Secondary Employment Declaration Form
A single form for workers to disclose any other employment, self-employment or contracting work, and for a manager to assess it. Workers complete it at commencement and update it within 5 business days of starting or ending a secondary job.
It helps you spot conflicts of interest and manage fatigue risk, and keeps a record on each worker's personnel file that supports the Human Resource Management requirements of the NDIS Practice Standards.
What is inside:
- Worker details: name, role, employment type and start date
- Secondary employment: employer, nature of business, role, weekly hours, and whether it involves people with disability or access to your participants or information
- Conflict of interest questions, including overlap with your current participants and effects on availability or fatigue
- Worker declaration
- Manager review: conflict identified, action taken and sign-off
- Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
- Editable DOCX with a placeholder legend, so you enter your details once
- Instant download
These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.
Buying more than one template? This one is also in
On its own this template is $24.99. Each pack below includes it, plus the rest of the set.
Add-on modules and other packs
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