Exemption for Use and/or Possession of Personal Device Application

Exemption for Use and/or Possession of Personal Device Application

NERPSA cannot authorise the use of a personal device to take images or videos of children.
This form is for staff who require a documented pre-approved exemption to the policy restricting the use of personal electronic devices while working directly with children.

A pre-approved exemption is not required for emergency communication during a serious incident, lockdown, or evacuation, or to manage a lost child, as NERPSA considers it critical to have access to communications in these situations to ensure the safety of all children and staff.

However, in the event of an emergency situation occurring, an exemption form must be lodged to ensure use of your device is appropriately recorded on our register.

NERPSA cannot authorise the use of a personal device to take images or videos of children.
Name*

FirstLast
Email*
example@example.com
Exemption Start Date*

DayMonthYear
Date
Exemption End Date

DayMonthYear
Date
Required Device*
eg., mobile phone.
Reason for Pre Exemption*

Personal health requirements (for example, heart or blood sugar level monitoring).Disability (for example, where a personal electronic device is an essential means of communication for an educator or other staff member).Family necessity (for example, a staff member with an ill family member).
Reason for Post Exemption*

Emergency communication during excursions and regular outings (for example, for when groups of children and educators get split up).Emergency communication when children are transported or travel on transport arranged by the service.Communication in an emergency situation involving a lost child, injury to child or staff member, or other serious incident, or in the case of a lockdown or evacuation of the service premises.Technology failure (for example, when a temporary outage of service-issued electronic devices has occurred).A local emergency event occurring, to receive emergency notifications through government warning systems (for example, bushfire evacuation text notification).
Please provide a detailed explanation of your need for the exemption. Be specific about the circumstances and why a service issued device cannot be used in this situation. *
Signature*

Clear
File Upload

Supporting Documents, eg. Dr's Certificate etc.
Cancelof
Once your application has been approved, please print the full approval document and place it in your staff record. If you work at more than one service, be sure to place a copy in the staff record at each service where you work.
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