Relief Wakes — NDIS Service Agreement

NDIS Provider No: 4053361903 | Registration ID: 4-L4W9WY1 Address: 155 Fernbrooke Boulevard, Redbank Plains QLD 4301 Phone: 0424 801 212 | Email: [email protected]

This Service Agreement is made for the purpose of providing supports under the participant's National Disability Insurance Scheme (NDIS) plan.

1. Parties to the Agreement

Provider: AusCongo Network Incorporated trading as Relief Wakes (ABN: 45 571 615 526) Participant Name: ___________________________ NDIS Number: ___________________________ Participant Representative (if applicable): ___________________________

2. Term of Agreement

This Service Agreement will commence on [Start Date] and will remain in effect until [End Date] or until the participant's current NDIS plan expires, whichever is earlier.

3. Schedule of Supports

Relief Wakes agrees to provide the following supports to the participant. All prices are in accordance with the current NDIS Pricing Arrangements and Price Limits (2025-26).

Note: Prices are subject to change in accordance with updates to the NDIS Price Guide. Relief Wakes will notify the participant of any price changes.

4. Responsibilities of Relief Wakes

Relief Wakes agrees to:

• Provide supports that meet the participant's needs at the participant's preferred times (where possible).
• Communicate openly and honestly in a timely manner.
• Treat the participant with courtesy and respect.
• Consult the participant on decisions about how supports are provided.
• Give the participant information about managing any complaints or disagreements.
• Listen to the participant's feedback and resolve problems quickly.
• Protect the participant's privacy and confidential information.
• Provide supports in a manner consistent with all relevant laws, including the NDIS Act 2013 and rules, and the Australian Consumer Law.
• Keep accurate records on the supports provided to the participant.
• Issue regular invoices and statements of the supports delivered.

5. Responsibilities of the Participant / Representative

The Participant / Representative agrees to:

• Inform Relief Wakes about how they wish the supports to be delivered to meet the participant's needs.
• Treat Relief Wakes staff with courtesy and respect.
• Talk to Relief Wakes if they have any concerns about the supports being provided.
• Give Relief Wakes the required notice if they cannot attend a scheduled appointment (see Cancellation Policy).
• Give Relief Wakes the required notice if they need to end the Service Agreement.
• Let Relief Wakes know immediately if the participant's NDIS plan is suspended or replaced by a new NDIS plan, or if the participant stops being a participant in the NDIS.

6. Payments and Billing

The participant's NDIS funding is managed by: [ ] NDIA Managed: Relief Wakes will claim payment directly from the NDIA. [ ] Plan Managed: Relief Wakes will send invoices to the Plan Manager: ___________________________ [ ] Self Managed: Relief Wakes will send invoices directly to the participant/representative.__

Invoices will be issued on a [weekly/fortnightly] basis. Payment terms are 14 days from the date of invoice.

7. Cancellation Policy

In accordance with the NDIS Pricing Arrangements, Relief Wakes requires 7 clear days' notice for the cancellation of a scheduled support. If a cancellation is made with less than 7 clear days' notice, or if the participant is a "no-show", Relief Wakes may charge up to 100% of the agreed price for the cancelled support.

8. Ending this Service Agreement

Should either party wish to end this Service Agreement, they must give 14 days' notice in writing. If either party seriously breaches this Service Agreement, the requirement of notice will be waived.

9. Feedback, Complaints and Disputes

If the participant wishes to give feedback or make a complaint, they can contact the Operations Manager, William Kadima, on 0424 801 212 or via email at [email protected]. If the participant is not satisfied or does not want to talk to Relief Wakes, they can contact the NDIS Quality and Safeguards Commission by calling 1800 035 544 or visiting ndiscommission.gov.au.

10. Agreement Signatures

The Parties agree to the terms and conditions of this Service Agreement.

For the Participant / Representative: Name: ___________________________ Signature: ___________________________ Date: ___________________________

For Relief Wakes: Name: ___________________________ Position: ___________________________ Signature: ___________________________ Date: ___________________________