Secondary Employment Declaration Form sample page preview

Secondary Employment Declaration Form

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

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.

Digital product. Because these are instant downloads, we do not offer refunds for change of mind once your files have been accessed. This does not affect your rights under the Australian Consumer Law. Bought the wrong pack? Contact us within 30 days and we will credit what you paid towards the right one. If you have a technical issue accessing your files, contact us and we will sort it out. See our refund policy.
Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.