Service Agreement Form

1Part A
2Part B
3Part C
4Part D
5Part E
6Part F

This Service Agreement is for a Participant in the National Disability Insurance Scheme (NDIS), and is made between:

Participant

MM slash DD slash YYYY

NOTE: A Service Agreement can be made between a Participant and a Provider or a Participant’s representative and a Provider. A Participant’s representative is someone close to the Participant, such as a family member or a friend or someone who managers the funding for supports under a Participant’s NDIS plan.

AND: The Provider: Able2 Pty Ltd (Able2)

DD slash MM slash YYYY
Enter the date Able2 first provided service)
DD slash MM slash YYYY

The NDIS and this Service Agreement

This Service Agreement is made for the purpose of providing supports under the participant’s NDIS plan. The parties agree that this Service Agreement is made in the context of the NDIS, which is a scheme that aims to:

1. Support the independence and social and economic participation of people with disability, and 2. Enable people with a disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports.

If the date of this agreement is after the date of commencement, the parties acknowledge that this agreement ratifies and formalises the de facto verbal agreement that was in place between the date of commencement and the date of signature. Furthermore, the Participant and/or their Representative agrees that additional services may be requested from time to time. If this is the case these may be added to this agreement as long as this is done in writing. Electronic messages received from the Participants mobile phone number or email address will be considered such agreement in writing. The participant/ participants representative agree that Able2 may claim more than 30 minutes travel.