NDIS Service Agreement Template for Providers PDF Free Download

NDIS SERVICE AGREEMENT

Document ID: TR-8829-NDIS
Effective Date: [____/____/2026]

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Instructions for Use

• Completion: This document must be completed by the NDIS Provider and the Participant (or their authorized nominee) prior to the commencement of services.
• Retention: Both parties must retain a signed copy of this agreement for a minimum of seven (7) years to meet NDIS quality and safeguard audit requirements.
• Mandatory Attachments: Ensure the "Schedule of Supports" (itemized pricing/frequency) and "Provider Cancellation Policy" are attached and initialed by both parties.

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1. PARTIES TO THE AGREEMENT

Provider Name: [__________]
ABN: [__________]
Participant Name: [__________]
NDIS Number: [__________]

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2. SERVICE PROVISION

The Provider agrees to provide the supports listed in the attached Schedule of Supports.

• Start Date: [____/____/2026]
• Review Date: [____/____/2026]

Service Type:
[ ] Core Supports
[ ] Capacity Building
[ ] Capital Supports

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3. RESPONSIBILITIES

Provider Responsibilities:

• Provide supports in a safe and competent manner with care and skill.
• Consult with the Participant on decisions regarding the provision of supports.
• Maintain the privacy and confidentiality of the Participant’s personal information.

Participant Responsibilities:

• Inform the Provider of any changes to NDIS plan or funding status.
• Treat the Provider’s staff with respect and dignity.
• Provide at least [____] hours notice for cancellations (as per the attached Policy).

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4. PAYMENT TERMS

• Payment Method: [ ] Agency Managed [ ] Plan Managed [ ] Self-Managed
• Invoicing Cycle: [ ] Weekly [ ] Fortnightly [ ] Monthly
• Debt Recovery: If a claim is rejected by the NDIS, the Participant or Plan Nominee agrees to resolve the discrepancy within [____] business days.

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5. CANCELLATION & TERMINATION

• Cancellations: If the Participant cancels a support session with less than the required notice, the Provider may charge up to 100% of the agreed fee, subject to NDIS Pricing Arrangements.
• Termination: Either party may terminate this agreement by providing [____] days written notice.

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6. DISPUTE RESOLUTION

If a dispute arises, the parties agree to meet to resolve the issue informally. If unresolved, the Participant may contact the NDIS Quality and Safeguards Commission on 1800 035 544.

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7. EXECUTION & SIGNATURES

For the Provider:
Authorized Signature: ________________
Printed Name: [__________]
Title: [__________]
Date: [____/____/2026]

For the Participant/Representative:
Authorized Signature: ________________
Printed Name: [__________]
Title: [__________]
Date: [____/____/2026]

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