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Industrial Court Claim Form (Malaysia)

Industrial Court Claim Form (Malaysia)

MEMORANDUM OF REPRESENTATION — INDUSTRIAL COURT CLAIM PREPARATION FORM

Industrial Relations Act 1967 (Act 177) — Section 20 Representation for Unfair Dismissal

IMPORTANT: This form prepares the key facts for filing at the Industrial Relations Department (JPP). The Memorandum of Representation must be filed at the JPP office within 60 days of the dismissal date. Late representations will be dismissed in limine without consideration of the merits (Ajinomoto (Malaysia) Bhd v Chang Cheng Kuan [2008] 6 CLJ 53).

SECTION A: PARTIES

CLAIMANT (Dismissed Employee):

Full Name: [Claimant Name]

NRIC No.: [Claimant NRIC]

Current Address: [Claimant Address]

Contact No.: [Claimant Phone]

Last Designation: [Claimant Designation]

Last Monthly Salary: [Last Salary]

RESPONDENT (Employer):

Company Name: [Employer Name]

Company Reg No. (SSM): [Employer Reg No]

Business Address: [Employer Address]

SECTION B: EMPLOYMENT AND DISMISSAL DETAILS

Date Employment Commenced: [Commencement Date]

Date of Dismissal: [Dismissal Date]

Type of Dismissal: [Dismissal Type]

Employer's Stated Reason for Dismissal:

[Employer Reason]

Domestic Inquiry Held: [Domestic Inquiry]

SECTION C: GROUNDS OF REPRESENTATION

The dismissal was without just cause or excuse for the following reasons:

[Grounds Of Claim]

Relief Sought: [Relief Sought]

Supporting Documents:

[Key Documents]

Potential Witnesses: [Witnesses]

SECTION D: FILING DETAILS

JPP Office for Filing: [JPP Office]

Intended Filing Date: [Filing Date]

Legal Representation: [Legal Representation]

Note: Bring 3 copies of the completed Memorandum of Representation to the JPP office. Attach copies of all supporting documents. The JPP officer will record receipt and provide the representation reference number.

SECTION E: DECLARATION

I, [Claimant Name] (NRIC: [Claimant NRIC]), hereby declare that the facts stated in this Memorandum of Representation are true and correct to the best of my knowledge and belief, and I make this representation under Section 20(1) of the Industrial Relations Act 1967 (Act 177) for reinstatement or compensation for dismissal without just cause or excuse.

Claimant Signature: ____________________________

Name: [Claimant Name]

NRIC: [Claimant NRIC]

Date: ____________________________

Claimant (Dismissed Employee)

________________

Signature

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What Is a Industrial Court Claim Form (Malaysia)?

An Industrial Court Claim Form in Malaysia commences or advances proceedings by stating the claim and the relief sought.

The Industrial Relations Act 1967 (Act 177) was enacted to promote harmonious industrial relations between employers and employees and to provide a mechanism for the resolution of industrial disputes. Section 20(1) of the Industrial Relations Act 1967 provides that where a workman considers that he has been dismissed without just cause or excuse, he may make representations in writing to the Director General of Industrial Relations to be reinstated in his former employment. The workman must file the representation within 60 days of the dismissal — a strict statutory time limit that cannot generally be extended, as affirmed by the Federal Court in Ajinomoto (Malaysia) Bhd v Chang Cheng Kuan [2008] 6 CLJ 53.

The Industrial Relations Act 1967 covers 'workmen' as defined in Section 2 — broadly, any person employed under a contract of service, including clerical and non-managerial employees. Managerial and executive employees in certain categories were historically excluded but the Employment (Amendment) Act 2022 extended the scope of Section 20 representation rights. Domestic servants and certain government employees are excluded from the Industrial Relations Act 1967.

Upon receipt of the Memorandum of Representation, the Director General of Industrial Relations will attempt conciliation between the employer and the dismissed employee under Section 20(2) of the Industrial Relations Act 1967. If conciliation fails or is not possible, the Director General refers the matter to the Minister of Human Resources for a decision on whether to refer the dispute to the Industrial Court under Section 20(3). If the Minister refers the matter to the Industrial Court, the case proceeds to a full hearing before an Industrial Court Chairman (a legally qualified officer appointed under Section 23 of the Industrial Relations Act 1967), who may award reinstatement, backwages (capped at 24 months' wages under Section 30(6A) of the Industrial Relations Act 1967 as amended), or compensation in lieu of reinstatement.

In practice, the Memorandum of Representation is a critical document — the facts, grounds, and relief sought stated in the Memorandum form the framework of the entire Industrial Court claim. Errors, omissions, or inconsistencies in the Memorandum can prejudice the claimant's case.

When Do You Need a Industrial Court Claim Form (Malaysia)?

An Industrial Court Claim preparation form is needed in Malaysia whenever a dismissed employee intends to challenge the dismissal as being without just cause or excuse under Section 20 of the Industrial Relations Act 1967 (Act 177).

An Industrial Court Claim is needed when an employee is dismissed summarily (immediate termination without notice) and the employee believes the dismissal was not supported by sufficient misconduct or performance evidence to justify summary termination under Section 14 of the Employment Act 1955 (Act 265) or the employer's own disciplinary procedures.

An Industrial Court Claim is required when an employee is retrenched and believes the retrenchment was in bad faith — for example, where only the claimant was retrenched while similarly situated employees were retained, or where the employer immediately re-hired another person to perform the same role, suggesting the retrenchment was a pretext for dismissal.

An Industrial Court Claim is needed when an employee has been constructively dismissed — meaning the employer's conduct (such as demotion, salary reduction, harassment, or fundamental breach of contract) forced the employee to resign — and the employee wishes to treat the resignation as a dismissal under Section 20 of the Industrial Relations Act 1967.

An Industrial Court Claim is required within 60 days of dismissal — strict compliance with the statutory time limit is essential, as the Director General of Industrial Relations has no power to extend the 60-day period and a late representation will be dismissed in limine.

An Industrial Court Claim preparation form is needed to organise the key facts, dates, documents, and witnesses required for the Memorandum of Representation before meeting with the JPP officer or an employment lawyer for finalisation and filing.

Parties in Malaysia should prepare a Industrial Court Claim Form (Malaysia) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Malaysian law, the Contracts Act 1950 (Act 136) governs contractual obligations. The Companies Act 2016 (Act 777) regulates corporate entities through the Companies Commission of Malaysia (SSM). The Employment Act 1955 (Act 265) and the Department of Labour govern employment matters. The Personal Data Protection Act 2010 (Act 709) and the Personal Data Protection Department protect personal data. The Inland Revenue Board of Malaysia (LHDN) administers tax obligations. The Industrial Court adjudicates employment disputes under the Industrial Relations Act 1967 (Act 177). Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your Industrial Court Claim Form (Malaysia)

A valid Malaysia Industrial Court Claim (Memorandum of Representation) under Section 20 of the Industrial Relations Act 1967 (Act 177) must contain the following essential elements.

Claimant and Employer Details: Full name, NRIC, address, and contact details of the dismissed employee (claimant); the full legal name, registration number, and address of the employer (respondent); and the claimant's job title and department at the time of dismissal.

Employment Details: Commencement date of employment, salary at time of dismissal (including fixed allowances), and employment status (permanent, contract, or probationary) — as probationary employees may have limited rights under Section 20 if dismissal occurred during a genuine probation period.

Dismissal Details: The date of dismissal, the form of dismissal (letter of termination, verbal dismissal, forced resignation / constructive dismissal, or end of fixed-term contract without renewal), and the employer's stated reason for dismissal as set out in the termination letter or domestic inquiry findings.

Grounds of Representation: The claimant's reasons why the dismissal was without just cause or excuse — for example: (a) the misconduct alleged was not proven or was minor; (b) the domestic inquiry was procedurally defective (no notice, biased panel, no opportunity to respond); (c) the retrenchment was in bad faith; (d) the employer's conduct constituted constructive dismissal; or (e) the termination was discriminatory.

Relief Sought: The claimant's preferred remedy — reinstatement to the former position with backwages, or compensation in lieu of reinstatement. Under Section 30(6A) of the Industrial Relations Act 1967, backwages are capped at 24 months' wages from the date of dismissal.

Supporting Documents: Copies of the employment contract, offer letter, salary slips, termination letter, domestic inquiry notice and findings (if applicable), warning letters, and any correspondence between the parties relevant to the dismissal.

Timeline Compliance: Confirmation that the Memorandum of Representation is filed within 60 days of the dismissal date, as required by Section 20(1A) of the Industrial Relations Act 1967.

Additional compliance elements for a Industrial Court Claim Form (Malaysia) used in Malaysia include: Under Malaysian law, the Contracts Act 1950 (Act 136) governs contractual obligations. The Companies Act 2016 (Act 777) regulates corporate entities through the Companies Commission of Malaysia (SSM). The Employment Act 1955 (Act 265) and the Department of Labour govern employment matters. The Personal Data Protection Act 2010 (Act 709) and the Personal Data Protection Department protect personal data. The Inland Revenue Board of Malaysia (LHDN) administers tax obligations. The Industrial Court adjudicates employment disputes under the Industrial Relations Act 1967 (Act 177). Forms-legal.com provides this template as a starting point for Malaysia-compliant documentation.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Industrial Court Claim Form (Malaysia) (Malaysia) [Legal document template]. Forms Legal. https://forms-legal.com/malaysia/employment/forms/industrial-court-claim-malaysia

MLA

"Industrial Court Claim Form (Malaysia) (Malaysia)." Forms Legal, 2026, https://forms-legal.com/malaysia/employment/forms/industrial-court-claim-malaysia.

BibTeX
@misc{formslegal-industrial-court-claim-malaysia,
  author       = {{Forms Legal}},
  title        = {Industrial Court Claim Form (Malaysia) (Malaysia)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/malaysia/employment/forms/industrial-court-claim-malaysia}},
  note         = {Free legal document template. Based on Employment Act 1955 (Act 265)}
}

Frequently Asked Questions

Based on Employment Act 1955 (Act 265) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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