Annual Service Provider Registration

Your client has requested that your service be paid by their Government Subsidised Home Care Package. All Home Care Package Providers have specific regulations and requirements they must meet as per the Aged Care Act 1997 (Cth). As your invoices are going to be paid by Government funds, the Government requires service providers (i.e. you) have certain insurances, and have signed the Charter of Rights. To meet that requirement, we need the following information from you.

Note: Invoices cannot be paid to service providers whose insurances have expired.

    Contact Name (required)

    Business Name (required)

    ABN (required)

    Is your business registered for GST? (required)
    YesNo

    Please provide the name of 3 current clients who we can ring for a reference. (required)

    Reference #1 and contact number

    Reference #2 and contact number

    Reference #3 and contact number

    Email Address (required)

    Contact Number (required)

    Business Address (required)

    Website Address

    Name of DCCS client you are providing services to (required)

    Type of service you provide (required)
    ChiropracticCleaningGardeningOccupational TherapyPhysiotherapyPodiatryPlumbingElectricalOther

    Have you had any complaints made about you at the Fair Trading Ombudsmen in the last 3 years? (required)
    YesNo

    Required files

    Please upload each of the following items:

    Download the Charter of Aged Care Rights and upload a signed copy as a PDF or JPG

    Upload your Schedule of fees (Acceptable file types: Word Document and PDF with a max file size of 2MB)

    Upload your Police Check (if you employ many staff, each employee who attends must also have a police check). Else you can upload a Statutory Declaration outlining that yourself and all staff in your employ have up-to-date clear police checks. (Acceptable file types: Word Document and PDF with a max file size of 2MB)

    Upload your Workers Compensation Insurance (Acceptable file types: Word Document and PDF with a max file size of 2MB)

    Upload your Public Liability Insurance (Acceptable file types: Word Document and PDF with a max file size of 2MB)

    Upload your Professional Indemnity Insurance (Acceptable file types: Word Document and PDF with a max file size of 2MB)