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The form collects applicant and other party details, describes the issues in dispute, states the determination sought, and provides required confirmation and service evidence. It also includes consent language under the Protection of Personal Information Act, 4 of 2013, including permitted processing, collection, use, and disclosure.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/lra-form-42a-referring-a-dispute-arising-from-negotiations-concerning-minimum-service-agreement-for-determination/502238/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/lra-form-42a-referring-a-dispute-arising-from-negotiations-concerning-minimum-service-agreement-for-determination/502238.png","ImageObject",300,407,{"name":92,"@type":93},"4398046744996","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of LRA Form 4.2A?","Question",{"text":112,"@type":113},"It is a referral to the Essential Services Committee for a determination of a dispute arising from negotiations concerning a Minimum Service Agreement.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who is allowed to fill in this form?",{"text":117,"@type":113},"Any party to the dispute can complete the form.",{"name":119,"@type":110,"acceptedAnswer":120},"What must be attached to prove service on the other party?",{"text":121,"@type":113},"Attach acceptable proof of service, such as a registered slip, signed receipt, signed delivery statement, fax confirmation, email confirmation/sent email, or other satisfactory proof.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},502238,1791981459,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":66,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":142,"read_time":39},4398046744996,"| LRA Form 4.2A\u003Cbr>Section 72(8) Labour Relations Act, 1995 | REFERRING A DISPUTE ARISING FROM NEGOTIATIONS CONCERNING MINIMUM SERVICE AGREEMENT FOR DETERMINATION |  | |\n| --- | --- | --- | --- |\n| Read This First\u003Cbr>\u003Cbr>\u003Cbr>WHAT IS THE PURPOSE OF THIS\u003Cbr>\u003Cbr>FORM?\u003Cbr>\u003Cbr>This form is a referral to the\u003Cbr> Essential Services Committee for \u003Cbr> a determination of a dispute \u003Cbr> arising from negotiations of \u003Cbr>\u003Cbr>minimum service agreement.\u003Cbr>\u003Cbr>WHO FILLS IN THIS FORM?\u003Cbr>\u003Cbr>Any party to the dispute.\u003Cbr>\u003Cbr>OTHER PARTIES\u003Cbr>\u003Cbr>If more than one party is\u003Cbr> referring the dispute or if the \u003Cbr> dispute is referred against more \u003Cbr> than one party, write down the \u003Cbr> additional names and particulars \u003Cbr> on a separate page and attach to \u003Cbr>\u003Cbr>this form.\u003Cbr>| 1. APPLICANT DETAILS\u003Cbr>Name: ...................................................................................................\u003Cbr>Postal Address: ....................................................................................\u003Cbr>..............................................................................................................\u003Cbr>Tel: .......................................... Fax: ......................................................\u003Cbr>Cell: ........................................ E-Mail: .................................................\u003Cbr>Contact Person: ....................................................................................\u003Cbr>2. DETAILS OF THE OTHER PARTY (including trade unions organising in the sector or workplace and/or parties that may have an interest in the matter)\u003Cbr>Name: ...................................................................................................\u003Cbr>Postal Address: ....................................................................................\u003Cbr>..............................................................................................................\u003Cbr>Tel: .......................................... Fax: ......................................................\u003Cbr>Cell: ........................................ E-Mail: .................................................\u003Cbr>Contact Person: ....................................................................................\u003Cbr>3. DESCRIPTION OF ISSUE(S) IN DISPUTE\u003Cbr>………………………………………………………………….….……………\u003Cbr>………………………………………………………………….………….……\u003Cbr>……………………………………………….……………………………….…\u003Cbr>………………………………………………….…….…………………………\u003Cbr>…………………………………………….…….………………………………\u003Cbr>…………………………………………….…….……………………………… |  |  |\n|  | Case Number   | Please turn over  |  |\n\nLRA Form 4.2A  \nReferring a dispute arising from negotiations concerning Minimum Service Agreement for determination Page 2 of 2  \n\n| WHERE DOES THIS FORM GO?\u003Cbr>Essential Services Committee c/o CCMA\u003Cbr>28 Harrison Street Johannesburg, 2001\u003Cbr>Private Bag X94 Marshalltown, 2107\u003Cbr>Tel: (011) 377-6650\u003Cbr>Fax: (011) 834-7351\u003Cbr>E-mail: [ho@CCMA.org.za](ho@CCMA.org.za)\u003Cbr>OTHER INSTRUCTIONS\u003Cbr>A copy of this form must be served on the other party.\u003Cbr>Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:\u003Cbr>􀂃 A copy of a registered slip from the Post Office; or\u003Cbr>􀂃 A copy of a signed receipt if hand delivered; or\u003Cbr>􀂃 A signed statement confirming service by the person delivering the form; or\u003Cbr>􀂃 A copy of a fax confirmation slip; or\u003Cbr>􀂃 A copy of an email confirmation slip or sent email ; or\u003Cbr>􀂃 Any other satisfactory proof of service | 4. DETERMINATION SOUGHT\u003Cbr>…………………………………………….…….…………………….…………\u003Cbr>…………………………………………….…….…………………….…………\u003Cbr>…………………………………………….…….…………………….…………\u003Cbr>5. CONFIRMATION OF ABOVE DETAILS:\u003Cbr>Form submitted by:\u003Cbr>(please print name)\u003Cbr>Signature: ........................................................................... ................\u003Cbr>Position: ................................................................................ ...................\u003Cbr>Date: ................................ ...........................................","cbCaioXvPBk6zRws","https://ap.wps.com/l/cbCaioXvPBk6zRws","pdf",189693,"English","# Read This First\n# 1. Applicant Details\n# 2. Details of the Other Party\n# 3. Description of Issue(s) in Dispute\n# Where Does This Form Go?\n# Other Instructions\n# 4. Determination Sought\n# 5. Confirmation of Above Details\n# Protection of Personal Information Act Consent","[{\"question\":\"What is the purpose of LRA Form 4.2A?\",\"answer\":\"It is a referral to the Essential Services Committee for a determination of a dispute arising from negotiations concerning a Minimum Service Agreement.\"},{\"question\":\"Who is allowed to fill in this form?\",\"answer\":\"Any party to the dispute can complete the form.\"},{\"question\":\"What must be attached to prove service on the other party?\",\"answer\":\"Attach acceptable proof of service, such as a registered slip, signed receipt, signed delivery statement, fax confirmation, email confirmation/sent email, or other satisfactory proof.\"}]","LRA Form 4.2A - Referring a dispute arising from negotiations concerning Minimum Service Agreement for determination | PDF",1791030594]