apparently resides at or works at the residence or business, as the case may be; and appears to be not less than 18 of age. Regulation 19 I, [insert of [insert name of person making statement] name of employer (if different from person making statement), address, ABN/ACN/ARBN am writing to advise that [insert and contact telephone number] name ceased to be employed by [insert and address of former employee] name on of employer] [insert date on which employment ceased]. Name: Signature: Date: Regulation 23(a) ENFORCEMENT WARRANT Fines Reform Act 2014 Case Number: Name: Address: Date of Birth: *Gender:
apparently resides at or works at the residence or business, as the case may be; and appears to be not less than 18 of age. Regulation 19 I, [insert name of person making statement] of [insert name of employer (if different from person making statement), address, ABN/ACN/ARBN and contact telephone number] am writing to advise that [insert name and address of former employee] ceased to be employed by [insert name of employer] on [insert date on which employment ceased]. Name: Signature: Date: Regulation 23(a) ENFORCEMENT WARRANT Fines Reform Act 2014 Case Number: Name: Address: Date of Birth: *Gender:
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