Electronic lodgement email is ONLY for lodging of documents with the court, all queries MUST be directed to the Registry.

 

 

Our Websites

Below are links to our different websites:

Western Australian Industrial Relations Commission

Department of the Registrar

Employment Dispute Resolution

 

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