This Form is prepared for the purpose of section 175B of the Workers Compensation Act 1987, Schedule 2 Part 5 Payroll Tax Act 2007 and section 127 of the Industrial Relation Act 1996. If this form is completed in accordance with these provisions, a principal contractor is relieved of liability for workers compensation premiums, payroll tax and remuneration payable by the subcontractor.
This publication was supplied by NSW Department of Commerce.
Apple MAC users, to complete and save interactive PDFs on this website you require the FREE Adobe Reader
. Interactive PDFs do not work in 'Preview'.