South Australian Employment Tribunal

Form A63 – Application for External Review (Public Sector - Selection)

Form A63

Application for External Review (Public Sector - Selection)

Case Number
(SAET use only)

About this form

  • This is the approved form for an employee aggrieved by amerit-basedselection processemployment decision of a public sector agency directly affecting the employee to apply for SAET to review that decision (see sections 62 and 63 of the Public Sector Act 2009).
  • This form must be lodged within 7 days after the day on which the employee is notified by the agency of the outcome of the selection process or an internal review.
  • On reviewing the decision, SAET will determine whether, on the balance of probabilities, the decision is harsh, unjust or unreasonable. SAET may then affirm the decision or remit the decision to the agency for reconsideration. SAET cannot issue directions that force the agency to alter their decision.
  • Questions throughout this form will ascertain if an application is eligible for review by SAET.
  • Submitting an incomplete form (including any relevant supporting documents) may result in delays.

Employee details

Title / ☐ Mr ☐ Mrs ☐ Miss ☐ Ms ☐ Other (specify):
First name / Last name
Email
Telephone / Mobile
AddressStreet 1
Street 2
Suburb / State
Postcode / Country
Are you employed pursuant to Part 7 of the Public Sector Act 2009? / ☐ Yes – continue. If your answer is ‘no’ you are not eligible apply.
If you are unsure of your status, please consult Human Resources in your organisation.
Department / Agency
Current role title
Current classification
Were you an applicant for the role that this grievance relates? / ☐ Yes – continue. If your answer is ‘no’ you are not eligible apply.

GRIEVANCE details

Selection decision details

Vacant role title
Vacancy no (if known)
Classification
Department / Agency
Name of the nominated employee(s) (optional)
Was the selection process conducted on a basis of merit? / ☐ Yes – continue. If your answer is ‘no’ you are not eligible apply.

On what date did you receive notice of the decision on the outcome of the:

  • Selection process

  • Internal review (if one was conducted)

If available, please attach a copy of the decision(s).

Grounds for grievance

Please tick the grounds for your grievance:

☐ the employee nominated is not eligible for appointment to the position

☐ the selection processes we affected by nepotism or patronage or were otherwise not properly based on assessment of the respective merits of the applicants

☐ there was some other serious irregularity in the selection process

Particulars of grievance

Please outline the relevant particulars of your grievance.

Proposed remedy

As a remedy, I ask that SAET set aside the nomination of the of the nominated employee(s) and recommend that the selection process be recommenced from:

☐ the beginning (ie the calling of applications); or

☐ another date (please specify):

LODGING YOUR COMPLETED FORM

The person lodging this form must send a copy to all other party/ies.

Name of person lodging
Signature
Date

Please lodge this form, together with any accompanying documents, with the South Australian Employment Tribunal:

Email:
Post: PO Box 3636, Rundle Mall, SA, 5000
In person: Level 6, Riverside Centre, North Terrace, Adelaide, 5000

PLEASE RETAIN A COPY OF THIS FORM FOR YOUR OWN RECORDS

SAET Registry: 08 8207 0999