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    NDIS Check Refund Form

    Uploaded by

    Nika Garcia
    The document provides instructions for requesting a refund of the fee paid for an NDIS Worker Screening Check. It notes that refunds are not guaranteed and requests must include details of the applicant's identity, screening application number, and bank account. Applicants must complete all sections of the refund request form and submit it to the NDIS Worker Screening Unit for processing within 4-6 weeks.

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    NDIS Check Refund Form

    Uploaded by

    Nika Garcia
    75 views3 pages
    The document provides instructions for requesting a refund of the fee paid for an NDIS Worker Screening Check. It notes that refunds are not guaranteed and requests must include details of the applicant's identity, screening application number, and bank account. Applicants must complete all sections of the refund request form and submit it to the NDIS Worker Screening Unit for processing within 4-6 weeks.

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    The document provides instructions for requesting a refund of the fee paid for an NDIS Worker Screening Check. It notes that refunds are not guaranteed and requests must include details of the applicant's identity, screening application number, and bank account. Applicants must complete all sections of the refund request form and submit it to the NDIS Worker Screening Unit for processing within 4-6 weeks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    75 views3 pages

    NDIS Check Refund Form

    Uploaded by

    Nika Garcia
    The document provides instructions for requesting a refund of the fee paid for an NDIS Worker Screening Check. It notes that refunds are not guaranteed and requests must include details of the applicant's identity, screening application number, and bank account. Applicants must complete all sections of the refund request form and submit it to the NDIS Worker Screening Unit for processing within 4-6 weeks.

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    © All Rights Reserved
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    Refund Request Form

    Victorian Worker Screening Unit

    Important information

    The NDIS Worker Screening Check fee is non-refundable. The


    granting of a refund is at the discretion of the department and
    is not guaranteed. If a decision is made not to issue you with a
    refund you will be notified in writing.
    If you are a volunteer, you need to apply for a volunteer fee
    waiver before you apply for your NDIS Check. Volunteers who have
    not been granted a fee waiver may not be eligible to have the
    NDIS application fee refunded.
    If you do not provide all relevant details, we may not be able to
    process your request. Please note that we will use the information
    you provide to update our records if appropriate.
    If your application for a refund is approved, your bank account will
    be credited electronically. Please allow 4-6 weeks for your refund
    application to be processed.

    How to use this form


    1. Complete all sections of this form
    2. Send your completed form to the NDIS Worker Screening Unit
    by email to: [email protected]

    If you need assistance with completing this form and making a


    request for a refund, please call the Customer Support Line on
    1300 652 879.
    Applicant's details

    First name Email

    Middle name/s Phone number

    Surname or family name NDIS application number

    Account details
    Provide your account details below. Your refund will be credited to this account if your request
    is approved.

    Account name

    Account number

    BSB

    Financial institution name


    Reason for refund

    I have been granted a volunteer fee waiver


    I have been given permission to withdraw my application
    I have been given an NDIS Clearance.
    As my NDIS role involves child-related work, I am required to complete a WWC Check.
    Please refund the WWC Check fee.
    Working with Children Check Card or application number:

    Other – explain why you are requesting a refund below

    Declaration

    The information I have provided above is true and correct. I authorise the Worker
    Screening Unit to process or amend my application for a NDIS Worker Screening
    Check as applicable.

    Signature

    Date

    It is a criminal offence under section 128 of the Worker Screening Act 2020 to provide false or
    misleading information in relation to an application for an NDIS Check.

    Privacy information

    Worker Screening Victoria is bound by Victorian privacy laws (Privacy and Data
    Protection Act 2014 and Health Records Act 2001).
    For further information visit our website at:
    vic.gov.au/ndis-worker-screening-check

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