Participant Service Agreement
This is a real document from the pack, filled in for a sample business so you can see exactly what you get - before you create an account.
Service Agreement
Version 1.0 · Effective 1 June 2026 · Made under the National Disability Insurance Scheme
This Service Agreement is made between Example Provider Pty Ltd (ABN 12 345 678 901) ("the provider") and the participant named below ("the participant"). It is made for the purpose of providing supports to the participant under their National Disability Insurance Scheme (NDIS) plan. It explains the supports Example Provider Pty Ltd will provide and what both parties agree to.
You can contact Example Provider Pty Ltd about this agreement or your supports at any time: Sarah Mitchell, sarah@example.com.au, 0400 123 456.
Participant details
Participant name: ________________
NDIS number: ________________
Date of birth: ________________
Address: ________________
Phone: ________________
Email: ________________
Representative / nominee (if any): ________________
Plan management (self / plan-managed / NDIA-managed): ________________
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