Registration Form

This service Agreement For

First Name

Middle Name

Last Name

Date of Birth

Gender

NDIS Number

Address

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Participant Contact Number

Participant Email

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Agreement Signature

I understand & agree to the terms & conditions of the agreement. *

Signature of participant / Authorised Representative

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Terms & Conditions

This Service Agreement is between Aurora Plan Manager and the Participant/Nominated Representative in the National Disability Insurance Scheme.

This Service Agreement will be in effect from today for the duration of the Participant’s association with Aurora Plan Manager, until we are notified otherwise in writing by the Participant/Nominated Representative.

To engage the services of Aurora Plan Manager, upon acceptance of this Service Agreement, the Participant/Nominated Representative, will provide their NDIS plan details, NDIS number and other relevant details as requested on this agreement, to Aurora Plan Manager.

Fees Schedule
Aurora Plan Manager agrees to provide the Participant Plan Management - Financial Administration. The supports and their prices are set out in the attached Fees Schedule.
All prices are GST inclusive ( if applicable ) and include the cost of providing the supports. Additional expenses (ie things that are not included as part of a Participants NDIS supports) are the responsibility of the Participant/Nominated Representative and are not included in the cost of the supports.

Responsibilities of Aurora Plan Manager
• provide plan management - financial administration
• reconcile client balances
• pay supplier invoices on behalf of client
• process client reimbursement claims
• track expenditure against client budget
• provide monthly statements of expenditure and available funding upon request
• assist with purchases where appropriate
• trouble shooting
• client liason - emails, phone calls etc
• consult the Participant/Nominated Representative on request regarding decisions about how funds are spent
• communicate openly and honestly in a timely manner
• treat the Participant/Nominated Representative with courtesy and respect
• listen to the Participant/Nominated Representative’s feedback and resolve problems quickly
• protect the Participant’s privacy and confidential information as per the Aurora Plan Manager Privacy Policy available on the Aurora Plan Manager website.

Responsibilities of the Participant/Nominated Representative
I agree to :
• take due steps to provide information as requested by Aurora Plan Manager in a timely manner
• treat Bright Plan Management staff with courtesy and respect
• discuss any concerns about our service with Aurora Plan Manager
• advise Bright Plan Management immediately if the Participant’s NDIS plan is suspended or replaced by new NDIS plan or the Participant stops being a participant in the NDIS Claiming Payments Aurora Plan Manager will claim directly from the NDIA an agreed monthly fee for the provision of support as agreed in Fees Schedule - Improved Life Choices ( Support Area 14 ) upon acceptance of the Service Agreement.

Fees Schedule – Improved Life Choices: (as funded by NDIS)

Support Item	Support Item Ref No.	Description	UOM	Price Limit
Plan Management and Financial Capacity Building - Set Up Costs	14_033_0127_8_3	A one-off (per plan) establishment fee for setting up of the financial management arrangements for managing of funding of supports	EA	$232.35
Plan Management - Financial Administration	14_034_0127_8_3	A monthly fee for the ongoing maintenance of the financial management arrangements for managing or funding of supports	MON	$104.45