NDIA/NDIS Individual Service Agreement Renewal

This Service Agreement is made for the purpose of providing supports under the Participants’ National Disability Insurance Scheme (NDIS) plan.


This agreement is made between: (the participant)


e.motion21 (the provider)
188 High Street Kew VIC 3101
Ph: 03 9854 7100
Email: info@emotion21.org.au

NDIS Information

The Parties agree that this Service Agreement is made in the context of the NDIS, which is a scheme that aims to:

  • support the independence and social and economic participation of people with a disability; and
  • enable people with a disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports.

The supports described in this Service Agreement are reasonable and necessary supports specified in the statement of supports in the Participant’s NDIA current plan (under section 37 of the National Disability Insurance Scheme Act 2013). e.motion21 will adhere to the National Disability standards.

  • The Participant’s NDIA plan is expected to remain in effect during the period the supports are provided; and
  • The Participant will immediately notify the Provider if the Participant’s NDIA Plan is replaced by a new plan or the Participant stops being a participant in the NDIA.

Cancellations and Absences

From 1st July 2020, participants will be required to give 2 business days’ notice for a cancellation if they want to avoid paying the full fee for a cancelled service

Please note for planned cancellations or if the participant is unable to attend for a longer period for whatever reason, please advise via email the office at info@emotion21.org.au. 

Changes to this Service Agreement

If changes to the supports or their delivery are required, the Parties agree to discuss and review this Service Agreement. The Parties agree that any changes to this Service Agreement will be in writing, signed, and dated by both Parties.

Ending this Service Agreement

Should either Party wish to end this Service Agreement they must give one months’ notice, in writing with an email to info@emotion21.org.au. If either Party seriously breaches this Service Agreement the requirement of notice will be waived.

The NDIS price for services is set by the NDIA and is reviewed annually. e.motion21 reserves the right to change the price of its services in accord with any changes made by the NDIA to service pricing.

Participants will be charged the full NDIS rate and only if their package allows partial funding by NDIS they need to cover the balance.

At the end of each term, e.motion21 will send the participant an invoice for those supports for the participant to pay.

The Participant will pay the invoice within 7 days from the date of issue. A late fee of $25 per term applies for payments made past this invoice due date.

Teaching the participant

Agreed code of conduct

  1. Behave in a way that is aligned to e.motion21’s core values of care, fun, learn and respect and follow e.motion21 class rules.
  2. Attend class on time; SMS or email the office when unable to attend, giving at least 24 hours’ notice.
  3. Support e.motion21 policies and procedures.


  • has zero tolerance for child abuse
  • actively works to listen to and empower children
  • has systems to protect children from abuse, and will take all allegations and concerns very seriously and responds to them consistently in line with the organisation’s policies and procedures
  • is committed to promoting physical, emotional and cultural safety for all children
  • is committed to providing a safe environment for all children

At any stage during your interaction with e.motion21 should you wish to use the services of an advocate please contact the Office of the Public Advocate on 1300 309 337 or via their website on www.publicadvocate.vic.gov.au

The Victorian Public Advocate is empowered by law to promote and safeguard the rights and interests of people with a disability.

There are a number of other specific advocacy agencies funded through the OPA. They can be found on the Department of Human Services, Victoria website – please click on the link below:
http://www.dhs.vic.gov.au/for-service- providers/disability/protecting-rights/disability-advocacy/disability-advocacy- organisations

e.motion21 welcomes feedback from the participant or participant’s representative and seeks to resolve any concerns a participant may have, in a timely and professional manner.

If the participant wishes to give e.motion21 feedback or has a dispute, the participant can talk to their Volunteer Site Coordinator or a staff member at Kew Head Office. Or complete our online Feedback Form here

If the participant is not satisfied with the outcome they can contact e.motion21 CEO at the office. ‘Alternatively, the Participant can make contact with the Office of the Disability Service Commissioner’ on 1800 677 342, or visit the ODSC website on www.odsc.vic.gov.au for further information.

e.motion21 will:

  • protect your privacy and confidential information
  • consult the participant and/or your parent/carer on decisions about any changes to the services provided
  • listen to your feedback and resolve problems quickly
  • treat you with courtesy and respect


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Last updated: 22/08/2018 (v3)