Your email
*
example@example.com
Support Provider First & Last name
*
Type of support provided
*
Please Select
Online Session
In person session
Supported Training or MYCamp STA support
Cancellation
Non-NDIS client sessions, Program Developments & Other Support Assistances
Client(s) Full Name - Correct spelling as per our system required - For group sessions please write all clients full names with commas
*
Please ensure correct spelling of client names as per our system to avoid payment delays.
Have you entered the clients home & completed a home safety check?
*
Please Select
Yes - complete the home safety check report in the past
No - I haven't completed the home safety check
Not Applicable - haven't entered clients home
Are there any incidents or risks to report?
*
Please Select
Incident to report
Risk to report
Incident & Risk to report
No risks or Incidents to report
Method of travel
*
Please Select
Motor Vehicle (own)
Motor Vehicle (shared)
Public Transport
Push Bike
E-Bike
Walking
Not Applicable
Does the participant live alone with no informal support and are you the only support the participant has?
*
Please Select
Yes - the participant lives alone with no other support
No - the participant has other support
Home Safety Check Report - Please note any risks or hazards in the participant home, please include address, access details, if there are pets or cleanliness issues & how any applicable risks will be managed.
*
Serious incident (Y/N)
*
Please Select
Yes - Serious
No - Not Serious
Was anyone injured?
*
Please Select
Yes
No
Was the incident reported to any government body or agency?(eg emergency services, police etc.)
*
Incident Report - Include persons effected by incident, description of incident including dates, if first aid was provided, location, times, witness details, steps taken to manage incident & to reduce &/or avoid the same incident from occurring again
*
Risk level of risk identified (L, M, H, C)
*
Please Select
Low
Medium
High
Critical
Risk Report - Include Gaps or risk identified, Location (Address or areas affected), Risk control & management strategies
*
Risk level after control & management strategies implemented (L, M, H, C)
*
Please Select
Low
Medium
High
Critical
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Finish Time
*
Hour Minutes
AM
PM
AM/PM Option
Support Delivery Start Date
*
-
Year
-
Month
Day
Date support started
Support Delivery End Date
*
-
Year
-
Month
Day
Date support ended
Support Notes
*
Please include start / finish time what you did, where you went & how the supports helped the client.
Claim Reference Number
*
Please use your initials followed by the client initials & the date of supports. Eg Your Name, Participant Name 22nd Feb 2026 = YNPN220226. For group sessions please use your initials & a capital G followed by the date of supports. Eg YNG220226
Travel time
*
Please Select travel time in decimal
0.0
0.17
0.25
0.33
0.42
0.5
0.59
0.67
0.75
0.84
0.75
0.92
1
You can invoice travel time to the participant from contractors home business address or usual place of business and from participant to another participant and back to home business address or usual place of business from last participant of the day upto a maximum of 0.5hrs (30mins) in a given journey unless otherwise specified inline with NDIS guidelines. Decimals listed are in 5minute increments. Maximum travel to & from 1hr.
Quantity
*
Please enter the Support Quantity here (number of hours for sessions & quantity of days for STA, planned Supported Trainings & MYCamps) - support hours need to be written to 2 decimal places. eg Start time of 12pm finish time 2:30pm - 2hrs 30mins would be written as 2.5hrs. Then an additional 0.25hrs for reporting - 2hrs 45mins Support Quantity would be 2.75hrs entered as 2.75 in the Quantity field.
Quantity Amount (Agreed fees above)
*
Please see relevant Mindful Yoga Carer Fees scehdule per hour above in the dropdown weekdays level 0 $40/hr, level 1 $46/hr, level 2 $48/hr, level 3 $50/hr, Sat $65/hr, Sun $75/hr, PH $90/hr. Please enter the applicable day or hourly fee amount for the support provided.
Travel Quantity Amount (hourly)
Start Vehicle Odometer Kilometres Reading - Prior to departure to client
*
End Vehicle Odometer Kilometres Reading - upon direct return to usual business address from last participant or vehicle speedometer reading prior to departure from client.
*
Kilometers
*
We pay Kilometers traveled to the participant & whilst with the participant travelled in a motor vehicle only capped at 100kms unless otherwise specified.
Additional Expenses
We pay up to $10 for weekday minimum sessions & $30 for Saturday or Sunday minimum sessions. Purchases above need to be pre-approved.
Additional Expenses
Session total earnings calculation
*
Example: Support Hrs + 0.5hrs travel x Hourly Amount + Motor Vehicle Kilometers if relevant x 0.70cents + Additional expenses = Session Total Earnings
Is your business registered for GST?
Please Select
Yes
No
Tax Invoice total
*
Formula to calculate ((Support Quantity + Travel) x Quantity Amount) + Kilometers x $0.7 + additional expenses = tax invoice total.
Please upload additional expenses receipts, any photos of client receipts for purchases, photos of client doing supports if any, cancellation evidence if any
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload travel evidence - Acceptable Evidence: Log book with odometer readings, arrival & departure times, addresses of all places travelled including departure address or Google Timeline with total kilometers times & places of travel, or maps application screenshot of all places travelled for support with typical travel time and kilometres shown - eg Google maps or Apple maps, public transport receipts, start and finish odometer photos
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Has the support provider provided their preferred superannuation fund details to Yogability?
*
Please Select
Yes
No
Support provider state
*
Please Select
NSW
VIC
QLD
SA
WA
NT
TAS
ACT
Please enter your valid ABN
*
Please use your valid Australian Business Number (ABN) that you signed up & have been screened with.
BSB
*
Account Number
*
Tags
Address
Suburb
Postcode
State
Super Fund
Super USI
Super member number
DOB
-
Year
-
Month
Day
Date
Please sign here to confirm the information you have submitted in the form is accurate
Submit
Should be Empty: