You are here Home Application for review of a workplace decision Application for review of a workplace decision Published 27 August 2021 Use this form to apply to directly to the Merit Protection Commissioner for: a review of a breach of the code of conduct decision a review of a sanction decision making a complaint about a decision on final entitlements after you have left the APS or Parliamentary Service. This form may also be used in certain limited circumstances, where it may not be appropriate to seek a primary review from your agency. These circumstances are: your agency head was directly involved in the action; or it is not appropriate, because of the seriousness or sensitivity of the action, for an agency or department head to deal with the application; or the action is claimed to be victimisation or harassment of the employee for having made a previous application for review of action. Before you submit your application on any of the three above grounds, check that you meet the requirements to apply directly to the MPC. We have a separate form for lodging an application for a review of a promotion decision. Tell us about yourself Tell us about yourself Name (required) Phone Address Enter your address only if you cannot use email City/Town State/Territory Postal Code Your email address Your email address (required) Confirm your email address (required) Your agency or former agency Your current job title, and classification level (required) Any special requirements to enable you to participate in this review Information message ×Please ensure you let us know if these details change. If we can’t reach you, we may not be able to continue with our review. Tell us about the action or decision you would like us to review We will use the information on this form to assess whether your application is eligible. After we assess your application, we will contact you to discuss if your review is eligible, and if so, we will invite you to provide more details and any additional documents you would like us to consider. Please select the type of review are you lodging?? Code of Conduct determination Sanction decision Complaint about final entitlements MPC direct review of a workplace action or decision (other than a Code of Conduct determination or sanction decision) which cannot be lodged with my agency Code of conduct determination You have 60 days to lodge a review of a Code of Conduct determination or sanction decision, from the date of the decision. You will need to lodge a separate form for each decision. You do not have to wait until a sanction is imposed to lodge the review of the Code of Conduct determination. Date of the Code of Conduct determination Briefly, what behaviour is this decision about? i.e. what were you found to have done/not done? What sections of the Code of Conduct were you found to have breached? Why you are seeking this review? i.e What are your concerns about the decision? What outcome are you seeking? Are there any factors that make this application urgent? Is there any other relevant information we should know about? Sanction decision You have 60 days to lodge a review of a Code of Conduct determination or sanction decision, from the date of the decision. You will need to lodge a separate form for each decision. You do not have to wait until a sanction is imposed to lodge the review of the Code of Conduct determination. You cannot lodge a sanction review application until the sanction decision is final. If you have only received a preliminary view, you will need to wait until the decision is finalised. If you receive a sanction of termination, we cannot review that decision, you may wish to contact the Fair Work Commission. Date of sanction decision What sanction was imposed? Briefly describe the behaviour that this sanction relates to i.e. what were you found to have done/not done? What sections of the Code of Conduct were you found to have breached? What are your concerns about the decision? What outcome are you seeking? Why are you seeking this review? Are there any factors that make this application urgent? Is there any other relevant information we should know about? Complaint about final entitlements On what date did your employment end? Have you received any final entitlements (salary, leave, allowances)? If so, what have you received? On what date did you receive your entitlements, or advice about your entitlements? Who was the decision maker (if known)? What entitlement(s) do you consider you should have received? Have you discussed these concerns with your former agency? If so, with whom? And what was their advice? Is there any other relevant information we should know about? Direct MPC review You have 60 days to lodge this application, from the date of the action or decision. What is the action or decision you are seeking review of? Why can’t you lodge a primary review with your agency? My Agency Head was directly involved. It is so serious or sensitive that I cannot lodge it with my agency. I was victimised because I lodged a review application previously. Please select all that apply Provide more detail to explain the reason above: On what date was the decision made or action taken? Who was the decision maker, or who took the action? Why you are seeking this review? i.e. what are your concerns about the decision? What outcome are you seeking? Is there any other relevant information we should know about? Are there any factors that make this application urgent? Additional documents We will contact you if we need more information from you to assist us to assess your application for eligibility. If eligible, you will be invited to provide further documents or make a submission. Contact us If you have any questions or concerns, please contact us at firstname.lastname@example.org or (02) 8239 5330 (option 2). Feedback We will email you a survey about your experience after we finalise the review. The survey is voluntary and anonymous. I understand I am applying to the MPC for a review of a workplace decision.