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  • Direct Registration Form

  • Privacy and your personal information

    • Your personal information is protected by law, including the Privacy Act 1988 (Cth) and the Australian Privacy Principles. The personal information you provide (including sensitive information) is collected by your Transition to Work Provider on behalf of the Australian Department of Education, Skills and Employment (the Department) to:
    • work out whether you are eligible for Transition to Work Services
    • register you with a Transition to Work Provider
    • deliver services to you and help you improve your work readiness
    • help in evaluating and monitoring the services provided to you by the Department’s contracted p roviders
    • help to resolve complaints made by you or your Transition to Work Provider
    • so that you can be included in surveys conducted by the Department or on behalf of the Department.

    If you do not provide some or all of your personal information, the Department cannot ensure that you are provided with the most suitable level of assistance.

    You can request assistance from your Transition to Work Provider to complete this form if required. You may also have a nominee, including a family member, advocate, social worker or counsellor, with you for support when filling out this form.

    Your personal information may be passed on to and between the Department’s contracted providers, and to agencies involved in the administration of employment services and income support payments and services, including the Department of Human Services, the Department of Education, the Department of Home Affairs, the Department of Social Services, the Australian Taxation Office and the Department of the Prime Minister and Cabinet and their respective contracted providers where those providers are delivering services to you. In addition, your personal information may also be shared with third parties, such as activity hosts and employers, in the delivery of services to you.

    Where appropriate to do so, this information may also be shared with and between these and other organisations (including contracted service providers) in the course of providing you with employment services and assistance and in evaluating and monitoring those services and assistance.

    Please note that your sensitive personal information may also be used by the Department or given to other parties where you have agreed, or where the Department is otherwise permitted, including where it is required or authorised by or under an Australian law, such as social security law, a court or tribunal order, or where a duty of care exists.

    The Department’s Privacy Policy contains more information about the way in which we will manage your personal information, including information about how you may access your personal information held by the Department and seek correction of such information. The Privacy Policy also contains information on how you can complain about a breach of the Australian Privacy Principles and how the Department will deal with such a complaint. A copy of the Department’s Privacy Policy can be found on the Privacy page of our website or by requesting a copy from the Department via email at privacy@employment.gov.au.

  • 1. Participant identification details

    Are you already registered with:

    • Services Australia (Centrelink);
    • A Disability Employment Services provider;
    • An Australian Disability Enterprise;
    • A Community Development Programme provider;
    • A Harvest Trail Services provider;
    • A New Enterprise Incentive Scheme provider; or
    • A jobactive provider?
  • If yes, please provide your Job Seeker Identification Number and/or your Services Australia Customer Reference Number (this information can be found on any letter to you from Services Australia or your Services Australia Health Care Card or  Concession Card).

  • 2. Your personal details

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  • 5. Your Contact Details

    Postal Address

  • Residential address (if different from postal address)

  • Other Contact Details     Best Contact Method

  • 6. Income Support

    Do you receive a payment from the Services Australia?

  • 7. Personal Circumstances

  • if yes, go to 6d.

  • You must provide the documentation specified in either Group A or Group B (detailed below)

    Documents must be shown to your provider

  • Group A

  • Other form of photo identification from a government department or agency.

  • Group B

  • You must provide two of the following:

  • If you cannot provide information in either Group A or Group B, talk to your Transition to Work Provider about other documentation that is sufficient to prove your identity. For example, documentation that shows your name and address can be used to confirm your identity. This could include rates notices, mobile phone or other bills. Alternatively, other forms of documentation that contain your name, such as letters of reference, payslips from previous employment, library and other club memberships or education certificates may be used. Where you do not have sufficient documentation, the Department of Human Services may be able to assist.

  • To be completed where the Participant is determined to be eligible for Transition to work services

  • Declaration by Participant:

  • By signing below, I confirm that:

    • I have read and understood the completed form, and the information included in the form is complete and true to the best of my knowledge.
    • I have read, understood and agree to the collection, use and disclosure of my personal information as outlined on the first page of this form and in the Department’s Privacy Policy (www.employment.gov.au/privacy)
    • I am not currently participating in any other Australian Government Employment programmes (such as jobactive, Disability Employment Services or the Community Development Programme)
    • I understand that if I am in receipt of the Disability Support Pension and volunteering for assistance, I may need an Employment Services Assessment to ensure I am referred to the most appropriate service and to determine suitable participation levels in that service. This will not review my eligibility for the Disability Support Pension.
    • I understand what Transition to Work Services I can receive, including what help I can access to improve my work readiness and examples of activities that I may take part in.
    • I understand that my personal information may be transferred between Transition to Work Providers for the purpose of delivering Transition to Work Services.
    • I understand my personal information may also be transferred between the Department, other contracted employment services providers and Services Australia for the purposes of delivering employment services.
    • My Transition to Work Provider has explained the Service Guarantee and their Service Delivery Plan to me, if applicable.
    • I declare that, to the best of my knowledge, I am not prohibited by law from working in Australia.
    • I agree to participate in Transition to Work Services for up to 18 months unless I advise my Transition to Work Provider that I no longer wish to participate.
  • (Where applicable) Additional declaration by legal guardian or administrator of Participant:

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  • Declaration by Provider:

  • By signing below, I confirm that:

    • I have fully informed the Participant about the type of
      Transition to Work Services available to them, including
      what help they can access to improve their work readiness
      and examples of activities that they may take part in and the
      required eligibility to participate in those Services.
    • I have encouraged the Participant to provide as much
      relevant information as possible during the registration
      process, so that they can receive the help that best meets
      their needs.
    • I have sighted documents establishing the Participant’s
      proof of identity.
    • I have established that the Participant is eligible to work in
      Australia.
    • If relevant – I have established that the young person is
      eligible as a Group Two Participant as per the Eligibility,
      Referral, Commencement and Caseload Guideline.
    • The information about the Participant, as entered on this
      form and in the Department’s IT Systems, is true and correct
      to the best of my knowledge.
    • I have discussed the Service Guarantee and my Service
      Delivery Plan with the Participant, and have made them
      aware of their rights and the obligations of a Provider
      outlined in these documents, where applicable.
    • I have checked that all relevant questions in this form have
      been answered.
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