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 YNPN220223. For group sessions please use your initials & a capital G followed by the date of supports. Eg YNG220223.
Quantity
*
Please write support hours to 2 decimal places. eg 2hrs 30mins would be 2.5hrs, 2hrs 45mins would be 2.75hrs please include your reporting & preparation time. For MYCamp STA or STA supported trainings put number of days.
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
We pay travel time to the participant from 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
Hourly Amount
*
Please see relevant fees per hour above in the dropdown.
Agreed Amount (Per day, Hourly or Total for period)
Per day amount, per hour agreed amount or total agreed amount for period
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
*
Please enter the tax invoice total based on agreed terms. Please only claim upto 3hrs for cancellations for supports that would have included travel unless a higher minimum has been specified & 2hrs for cancelled online sessions.
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
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Choose a file
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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 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 ABN that you signed up & have been screened with.
BSB
*
Account Number
*
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