SERVICE AGREEMENT

Marley Ability Service Agreement

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Service Agreement

The following is a service agreement between Marley Ability (ABN 85107236231) and:

Participant Name *

First

Last

NDIS Number

Date Of Birth

NDIS Plan Start Date

NDIS Plan End Date

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

NOMINEE/REPRESENTATIVE

First

Last

(If Applicable)

NOMINEE/REPRESENTATIVE EMAIL

Email (If Applicable)

In order to better support you, it can be helpful for us to be aware of your disability. We understand if you wish for this to remain private. Would you like to disclose your disability?

If Yes, Please state your condition/s below.

If you haven't already provided this, please Upload Your NDIS Plan here.

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Please Upload A copy of your NDIS plan here.

Marley Ability are mandatory reporters – this means that we are required to report any form of suspected or alleged abuse, neglect, or risk of harm. The report will be made to DCJ, NDIS Quality & Safeguard Commission, Police, Aged Care Quality & Safeguard Commission, or any other relevant service.

We are not an emergency service or helpline. In case of an Emergency, either physically or mentally or support outside of usual business hours, please call the numbers below.

Police/Ambulance/Fire: 000 (24/7) Lifeline: 13 11 44 (24/7) Beyond Blue: 1300 224 636 (24/7)

Feedback Or Complaints

Feedback, complaints and disputes If the Participant wishes to give the Provider feedback or is not happy with the provision of supports and wishes to make a complaint the Participant can contact: Email admin@marleyability.com Phone number: (03) 8679 2248

Schedules of support

Marley Ability agrees to provide the participant with supports as per the below schedule of supports. We charge as per the NDIS Price guide, and no more. Additional expenses (i.e. things that are not included as part of a participants NDIS supports/ allocation) are the responsibility of participant/s representative. We are committed to providing high-quality services that are accessible and affordable for all individuals. To ensure fairness and transparency in our pricing, we adhere strictly to the National Disability Insurance Scheme (NDIS) pricing framework. This means that our charges for services and supports align precisely with the NDIS price guide, ensuring that our clients can easily manage their budgets, access necessary services, and receive maximum benefits from their NDIS plans. We are constantly vigilant about updates to the NDIS price guide and promptly adjust our rates to remain in line with these modifications.

NDIS Price Guide

This is updated to the NDIS 2024-2025 price guide. You can find it here: PB NDIS Pricing Arrangements and Price Limits 2024-25 v1.2

Changing or Ending this Service Agreement

If changes to the supports or their delivery are required, the Parties agree to discuss and review this Service Agreement. The Parties agree that any changes to this Service Agreement will be in writing, signed, and dated by the Parties. Should either Party wish to end this Service Agreement they must give 1 months’ notice, this notice may be waived upon mutual agreement of participant and Support Coordinator. If either Party seriously breaches this Service Agreement the requirement of notice will be waived.

Terms and Conditions

For face-to-face appointments, Travel charges of up to 30 minutes each way will be charged, where appropriate as per NDIS Support Catalogue. • These supports can include non-face-to-face supports/ billable time. Such as but not limited to: report writing, liaison and research etc. • Prices may vary if participant is located in a ‘Remote’ location. As per NDIS price guide. • All prices are subject to change pending review of the NDIS price guide. Prices will be indexed accordingly. • Service providers can charge you a cancellation fee if a participant doesn’t turn up to a service or cancel it with less than 10-business days’ notice.

Click here for Marley Ability Participant Welcome Pack

Hereby accept the terms of service *

The Parties Agree to this Service Agreement and the terms and conditions that are set out in this agreement and our Participant Welcome Pack.

Signature *

Clear Signature

Verbal Consent given?

Verbal
Written

Date *