Consent to Share Information

Participant First Name *

Participant Last Name *

Participant NDIS Number *

Participant Date of Birth *

New Contact Details

I would like to give consent to *

A single PersonA Company and any of their Representatives

Singel Person Consent Types

General Conset - Allows a person to request information from Aver about your funding and invoices

Account Nominee - Allows a person to request information from Aver about your funding and invoices, Make changes to profile details and consent and has decision making authority.

I would like this person to have *

General ConsentAccount Nominee Consent

First Name *

Last Name *

Relationship to Participant *

Email Address

Phone Number

Would you like this person to have access to your online portal

YesNo

Please note, by providing someone with access to your portal they will be able to see: - Your NDIS Funding - Your Invoices - Personal Information - Access to upload invoices

Would you like this person to receive statements? *

YesNo

How would you like this person to receive their statements?

How frequently would you like this person to receive your statements?

Please provide the postal address

Street address

City

State

Postcode

Consent Types

General Conset - Allows a person to request information from Aver about your funding and invoices

Account Nominee - Allows a person to request information from Aver about your funding and invoices, Make changes to profile details and consent and has decision making authority.

I would like this Company to have *

General ConsentAccount Nominee Consent

Company Name *

Main Company Contact (name) *

Company Email Address *

Company Contact Phone Number *

What are the services this company provide you? *

Would you like this Company to have access to your Online Portal? *

YesNo

Would you like this company to receive copies of your statements? *

YesNo

How would you like this company to receive your statements?

How frequently would you like this company to receive your statements?

Please provide the company postal address

Street address

City

State

Postcode

If you require invoices to be pre-approved before our accounts team process them. Please contact us on 1300 283 776 or email admin@averplanmanagers.com.au to arrange this to be setup

Terms and Conditions

You should only provide consent to a trusted person
The form can only be completed by the Participant or an Account Nominee
If the participant is 18 or older, they will automatically be an Account Nomiee.
- If the participant is 18 or older and they should not have access to being an Account Nominee, Aver require a copy of legal documentation to demonstrate a gaurdianship or relinquishing of decision making.
- If there is a dispute between the participant and the Account Nominee regarding choice and control, Aver will follow the wishes of the Participant unless the legal documentation highlighted above is provided.
No one will be able to request any information from Aver regarding an account without consent.
If is the Particpants and/or Account Nominees responsibility to contact Aver to add or remove consent.

Agreement

Your First and Last Name *

Are you the Participant or an Account Nominee? *

YesNo

By Signing this I agree to the Terms and Condition *

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Date *