Industry Transition Program

Referral Detail
Campaign
Please answer the following questions:
I am a Victorian based business*

YesNo
I manufacture using Victorian hardwoods*

YesNo
I am an employing business and registered with WorkSafe Victoria*

YesNo
This form is only for employing Victorian based manufacturing businesses which manufacture using Victorian hardwood. Click here to view other support for your business.
WorkCover Employer Number (WEN)*
ABN*
Business Legal Name*
Website
www.example.com.au
Registered Business Address*

Street Address

Street Address 2

CityState

Post codeCountry
Is your operating address different to registered business address?*

YesNo
Primary operating address

Street Address

Street Address Line 2

CityState

Post codeCountry
Main business contact name*

First NameLast Name
Position within the business*
Mobile*
Please enter a valid phone number.
Email*

Confirmation EmailConfirm email address
Number of employees
Full-Time Equivalent (FTE) employees
Annual revenue
What percentage of your material inputs is accounted for by Victorian native hardwood?*
What products or services do you provide?*

Timber products for constructionFurniturePalletsOther
Which customers / markets do you supply to?*

RetailWholesaleCommercial ConstructionResidential ConstructionExportOther
Briefly describe where you obtain your hardwood material inputs*

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Privacy

“The Department of Jobs, Skills, Industry and Regions is collecting your personal information in this Registration of Interest to keep you informed of when the Downstream Supply Chain Transition Package will open and to invite you to formally apply when the program opens.

Any personal information collected, held, managed, used, disclosed or transferred will be held in accordance with the Privacy and Data Protection Act 2014 and other applicable laws. The Department is committed to protecting the privacy of personal information. You may contact the Department to request access to your personal information, or for other concerns regarding the privacy of your personal information, by emailing the Department’s Privacy Unit at privacy@ecodev.vic.gov.au.The Department’s privacy policy is also available by emailing the Privacy Unit.”
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