Notification of event form – COVID-19 (Registered providers)

NDIS Commission Registration ID (required)

Providers Legal Name (required)

Name and role of Notifier (required)

Phone contact details of Notifier (required)

Email contact details of Notifier (required)

For the purpose of this form any event (being impacts of the COVID-19 outbreak) that significantly affects the provider's ability to comply with any of the provider's conditions of registration under section 73F of the National Disability Insurance Scheme Act 2013 (the Act), including (select all that apply)

events which extensively limit the provider's ability to comply with the Practice Standards listed in the NDIS (Provider Registration and Practice Standards) Rules 2018;

events which seriously impair the provider's ability to effectively conduct its operations and deliver ongoing supports or services to NDIS participants;

The impact of COVID-19 that adversely affects access, by a person with disability, to the supports or services the provider is registered to provide (select all that apply)

a decision of a registered NDIS provider to not accept, on a temporary or permanent basis, new participants for supports or services that the provider is registered to provide;

a significant adverse change in wait times for the provision of supports or services to participants that the provider is registered to provide;

a significant shortfall in available workers of the registered NDIS provider to provide the supports or services the provider is registered to provide;

the cessation, on a temporary or permanent basis, of the provision of supports or services that the provider is registered to provide.

a worker's confirmed COVID-19 infection*;

a participant's confirmed COVID-19 infection*.

*There is no requirement to advise the NDIS Commission of the name or any other identifying details of the infected participant or worker. This is because an individual’s health information is sensitive information for the purposes of the Australian Privacy Principles (APP).

Any changes to the scale of its operations (select all that apply)

a significant increase or decrease in the number of participants being provided with a support or service as a result of staff losses due to infection or participant cancellations due to infection;

a decrease in staff that is unexpected and/or to an extent that the provider is unable to provide continuity of services or supports to the NDIS participants who currently receive such services or supports from the provider.

Please provide further details, ensuring that you include details of:

outlets impacted
suburbs impacted
number of staff affected
number of participants impacted
any decision of your organisation to minimise potential infection through discontinuation of certain supports
class of supports impacted

Actions taken

Please provide detail of actions taken to date in managing the above disclosures, including - where impacts to the provision of critical supports to NDIS participants has been identified - the alternative arrangements (in line with provider contingency planning) made to ensure continuity of supports.

Any other relevant information

Once you have completed this form, click 'submit'.

For any enquiries regarding this form, please contact the NDIS Commission:
Email: covid19notifications@ndiscommission.gov.au
Telephone: 1800 035 544