Form SU683 - Details of study, training, work or other activities Instructions
This form contains 234 fields organized into 84 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Activity Stop Date | ||
| Stop Date - Day | Date |
Enter the day the activity stopped. Fill only if 'Are you doing voluntary work for a charitable, welfare or community organisation?' is 'No'.
Depends on:
No
|
| Stop Date - Month | Date |
Enter the month the activity stopped. Fill only if 'Are you doing voluntary work for a charitable, welfare or community organisation?' is 'No'.
Depends on:
No
|
| Stop Date - Year | Date |
Enter the year the activity stopped. Fill only if 'Are you doing voluntary work for a charitable, welfare or community organisation?' is 'No'.
Depends on:
No
|
| Australian Business Number | ||
| ABN Part 1 | Text |
Enter the first segment of your Australian Business Number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| ABN Part 2 | Text |
Enter the second segment of your Australian Business Number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| ABN Part 3 | Text |
Enter the third segment of your Australian Business Number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| ABN Part 4 | Text |
Enter the fourth segment of your Australian Business Number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Australian Business Number (ABN) | ||
| ABN Segment 1 | Text |
Please enter the first segment of your Australian Business Number. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| ABN Segment 2 | Text |
Please enter the second segment of your Australian Business Number. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| ABN Segment 3 | Text |
Please enter the third segment of your Australian Business Number. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| ABN Segment 4 | Text |
Please enter the fourth segment of your Australian Business Number. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Australian Disability Enterprise Employment Question | ||
| No | Checkbox |
Check this box if you do not work for an Australian Disability Enterprise. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you work for an Australian Disability Enterprise. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Australian Disability Enterprise Status | ||
| No | Checkbox |
The user should check this box if they do not work for an Australian Disability Enterprise. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
The user should check this box if they do work for an Australian Disability Enterprise. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Benefit and Obligation Status | ||
| No, not receiving JobSeeker, Youth Allowance, or Parenting Payment | Checkbox |
Check this box if you are not receiving JobSeeker Payment, Youth Allowance (job seeker), or Parenting Payment with mutual obligation requirements.
|
| Yes, receiving JobSeeker, Youth Allowance, or Parenting Payment | Checkbox |
Check this box if you are receiving JobSeeker Payment, Youth Allowance (job seeker), or Parenting Payment with mutual obligation requirements.
|
| Business Details | ||
| Business Name | Text |
Please enter the full legal name of your business. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Business Address Line 1 | Text |
Please provide the first line of your business's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Business Address Line 2 | Text |
Please provide the second line of your business's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Business Suburb/City | Text |
Please enter the suburb or city of your business's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Business Postcode | Text |
Please enter the postal code for your business's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Type of Work | Text |
Please describe the type of work you are currently performing for your business. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Court-Ordered Voluntary Work Question | ||
| No | Checkbox |
Check this box if your voluntary work is NOT part of a court order or community service order. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if your voluntary work IS part of a court order or community service order. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Current Motor Vehicle Possession Status | ||
| No | Checkbox |
Check this box if you no longer have the motor vehicle you were given by the Department of Veterans' Affairs.
|
| Yes | Checkbox |
Check this box if you still have the motor vehicle you were given by the Department of Veterans' Affairs.
|
| Acknowledgement | Text |
Please enter your acknowledgement or initials as required.
|
| Declaration | ||
| Signature | Text |
Provide your signature to declare the information is complete and correct.
|
| Phone Number | Text |
Enter your phone number, including the area code.
|
| Date Day | Date |
Enter the day of the month for the declaration date.
|
| Date Month | Date |
Enter the month for the declaration date.
|
| Date Year | Date |
Enter the year for the declaration date.
|
| Disability/Parenting Payment without Mutual Obligation Status | ||
| No | Checkbox |
Check this box if you are NOT receiving Disability Support Pension or Parenting Payment without mutual obligation requirements.
|
| Yes | Checkbox |
Check this box if you ARE receiving Disability Support Pension or Parenting Payment without mutual obligation requirements.
|
| Employer's Address | ||
| Employer Address Line 1 | Text |
Please provide the first line of the employer's address. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employer Address Line 2 | Text |
Please provide the second line of the employer's address. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employer Address Line 3 | Text |
Please provide the third line of the employer's address. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employer Postcode | Text |
Please provide the employer's postcode. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employer's Name | ||
| Employer's Name | Text |
Please enter the full name of your employer. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employer's Phone Number | ||
| Employer's Phone Number | Text |
Please provide the employer's full phone number, including the area code. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Employment and Earnings Status | ||
| No | Checkbox |
Check this box if you are not employed and earning money, and proceed to question 10. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you are employed and earning money, and proceed to the next question. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Employment Hours | ||
| Hours Worked Over 2 Weeks | Number |
Please enter the total number of hours you spend at work over a 2-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Hours Worked Over 4 Weeks | Number |
Please enter the total number of hours you spend at work over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employment Services Program Participation Status | ||
| No | Checkbox |
Check this box if you are not participating in a program with an employment services provider.
|
| Next Question Number | Text |
Enter the number of the next question or section to proceed to if you are not participating in an employment services program. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you are participating in a program with an employment services provider.
|
| Employment Services Provider Contact Details | ||
| Provider Name | Text |
Enter the full name of the employment services provider. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 1 | Text |
Enter the first line of the employment services provider's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 2 | Text |
Enter the second line of the employment services provider's street address, if applicable. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Suburb / City | Text |
Enter the suburb or city of the employment services provider's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Postcode | Text |
Enter the postcode for the employment services provider's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Phone Number | Text |
Enter the phone number of the employment services provider, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employment Services Provider Details | ||
| Provider Name | Text |
Please provide the full name of the employment services provider. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Address Line 1 | Text |
Please provide the first line of the employment services provider's address. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Address Line 2 | Text |
Please provide the second line of the employment services provider's address. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Address City/Suburb | Text |
Please provide the city or suburb of the employment services provider's address. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Postcode | Text |
Please provide the postcode of the employment services provider's address. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Phone Number | Text |
Please provide the phone number of the employment services provider, including the area code. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Employment Start Date | ||
| Start Date Day | Text |
Enter the day the employment started. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Start Date Month | Text |
Enter the month the employment started. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Start Date Year | Text |
Enter the year the employment started. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Employment System Information | ||
| Employer's Name | Text |
Provide the full name of your employer. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Employment Travel Question | ||
| No | Checkbox |
Check this box if you do not travel to and from home for this work (e.g., to your place of work or visiting clients). Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you travel to and from home to do this work (e.g., to your place of work or visiting clients). Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Expected Employment Duration | ||
| Less than 3 months | Checkbox |
Check this box if you expect your employment to last less than 3 months. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| 3 to 6 months | Checkbox |
Check this box if you expect your employment to last between 3 and 6 months. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| More than 6 months | Checkbox |
Check this box if you expect your employment to last more than 6 months. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Expected Independent Living Skills Course Finish Date | ||
| Expected Finish Date Day | Date |
Please enter the day of the month you expect the independent living skills course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Date Month | Date |
Please enter the month you expect the independent living skills course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Date Year | Date |
Please enter the year you expect the independent living skills course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Self-Employment Duration | ||
| Less than 3 months | Checkbox |
Check this box if you expect your self-employment to last for a duration of less than 3 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| 3 to 6 months | Checkbox |
Check this box if you expect your self-employment to last for a duration of 3 to 6 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| More than 6 months | Checkbox |
Check this box if you expect your self-employment to last for a duration of more than 6 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Vocational Training Finish Date | ||
| Expected Finish Day | Text |
Please enter the expected day of the month for the vocational training course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Month | Text |
Please enter the expected month for the vocational training course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Year | Text |
Please enter the expected year for the vocational training course to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Voluntary Work Duration | ||
| Less than 3 months | Checkbox |
Check this box if you expect your voluntary work to last for less than 3 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| 3 to 6 months | Checkbox |
Check this box if you expect your voluntary work to last for a duration between 3 and 6 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| More than 6 months | Checkbox |
Check this box if you expect your voluntary work to last for more than 6 months. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Voluntary Work End Date | ||
| Expected End Date Day | Date |
Please enter the day when you expect this voluntary work to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected End Date Month | Date |
Please enter the month when you expect this voluntary work to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected End Date Year | Date |
Please enter the year when you expect this voluntary work to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Work Duration | ||
| Less than 3 months | Checkbox |
Check this box if you expect the work to last for less than 3 months. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| 3 to 6 months | Checkbox |
Check this box if you expect the work to last for 3 to 6 months. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| More than 6 months | Checkbox |
Check this box if you expect the work to last for more than 6 months. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| First Employer Details | ||
| Employer's Name | Text |
Please provide the full legal name of your first employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employer's Address Line 1 | Text |
Please provide the first line of your first employer's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employer's Address Line 2 | Text |
Please provide the second line of your first employer's street address, such as suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employer's Postcode | Text |
Please provide the postcode for your first employer's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employer's Phone Number | Text |
Please provide your first employer's phone number, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Form Identification Details | ||
| Date of Issue | Date |
Please enter the date when the form was issued.
|
| Customer Reference Number | Text |
Please provide your customer reference number.
|
| Return Date | Date |
Please enter the date by which the form needs to be returned.
|
| General | ||
| Instructions button for fillable form | Button | |
| Clear button | Button | |
| Button - Click to go to question 21 | Button | |
| Button - Click to go to question 4 | Button | |
| Button - Click to go to question 21 | Button | |
| Button - Click to go to question 10 | Button | |
| Enter - Street address | Text | |
| Enter - Street address | Text | |
| Button - Click to go to question B | Button | |
| Button - Click to go to question D | Button | |
| Button - Click to go to question C | Button | |
| Button - Click to go to question E | Button | |
| Button - Click to go to question B | Button | |
| Button - Click to go to question D | Button | |
| Button - Click to go to question C | Button | |
| Button - Click to go to question E | Button | |
| Dummycalc | Text | |
| Button - Click to go to question 17 | Button | |
| Dummycalc | Text | |
| Button - Click to go to question 14 | Button | |
| Dummycalc | Text | |
| Button - Click to go to question 16 | Button | |
| Button - Click to go to question 16 | Button | |
| Dummycalc | Text | |
| Button - Click to go to question 16 | Button | |
| DummyCalcQ17 | Text | |
| Q17GoToQ19 | Button | |
| Dummycalc | Text | |
| Q18GoToQ20 | Button | |
| Button - Click to go to question 20 | Button | |
| Privacy text | Text | |
| Independent Living Skills Course Hours | ||
| Hours Spent Per 4 Weeks | Text |
Enter the total number of hours you spend at the independent living skills course over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Course Name | ||
| Independent Living Skills Course Name | Text |
Please provide the name of the independent living skills or life skills course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Course Start Date | ||
| Start Date Day | Date |
Provide the day of the month when the independent living skills course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Date Month | Date |
Provide the month when the independent living skills course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Date Year | Date |
Provide the year when the independent living skills course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Training Details Summary | ||
| Hours Per 4-Week Period | Number |
Enter the number of hours over a 4-week period of your course that relate to independent living skills or life skills. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Training Organisation Address | ||
| Address Line 1 | Text |
Please enter the first line of the independent living skills training organization's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 2 | Text |
Please enter the second line of the independent living skills training organization's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 3 | Text |
Please enter the third line of the independent living skills training organization's address, including suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Postcode | Text |
Please enter the postcode of the independent living skills training organization. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Training Organisation Name | ||
| Training Organisation Name | Text |
Please provide the full name of the training organisation that provides independent living skills training. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Training Organisation Phone Number | ||
| Organisation Phone Number | Text |
Enter the phone number of the independent living skills training organisation, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Independent Living Skills Training Question | ||
| No | Checkbox |
Check this box if you are NOT currently doing independent living skills or life skills training. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you ARE currently doing independent living skills or life skills training. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Instructional Box Example | ||
| Where you see a box like this | CheckBox | |
| Job Search Activities Details | ||
| Job Search Activities Details | Text |
Provide a detailed list of all job search activities you are undertaking. Fill only if 'A11_Yes#20-#20give#20details#20below' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Job Search Activities Status | ||
| A11_No#20-#20go#20to#2017 | CheckBox | |
| A11_Yes#20-#20give#20details#20below | CheckBox | |
| Minimum Wage Employment Question | ||
| Minimum Wage Employment Status | Number |
Please provide additional numerical information regarding your employment status in relation to the minimum wage. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| No (below minimum wage) | Checkbox |
Check this box if you are not employed at or above the relevant minimum wage. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Yes (at or above minimum wage) | Checkbox |
Check this box if you are employed at or above the relevant minimum wage. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Minimum Wage Status | ||
| Minimum Wage Status | Text |
Please indicate if you are employed at or above the relevant minimum wage. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| No | Checkbox |
Check this box if you are not employed at or above the relevant minimum wage. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you are employed at or above the relevant minimum wage. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| NDIS Support Status | ||
| No | Checkbox |
Check this box if you are not receiving a funded package of support from the National Disability Insurance Scheme (NDIS).
|
| Yes | Checkbox |
Check this box if you are receiving a funded package of support from the National Disability Insurance Scheme (NDIS).
|
| NDIS Status Details | Text |
Please provide any additional details regarding your NDIS support status.
|
| Organisation Address | ||
| Organisation Address Line 1 | Text |
Enter the first line of the organisation's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Organisation Address Line 2 | Text |
Enter the second line of the organisation's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Organisation Address Line 3 | Text |
Enter the third line of the organisation's street address, such as the suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Organisation Postcode | Text |
Enter the postcode for the organisation's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Organisation Name | ||
| Organisation Name | Text |
Please enter the name of the organisation. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Program Expected Finish Date | ||
| Expected Finish Day | Text |
Please provide the day your program is expected to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Month | Text |
Please provide the month your program is expected to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Expected Finish Year | Text |
Please provide the year your program is expected to finish. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Program Start Date | ||
| Program Start Day | Date |
Provide the day the program started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Program Start Month | Date |
Provide the month the program started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Program Start Year | Date |
Provide the year the program started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Program Travel Status | ||
| No | Checkbox |
Check this box if you do not travel to and from home to do your program. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you travel to and from home to do your program. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Provided Documents | ||
| Details of vocational training | Checkbox |
Check this box if you are providing details of vocational training, as indicated by your 'Yes' answer at question 5. Fill only if 'Are you doing vocational training?' is 'Yes'.
Depends on:
Yes
|
| Details of independent living skills or life skills training | Checkbox |
Check this box if you are providing details of independent living skills or life skills training, as indicated by your 'Yes' answer at question 6. Fill only if 'Are you doing independent living skills or life skills training?' is 'Yes'.
Depends on:
Yes
|
| Details of self-employment | Checkbox |
Check this box if you are providing details of self-employment, as indicated by your 'Yes' answer at question 7. Fill only if 'Are you self-employed?' is 'Yes'.
Depends on:
Yes
|
| Details of employment | Checkbox |
Check this box if you are providing details of employment, as indicated by your answer at question 9. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Details of voluntary work | Checkbox |
Check this box if you are providing details of voluntary work, as indicated by your 'Yes' answer at question 10. Fill only if 'Are you doing voluntary work for a charitable, welfare or community organisation?' is 'Yes'.
Depends on:
Yes
|
| Proof of job search activities | Checkbox |
Check this box if you are providing proof of job search activities, as indicated by your 'Yes' answer and the requirement at question 11. Fill only if 'Are you undertaking job search activities?' is 'Yes'.
Depends on:
A11_Yes#20-#20give#20details#20below
|
| Qualifying Activity Cessation Details | ||
| Stopped Activity Description | Text |
Please describe the qualifying activity you were doing that you are no longer performing. Fill only if 'Are you doing voluntary work for a charitable, welfare or community organisation?' is 'No'.
Depends on:
No
|
| Return Address | ||
| Return Address | Text |
Provide the complete mailing address where the form should be returned.
|
| Self-Employment Hours | ||
| Hours in a 2-week period | Number |
Enter the total number of hours you spend working over a 2-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Hours in a 4-week period | Number |
Enter the total number of hours you spend working over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Self-Employment Start Date | ||
| Start Day | Text |
Please enter the day you started this self-employment work. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Month | Text |
Please enter the month you started this self-employment work. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Year | Text |
Please enter the year you started this self-employment work. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Self-Employment Status | ||
| No | Checkbox |
Check this box if you are not self-employed. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you are self-employed. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Self-Employment Details | Text |
Please provide any additional details regarding your self-employment status. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Self-Employment Travel Question | ||
| No | Checkbox |
Check this box if you do not travel to and from home for your self-employment. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you do travel to and from home for your self-employment, for example, to get to your place of work or visiting clients. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study and Allowance Status | ||
| No | Checkbox |
Check this box if you are not studying and not receiving Youth Allowance or Austudy payment.
|
| Yes | Checkbox |
Check this box if you are studying and receiving Youth Allowance or Austudy payment.
|
| Supported Wage System Employment Question | ||
| No | Checkbox |
Check this box if you are not employed under the Supported Wage System. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you are employed under the Supported Wage System. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Supported Wage System Status | ||
| No | Checkbox |
Check this box if you are not employed under the Supported Wage System. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you are employed under the Supported Wage System. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Travel for Independent Living Skills Training Question | ||
| No | Checkbox |
Check this box if you do not travel to and from home to do your independent living skills or life skills training. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you do travel to and from home to do your independent living skills or life skills training. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Travel for Study | ||
| No | Checkbox |
Check this box if you do not travel to and from home for study purposes, such as attending an educational institution or library.
|
| Yes | Checkbox |
Check this box if you do travel to and from home for study purposes, such as attending an educational institution or library.
|
| Travel for Vocational Training Question | ||
| No | Checkbox |
Check this box if you do not travel to and from home for your vocational training. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you do travel to and from home for your vocational training (e.g., school, library, residential course). Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Travel for Work Search | ||
| No | Checkbox |
Check this box if you do not travel to and from home to undertake work-related activities.
|
| Yes | Checkbox |
Check this box if you do travel to and from home to undertake work-related activities.
|
| Type of Work | ||
| Type of Work | Text |
Please enter the type of voluntary work you are currently performing. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vehicle Assistance Scheme Status | ||
| Dummycalc | Text | |
| No | Checkbox |
Check this box if you have not been given a motor vehicle under the Vehicle Assistance Scheme from the Department of Veterans' Affairs.
|
| Yes | Checkbox |
Check this box if you have been given a motor vehicle under the Vehicle Assistance Scheme from the Department of Veterans' Affairs.
|
| Vocational Training Course Hours | ||
| Hours over 4 weeks | Number |
Please provide the total number of hours you spend on this vocational training course over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Course Name | ||
| Course Name | Text |
Please provide the full name of the vocational training course you are undertaking. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Details Summary | ||
| Vocational Training Hours (4-Week Period) | Number |
Please enter the total number of hours you spend at the vocational training course over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Organisation Address | ||
| Address Line 1 | Text |
Enter the first line of the vocational training organization's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 2 | Text |
Enter the second line of the vocational training organization's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 3 | Text |
Enter the third line of the vocational training organization's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Postcode | Text |
Enter the postcode of the vocational training organization. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Organisation Name | ||
| Vocational Training Organisation Name | Text |
Please provide the full name of the organization that provides your vocational training. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Organisation Phone Number | ||
| Vocational Training Organisation Phone Number | Text |
Please provide the phone number of the vocational training organization, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Vocational Training Question | ||
| No | Checkbox |
The user should check this box if they are not doing vocational training. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
The user should check this box if they are doing vocational training, which includes tertiary education, secondary education and TAFE, courses at institutions offering academic or trade qualifications, high school studies, or special schools. Fill only if 'Are you receiving a funded package of support from the National Disability Insurance Scheme (NDIS)?' is 'No'.
Depends on:
No
|
| Vocational Training Start Date | ||
| Start Day | Text |
Please provide the day your vocational training course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Month | Text |
Please provide the month your vocational training course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Year | Text |
Please provide the year your vocational training course started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Voluntary Work Hours | ||
| Voluntary Work Hours | Number |
Provide the total number of hours you spend doing this voluntary work over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Voluntary Work Question | ||
| No | Checkbox |
Check this box if you are not doing voluntary work for a charitable, welfare, or community organization. Fill only if 'Are you employed and earning money?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you are doing voluntary work for a charitable, welfare, or community organization. Fill only if 'Are you employed and earning money?' is 'No'.
Depends on:
No
|
| Voluntary Work Details | Text |
Provide details about the voluntary work you are undertaking, including the organization and the hours you spend working over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Voluntary Work Start Date | ||
| Start Day | Text |
Please provide the day the voluntary work started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Month | Text |
Please provide the month the voluntary work started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Start Year | Text |
Please provide the year the voluntary work started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Work Hours (2 Week Period) | ||
| Work Hours in 2 Weeks | Number |
Please enter the total number of hours you spend at work over a 2 week period. Fill only if 'Yes (at or above minimum wage)' is 'Yes'.
Depends on:
Yes (at or above minimum wage)
|
| Work Hours (4 Week Period) | ||
| Hours Spent (4 Week Period) | Number |
Enter the total number of hours you spend at work over a 4-week period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Work Search Activity | ||
| No (Question 15) | Checkbox |
Check this box if you are not looking for work of 15 hours or more per week at or above the relevant minimum wage as part of your agreement.
|
| Yes (Question 15) | Checkbox |
Check this box if you are looking for work of 15 hours or more per week at or above the relevant minimum wage as part of your agreement.
|
| Work Search Requirement | ||
| No | Checkbox |
Check this box if you are NOT required to look for work of 15 hours or more per week or participate in activities to prepare for work, as part of your agreement. Fill only if 'Yes, receiving JobSeeker, Youth Allowance, or Parenting Payment' is 'Yes'.
Depends on:
Yes, receiving JobSeeker, Youth Allowance, or Parenting Payment
|
| Yes | Checkbox |
Check this box if you ARE required to look for work of 15 hours or more per week or participate in activities to prepare for work, as part of your agreement. Fill only if 'Yes, receiving JobSeeker, Youth Allowance, or Parenting Payment' is 'Yes'.
Depends on:
Yes, receiving JobSeeker, Youth Allowance, or Parenting Payment
|
| Work Start Date | ||
| Day of Work Start Date | Text |
Please enter the day of the month when your work started. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Month of Work Start Date | Text |
Please enter the month when your work started. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Year of Work Start Date | Text |
Please enter the year when your work started. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Work Travel Question | ||
| No | Checkbox |
Check this box if you do not travel to and from home to do this work. Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you travel to and from home to do this work (for example, to get to your place of work, visiting clients). Fill only if 'Are you employed and earning money?' is 'Yes'.
Depends on:
Yes
|