Service Standard 7- Organisational and administrative arrangements

13. Explain any training and procedures which are in place to ensure that the applicant and its staff abide by the Commonwealth Privacy Act.

Please provide a succinct statement.

Service Standard 9 – Evidence of compliance with operational standards

14. Describe how the applicant will document evidence on file to demonstrate ongoing compliance with these standards (SS 9.1).

Please provide a succinct statement.

Appendix 5- Comcare agreement and authorisation

I, _________________________________________________________________
(please print full name)

holding the position of: _______________________________________________ ,
(please print title)

on behalf of the applicant: _____________________________________________
(please print name of applicant)

1. certify that the information provided in this application and in support of the application is true and correct. I understand that giving false or misleading information is a serious offence under the Criminal Code

2. agree to advise Comcare as soon as possible of any changes to the information provided in this application, and

3. authorise relevant persons to provide to Comcare personal information in relation to this application and for the purposes of enabling Comcare to determine whether the applicant, a relevant principal or employee of the applicant is complying with the Operational standards for rehabilitation program providers (workplace rehabilitation providers) determined under section 34E of the SRC Act. In particular, I understand that this authorises Comcare to seek confirmation of the qualifications, probity and financial standing of the applicant, relevant principals and any workplace rehabilitation provider engaged or employed and the likely effectiveness, availability and cost of the rehabilitation programs which may be provided by the applicant.

If the applicant is approved as a workplace rehabilitation provider, I:

4. understand that failure to comply with the Operational standards for rehabilitation program providers (workplace rehabilitation providers) determined under section 34E of the SRC Act or the Criteria for initial approval or renewal of rehabilitation program providers (workplace rehabilitation providers) determined under section 34D of the SRC Act may result in the revocation of approval under section 34Q of that Act; and

5. agree to advise Comcare in writing within one month of any changes in workplace rehabilitation providers employed or engaged by the applicant to manage return to work plans under the SRC Act, including evidence of qualifications, experience/supervision arrangements and training

6. agree to Comcare listing the applicant’s name, service delivery description and contact details on Comcare’s website.

Signed………………………………………(Applicant) Date………………….