NDIS Service Agreement Template Australia WORD

NDIS Service Agreement

Document ID: TR-NDIS-SA-001 Effective Date: [//2026]

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Instructions for Use

• This document is to be completed jointly by the NDIS Participant (or their Nominee) and the Service Provider. All fields marked [__________] or [ ] Option require completion.
• Retain a signed copy of this agreement for a minimum of seven (7) years after the agreement concludes. This may be stored electronically or in hard copy.
• Ensure the following mandatory attachments are appended to this agreement: NDIS Plan relevant pages (if applicable), Service Schedule (Appendix A), and the Provider's current Price List.

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1. Parties to the Agreement

This Service Agreement is made between:

1.1 The Service Provider (referred to as "the Provider")

• Legal Entity Name: [____________________]
• Trading Name (if different): [____________________]
• ABN: [____________________]
• NDIS Registration Number (if applicable): [____________________]
• Address: [____________________________________________]
• Contact Person: [____________________]
• Phone: [____________________]
• Email: [____________________]

1.2 The NDIS Participant (referred to as "the Participant")

• Full Legal Name: [____________________]
• NDIS Participant Number: [____________________]
• Date of Birth: [//____]
• Address: [____________________________________________]
• Phone: [____________________]
• Email: [____________________]

1.3 Nominee/Guardian (if applicable)

• Full Legal Name: [____________________]
• Relationship to Participant: [____________________]
• Address: [____________________________________________]
• Phone: [____________________]
• Email: [____________________]

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2. Purpose of this Agreement

This Agreement sets out the terms and conditions for the provision of services by the Provider to the Participant under the National Disability Insurance Scheme (NDIS). It aims to ensure that services are delivered in a way that respects the Participant's choices, promotes their independence, and helps them achieve their NDIS plan goals. This Agreement should be read in conjunction with the Participant's current NDIS Plan.

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3. NDIS Plan Management

The Participant's NDIS plan is managed by:

• Self-Managed: The Participant (or their Nominee) is responsible for managing and paying for supports.
• Plan-Managed: A Plan Management Provider manages and pays for supports on behalf of the Participant.
  • Plan Manager Name: [____________________]
  • Plan Manager Contact: [____________________]
  • Plan Manager Email: [____________________]
• NDIA-Managed: The National Disability Insurance Agency (NDIA) pays the Provider directly for supports.

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4. Services to be Provided

The Provider agrees to deliver the following services as outlined in the Participant's NDIS Plan and detailed further in Appendix A: Service Schedule.

Note: Additional services can be added via an updated Service Schedule (Appendix A) and mutual agreement.

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5. Service Delivery Details

• Expected Start Date of Services: [//____]
• Expected End Date of Services (if applicable): [//____]
• Primary Service Delivery Location(s): [____________________________________________]
• Preferred Day(s) and Time(s) for Services: [____________________________________________]
• Service Delivery Methods:
  • In-person
  • Telehealth/Remote
  • Other (Specify): [____________________]

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6. Pricing and Payments

6.1 Pricing: The prices for services are set in accordance with the latest NDIS Pricing Arrangements and Price Limits (formerly NDIS Price Guide), or as mutually agreed and specified in Appendix A. All prices are inclusive of GST, if applicable.

6.2 Billing and Invoicing:

• Billing Cycle: [ ] Weekly [ ] Fortnightly [ ] Monthly [ ] Other: [__________]
• Invoices will be provided by: [ ] Email [ ] Post [ ] Directly to Plan Manager [ ] Directly to NDIA Portal
• Invoice Recipient: [ ] Participant [ ] Nominee [ ] Plan Manager [ ] NDIA
• Payment Due Date: Payment is due within [____] business days of the invoice date.

6.3 Cancellations:

• Participant Cancellation: If the Participant needs to cancel a service, they must provide at least two (2) clear business days' notice to the Provider.
  • If notice is provided within this timeframe, no cancellation fee will apply.
  • If notice is not provided within this timeframe, the Provider may charge up to 100% of the agreed fee for the cancelled service, in accordance with the NDIS Pricing Arrangements.
• Provider Cancellation: The Provider will give the Participant as much notice as possible if a service needs to be cancelled and will reschedule the service at a mutually convenient time. No charge will apply to the Participant for Provider-initiated cancellations.

6.4 Changes to Pricing: The Provider will notify the Participant in writing of any changes to pricing at least [____] days in advance. Such changes will only take effect from the start of a new NDIS Plan period, or by mutual written agreement.

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7. Responsibilities of Both Parties

7.1 Provider Responsibilities:

• Deliver services in a manner that upholds the Participant's rights and best interests, as outlined in the NDIS Act 2013 and the NDIS Code of Conduct.
• Ensure all staff providing services are appropriately qualified, screened, and adhere to professional standards.
• Maintain accurate records of services provided and payments received.
• Protect the Participant's privacy and confidentiality in accordance with the Privacy Act 1988 (Cth) and NDIS policies.
• Provide a safe environment for the delivery of services.
• Have an accessible internal complaints and dispute resolution process.
• Notify the Participant of any changes to service delivery or staff.

7.2 Participant / Nominee Responsibilities:

• Provide the Provider with a copy of the relevant sections of their NDIS Plan.
• Inform the Provider of any changes to their NDIS Plan, funding, or circumstances that may affect service delivery.
• Treat Provider staff with dignity and respect.
• Pay for the services as outlined in Section 6, or ensure their Plan Manager/NDIA does so.
• Provide timely notice for cancellations as per Section 6.3.
• Communicate any concerns or dissatisfaction promptly.

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8. Communication and Information Sharing

• Preferred Communication Method: [ ] Phone [ ] Email [ ] SMS [ ] In-person [ ] Other: [__________]
• The Provider will communicate openly and honestly with the Participant regarding their services.
• The Participant agrees to provide relevant information to the Provider to facilitate effective service delivery and safety.

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9. Privacy and Confidentiality

The Provider is committed to protecting the privacy and confidentiality of the Participant's personal information. All information collected will be handled in accordance with Australian privacy laws, including the Privacy Act 1988 (Cth) and the NDIS Act 2013. Information will only be disclosed with the Participant's consent or where legally required. A copy of the Provider's Privacy Policy is available upon request.

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10. Complaints and Dispute Resolution

• Should the Participant have a complaint, they should first raise it directly with the Provider's contact person listed in Section 1.1 or follow the Provider's internal complaints policy (available upon request).
• If the complaint cannot be resolved internally, the Participant may contact the NDIS Quality and Safeguards Commission:
  • Phone: 1800 035 544 (free call from landlines)
  • TTY: 133 677
  • National Relay Service (NRS): Ask for 1800 035 544
  • Website: www.ndiscommission.gov.au

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11. Changes to this Agreement

This Agreement may only be changed or varied by mutual written agreement of both the Participant (or their Nominee) and the Provider. Any agreed changes will be documented and appended to this Agreement.

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12. Ending the Agreement

This Agreement will continue until the Participant's NDIS Plan ceases, or until terminated by either party.

• Termination by Participant: The Participant may terminate this Agreement by giving [____] weeks' written notice to the Provider.
• Termination by Provider: The Provider may terminate this Agreement by giving [____] weeks' written notice to the Participant, except in circumstances where the Participant has breached the agreement, or the Provider reasonably believes there is a risk to health or safety.
• Mutual Agreement: This Agreement may be terminated at any time by mutual written agreement of both parties.

Upon termination, any outstanding payments for services rendered up to the termination date will be due immediately.

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13. Quality and Safeguards

The Provider is committed to providing quality and safe services. The Provider adheres to the NDIS Quality and Safeguarding Framework and will ensure all NDIS worker screening requirements are met. The Participant has the right to access safe and quality supports.

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14. Acknowledgements

By signing this Agreement, both parties acknowledge and agree:

• They have read, understood, and agree to the terms and conditions outlined in this Agreement.
• The Participant (or their Nominee) understands their rights and responsibilities under the NDIS.
• The services will be delivered in accordance with the Participant's NDIS Plan and the NDIS Code of Conduct.

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15. Attachments

The following documents are attached and form part of this Agreement:

• Appendix A: Service Schedule
• Relevant pages of the Participant's NDIS Plan (Optional, if agreed)
• Provider's Current Price List (Optional, if not covered by NDIS Price Guide)
• Other: [____________________]

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Execution & Signature Block

For the Service Provider:

Authorized Signature:

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Printed Name: [] Title: [] Date: [//2026]

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For the NDIS Participant (or Nominee/Guardian):

Participant Signature:

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Printed Name: [____________________] Date: [//2026]

OR

Nominee/Guardian Signature:

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Printed Name: [] Relationship to Participant: [] Date: [//2026]

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*Disclaimer: This document is provided as a standardized framework. Consult qualified legal counsel for jurisdiction-specific statutory compliance.*