Associated Provider Onboarding
Service Agreement
Start Here
Instructions for Completing the Associated Provider Service Agreement
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Download a copy of the Associated Provider Service Agreement.
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Complete all relevant sections accurately.
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Sign the declaration at the beginning of the document.
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Sign and have a witness co-sign the Statutory Declaration located toward the end of the document.
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Go to Step 2 and upload the relevant documents
Contractor Compliance Requirements
Mandatory (attach all):
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Valid photo ID — NSW Driver Licence, NSW Photo ID, or Passport *
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Active ABN *
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Statutory Declaration and Undertaking *
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Police Check or NDIS Worker Screening Check *
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Workers Compensation Insurance (icare Certificate of Currency) *
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Public Liability Insurance — minimum $20,000,000 for clinical businesses and $5,000,000 nonclinical traders (Certificate of Currency) *
If applicable:
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Working With Children Check
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Overseas Criminal History Check (if you have lived/worked overseas)
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Trade Licence / Qualifications
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White Card
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Safe Work Method Statement (SWMS)
Submission Instructions
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Attach: Your Associated Provider Service Agreement (signed in both required places) and all supporting documents to the form below.
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Or send via email: contractors@omnicare.org.au
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Enquiries: 1300 336 488
Document Quality
Please ensure all documents are current, clearly legible, and complete. Certificates of Currency must be valid as at the date of submission.
*Mandatory document