Annual End of Year Client Update

Client Details

First Name*
Please enter your first name.
Please enter your first name.
Last Name*
Please enter your last name.
Please enter your last name.
Email*
Please enter your email.
Please enter your email.
Mobile Phone*
Please enter your mobile phone number.
Please enter your mobile phone number.

Carer/Educator Details

Carer/Educator 1 Details

First Name*
Please enter your first name.
Please enter your first name.
Last Name*
Please enter your last name.
Please enter your last name.

What will be the last date your carer/educator will work this year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date

What will be the first date your carer/educator will work next year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Will you be requiring your carer/educator again next year?
  • - select an option -
  • No
  • Yes
Field is required!
Field is required!

Fill in the hours and days for next year

Monday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Tuesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Wednesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Thursday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Friday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Saturday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Sunday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
What are your carer/educator's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer/educator?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?
You are not required to answer if you are part of the IHC Program
  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
Field is required!
Field is required!

Please TICK if you require your carer/educator on the following dates (keeping in mind that public holidays will incur extra charges)

Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!

Carer/Educator 2 Details

First Name
Please enter your first name.
Please enter your first name.
Last Name
Please enter your last name.
Please enter your last name.

What will be the last date your carer/educator will work this year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date

What will be the first date your carer/educator will work next year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Will you be requiring your carer/educator again next year?
  • - select an option -
  • No
  • Yes
Field is required!
Field is required!

Fill in the hours and days for next year

Monday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Tuesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Wednesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Thursday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Friday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Saturday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Sunday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
What are your carer/educator's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer/educator?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?
You are not required to answer if you are part of the IHC Program
  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
Field is required!
Field is required!

Please TICK if you require your carer/educator on the following dates (keeping in mind that public holidays will incur extra charges)

Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!

Carer/Educator 3 Details

First Name
Please enter your first name.
Please enter your first name.
Last Name
Please enter your last name.
Please enter your last name.

What will be the last date your carer/educator will work this year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date

What will be the first date your carer/educator will work next year?

Day
  • - enter the day -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
Please enter your commencement date
Please enter your commencement date
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Will you be requiring your carer/educator again next year?
  • - select an option -
  • No
  • Yes
Field is required!
Field is required!

Fill in the hours and days for next year

Monday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Tuesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Wednesday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Thursday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Friday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Saturday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!

Sunday

Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
What are your carer/educator's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer/educator?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?
You are not required to answer if you are part of the IHC Program
  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
Field is required!
Field is required!

Please TICK if you require your carer/educator on the following dates (keeping in mind that public holidays will incur extra charges)

Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Does your family receive care through the Government Subsidised In Home Care Program?*
Please answer the question.
Please answer the question.

If you answered 'Yes' to the above question, please acknowledge the below

Do you understand that when an educator attends a shift on a public holiday, the family will be charged much higher out of pocket expenses? (Please contact us for a quote before allowing your educator to work)
Please confirm.
Please confirm.
Do you understand that Educators may claim KM reimbursement costs directly from the family using the link on our Website? https://www.australiasleadinghomecareagency.com.au/km-reimbursement-request-form/
Please confirm.
Please confirm.
Do you understand that if the length of the shift is shortened or lengthened, it may result in a higher out of pocket expense being charged to the family? (Please contact us for a quote before making any changes)
Please confirm.
Please confirm.
Do you understand that if either the family or educator are taking time off, the agency must be contacted IN ADVANCE so that we can offer the Educator alternate work or the family an alternate educator?
Please confirm.
Please confirm.
Do you understand that Families must not allow or instruct Educators to enter sessions of care where either the Educator or eligible children are not present?
Please confirm.
Please confirm.
Do you understand that Families must reject timesheets that do not accurately reflect the attendance of the children in care?
Please confirm.
Please confirm.
Do you understand that if a family member or educator is unwell, you must report to the agency immediately for advice?
Please confirm.
Please confirm.
Do you understand that Families must not ask Educators to participate in activities where there is a high risk of injury e.g. trampoline centers, rock climbing walls, ice skating etc.? (Educators are to encourage and assist children to undertake physical activities however must not participate themselves)
Please confirm.
Please confirm.
Do you understand that if any incident occurs during a session of care involving injury, harm or trauma to or illness of a child, where medical attention was sought or ought to have been sought, or hospital attendance occurred, or where a child is missing or appears to have been taken, removed or locked in or out of a premises, it MUST be reported to the Agency immediately?
Please confirm.
Please confirm.
Do you understand that Educators are entitled to take 2 paid interrupted on premises breaks for shift longer than 10 hours and 1 paid interrupted on premises breaks for shifts between 6 and 10 hours? (The children should either be asleep or be undertaking independent play whilst the educator puts their feet up, can do some internet banking, have a cuppa, read a book while keeping an eye and ear out for the security, health and wellbeing of the children)
Please confirm.
Please confirm.
Do you understand that Educators are to be given access to internet, permitted to serve an additional portion of food and snacks for themselves, modeling appropriate table manners and good eating habits?
Please confirm.
Please confirm.

Confirmation

I confirm that all information completed within my Update form is true and accurate. I also agree to allow The Agency to share my information with Carers/Educators and other authorised personnel.*
Please confirm.
Please confirm.