Employee workplace declaration

All Monash Health employees must declare, even if Monash Health is their only employer.

To help reduce the spread of COVID-19, the Department of Health and Human Services requires all Victorian healthcare workers to declare their work with any organisation, including paid, unpaid and voluntary work. The information collected will help inform the Department’s response to the COVID-19 pandemic, including outbreaks in healthcare settings.

If your current paid, unpaid or voluntary work arrangements change, please inform your manager.

Senior Medical Staff do not have to complete this form, as they have completed the Workforce Mobility Survey.

For more information, please read the frequently asked questions at the bottom of this page.

If you have questions or concerns about this form, contact your manager.

Complete the employee workplace declaration form

Monash Health treats all personal information provided by an individual confidentially in accordance with the Privacy and Data Protection Act 2014 (Vic).

Please note: if you completed the previous version of the employee declaration form on this page, you do not need to complete the form above.

Frequently asked questions

Why do we require this information?

The completion of the employee declaration form is a Directive from the Public Health Commander, under the Public Health and Wellbeing Act 2008. The information collected will help inform the Department’s response to the COVID-19 pandemic, including outbreaks in healthcare settings.

I only work for Monash Health; do I still need to complete the form?

You must complete this form, even if Monash Health is your only employer.

What classifies as another organisation?

This includes any other organisation you conduct paid, unpaid or voluntary work for. For example, supermarkets, pharmacies, retail stores, hospitality services, sports centres, other health services or community centres.

I volunteer at another organisation; do I need to declare this?

Yes, any unpaid or voluntary employment must be declared when completing the form.

My other job is not at a health service, do I still need to declare this?

Yes, as we know, workplaces have been one of the major places of coronavirus transmission. Having this information helps us to efficiently plan our response and will assist us with the contact tracing process.

I’m working from home; do I need to complete the form?

Yes, as a Monash Health employee, you must still complete this form to ensure we have accurate information.

I am Senior Medical Staff, do I still need to complete the form?

No, you do not need to complete this form. You would have completed the Workforce Mobility Survey.

I work for another employer, but I work for them from home. Do I need to declare?

Yes, you do need to declare this. Please advise us of all employers, irrespective of location.

What will you do with this information?

This information is private and confidential. It will be used to assist in responding to any COVID-19 outbreaks and planning for impacts on the workforce.

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