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Employee Engagement Form

"Employment Law Matters With Resolution Focused Solutions."
Client Engagement Form (Employee)

All “*” fields are required and the other fields are optional

Engagement
I (named above) request Danny Gelb & Land and Building Solutions Ltd trading as Danny Gelb Employment Law
Advocacy to represent me in my employment matter and agree to the terms and conditions enclosed in this
document and as per section 236 of the Employment Relations Act.

Privacy Act 2020
I authorise Land and Building Solutions Limited to collect, use, process, store, and disclose personal information for
the purposes of providing employment advocacy services, including through electronic systems, cloud-based
platforms, and technology-assisted tools. I understand that I have the right of access to, and correction of, any
personal information held, and that I have had the opportunity to seek independent advice before entering into this
engagement.

Signed
Employer Information
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