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Services
Direct Support Services
Support Coordination Services
STA/SIL Services
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Contact
Employee Details
About You
Your Name
(Required)
First
Last
Your Address
(Required)
Street Address
Address Line 2
City
Post Code
Your Email Address
(Required)
Email Address
Confirm Email Address
Your Phone
(Required)
Gender
(Required)
Male
Female
Not Identified
Do you identify as Aboriginal or Torres Strait Islander:
(Required)
Aboriginal
Torres Strait Islander
N/A or Not Disclosed
Emergency Contact
(Required)
First
Last
Emergency Contact Details
(Required)
Emergency Contact and Relationship
Workplace Support Needs
Employment Role:
Employment Start Date
MM slash DD slash YYYY
Financial Information
Financial Institution
(Required)
BSB
(Required)
Account Number
(Required)
Tax Information
Please enter or upload your tax information
Tax File Number (TFN)
Tax File Information Upload
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Max. file size: 100 MB.
Superannuation Details
Superannuation Provider
Fund ABN
Account Number
USI
100 Points of ID
Select the ID to upload
(Required)
Primary documents - 70 Points
Secondary documents (must have applicant’s photograph and name) - 40 Points
Document (must have applicant’s name and address) - 35 Points
Document (must have applicant’s name) - 25 Points
Primary documents - 70 Points
Birth Certificate - Birth card issued by the NSW Registry of Births Deaths and Marriages - Citizenship Certificate - Current Australia Passport - Expired Australian Passport which has not been cancelled and was current within the preceding two years - Current passport from another country or diplomatic documents
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Max. file size: 100 MB.
Secondary documents (must have applicant’s photograph and name) - 40 Points
Current driver photo licence issued by an Australian state or territory - Identification card issued to a public employee - Identification card issued by the Australian or any state government as evidence of a person’s entitlement to a financial benefit - Identification card issued to a student at a tertiary education institution
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Max. file size: 100 MB.
Document (must have applicant’s name and address) - 35 Points
A mortgage or other instrument of security held by a financial body - Document held by a cash dealer giving security over property - Council rates notice - Document from current or previous employer within the last two years - Land Titles Office record - Document form the Credit Reference Association of Australia
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Max. file size: 100 MB.
Document (must have applicant’s name) - 25 Points
Current credit card or account card from a bank, building society or credit union - Current telephone, water, gas or electricity bill - Foreign driver’s licence - Medicare card - Electoral roll compiled by the Australian electoral Commission - Lease / rent agreement - Current rent receipt from a licensed real estate agent - Records of a primary, secondary or tertiary education institution attended by the applicant within the last 10 years - Records of a professional or trade association of which the applicant is a member
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Max. file size: 100 MB.