Sample NDIS Conflict of Interest Declaration - Combined Housing and Support template

Conflict of Interest Declaration - Combined Housing and Support

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

A conflict of interest declaration form for providers that supply both the housing and the SIL support to the same participant. It also applies where a director, family member or related entity holds the housing. Complete it before supports start, when the arrangement changes and at least annually.

What is inside:

  • When to complete the form
  • Declaration: participant, property, housing provider, nature of the housing interest and start date
  • Assessment of specific risks, such as the participant believing their housing depends on accepting supports
  • Conclusion on whether the conflict can be managed
  • Management actions, including separate agreements, advocacy referral, independent tenancy decisions and contingency arrangements
  • Plain-language explanation to read with the participant
  • Record that it was explained, signatures and a review log
  • 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.