Service Agreement Template NDIS Support Worker

NDIS SUPPORT SERVICE AGREEMENT

Document ID: TR-NDIS-7742
Effective Date: [____/____/2026]

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INSTRUCTIONS FOR USE

• Completion: This agreement must be completed by the NDIS Provider (or authorized representative) in collaboration with the Participant or their Nominee.
• Filing/Retention: Both parties must retain a copy. In accordance with NDIS Quality and Safeguarding Commission requirements, records must be securely stored for a minimum of 7 years.
• Attachments: Ensure the following are attached: (1) Copy of the Participant's current NDIS Plan (relevant support categories), (2) Current Schedule of Supports, and (3) Privacy & Consent Authorization forms.

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1. PARTIES

This Agreement is made between: Provider Name: [__________] ("The Provider") Participant Name: [__________] ("The Participant") Participant NDIS Number: [__________]

2. SERVICE PROVISION

The Provider agrees to deliver the supports listed in the Schedule of Supports (Attached). Service Start Date: [____/____/2026] Service End Date: [____/____/2026]

3. RESPONSIBILITIES

The Provider agrees to:

• Communicate openly and honestly in a timely manner.
• Treat the Participant with courtesy and respect.
• Provide supports in a manner consistent with all relevant laws and NDIS Practice Standards.
• Document and maintain records of supports provided.

The Participant agrees to:

• Inform the Provider about how they wish the supports to be provided.
• Treat the Provider’s staff with courtesy and respect.
• Provide 24 hours notice for any cancellations (Refer to Cancellation Policy).
• Inform the Provider immediately if their NDIS plan changes.

4. PAYMENTS

The Participant chooses to have their supports funded by: [ ] NDIS Managed (Plan Agency) [ ] Plan Managed [ ] Self-Managed

Billing Procedure: The Provider will submit invoices [__________] (e.g., Weekly/Fortnightly). Payments shall be made within [__________] days of invoice receipt.

5. CANCELLATIONS

In accordance with the NDIS Price Guide, the Provider reserves the right to charge for short-notice cancellations.

• Notice Required: [__________] hours.
• Fee Applicable: [__________] % of the agreed service cost.

6. TERMINATION

Either party may terminate this agreement by providing written notice of [__________] days. The Provider may terminate immediately if the safety of staff is compromised or if there is a fundamental breach of the agreement.

7. COMPLAINTS & FEEDBACK

If the Participant is unhappy with the service, they may contact: Name: [__________] Phone: [__________] Email: [__________] The Participant also retains the right to contact the NDIS Quality and Safeguards Commission at 1800 035 544.

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8. EXECUTION & SIGNATURE BLOCK

FOR THE PROVIDER: Authorized Signature: ____________________ Printed Name: [__________] Title: [__________] Date: [____/____/2026]

FOR THE PARTICIPANT / NOMINEE: 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.