Supplier registration of interest

Please select the most appropriate option for your business

Sole trader

Partnership

Limited company (Pty Ltd)

Other

Details about your Organisation

Your address details

Your contact details

What services are you able to provide?

Please select all that apply

Personal care services

Social support services

Respite care services

Therapy services

Medication requirement

Nursing services

Meal delivery services

Transport services

Flexible care tasks (assist consumers within home environment)

Domestic assistance

Intensive cleaning/spring cleaning

Home modification services

Home maintenance and handyman services

Gardening services

Roof and gutter cleaning services

Pest control services

Podiatry

Physiotherapy

Occupational therapy

Speech pathology

Dietitian or nutrition

Are you available to start providing services immediately?

Yes

No

Which region best represents the area/s you service?

Declaration

I declare:

My organisation has the workers' compensation insurance as required under relevant state legislation covering all contractor personnel

My organisation has the public liability insurance for at least the sum of $20,000,000 for any one occurrence

My organisation has the professional indemnity insurance for at least the sum of $20,000,000 for any one occurrence

My organisation has the medical indemnity for at least the sum of $20,000,000 for any one occurrence (where relevant)

My organisation has the cyber security insurance for at least the sum of $5,000,000 for any one occurrence

My organisation is an approved provider under the Aged Care Act 1997 (cth)

My organisation has a system in place to manage and control HSE hazards and risks

My organisation has an incident reporting process that ensures incidents are reported and responded to promptly

My organisation complies with all applicable laws, regulation and standards governing aged care and health care (where relevant)

All contractor personnel have current National Police Check (issued less than 3 years) and relevant state screening clearances (as required) to provide the services

My organisation has policies and procedures to demonstrate management and monitoring of the national police checks for all personnel

All contractor personnel have appropriate licences, qualifications, experience and competencies to provide the services to consumers

Contractor personnel have the necessary professional/regulatory registrations/licences required to provide relevant services

All contractor personnel transporting consumers have current valid motor vehicle drivers’ licences

All contractor personnel are being paid at or above minimal wage or award rates (as applicable)

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