ABN Support Worker Form

Applicant Details

Name(Required)

First Name Last Name

Date of Birth

Gender

Email(Required)

Phone(Required)

Address(Required)

Street Address Suburb State / Territory ZIP / Postal Code

Name of the client you'll be supporting(Required)

I have a current Motor Vehicle License and a vehicle(Required)

Yes

Checks and Clearances

Please provide the below checks and clearances by uploading them. You do not need to have all checks and clearances at the time of application (now) but will need these but they will be required to receive payment for services provided. You will also be required to sign an Independent Contractor Agreement with My Supports.

NDIS Worker Screening Check(Required)

Max. file size: 50 MB.

NDIS Orientation Modules

Max. file size: 50 MB.

Driver's License

Max. file size: 50 MB.

Comprehensive Car Insurance Certificate of Currency

Max. file size: 50 MB.

Home and Contents Insurance policy

Max. file size: 50 MB.

Only if supports are not at the client's normal residence

Australian Passport, Birth Certificate or VISA proving your right to work in Australia

Max. file size: 50 MB.

Any relevant Qualifications

Max. file size: 50 MB.

Public Liability Insurance

Max. file size: 50 MB.

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