contractors2 - Home Assist Community Services

Form Reference Number 2

Code of Behaviour for Contractors

The day to day operations of HOMESSA Inc. will be conducted most effectively if all contractors are aware of the expectations placed upon them. To clarify these expectations, this Code of Behaviour has been developed for all HOMESSA Inc. contractors. All contractors are asked to sign this Code of Behaviour before they can be added to the approved contractors register.

First Name *(enter First Name)

Last Name *(enter Last Name)

I, by adding my name agree

to treat any written or verbal information given to me or used by me in the course of my duties as highly confidential. I agree not to reveal confidential information about client, their families, staff, members of the organisation, or matters related to Home Assist Community Services to external sources whilst working on behalf of Home Assist Community Services or at any time in the future
to abide by Home Assist Community Services Contractor Guidelines
to represent Home Assist Community Services in a positive way
to treat all clients and/or their carers with understanding, dignity and practise polite and sensitive communications
to never solicit work from a client
to never offer to purchase any item from a client and/or carer unless publicly offered for sale
to present oneself and carry out all work in a professional manner
to refrain from smoking in a clients home
to respect the rights of the clients and/or their carers
to treat all client information as confidential
that any conflict of interest or potential conflict of interest which may occur will be declared in writing as soon as possible to the CEO
to never sub-contract any part of any work requested, unless permission has been given by Home Assist Community Services.

Date *

Contractor Signature *

Witness Signature *

Business / Trading *

Entity Type *

GST Registered *

ABN *

Prefer Jobs via *

Street Address *

City

State/Province

ZIP / Postal Code

Email (Jobs)

Email (Accounts)

Phone Number *

Contact Person 1

Contact Person 2

Accounts

Labour RatesHourly

Call Out Fees

Payable To *Account Name

Bank Name *

BSB Number *

Account Number *

QBCC - QLD Building & Constuction Commission (if applicable)Certificate Number

Type a questionExpiry Date

Others i.e. Electrical/Plumbing/etc (if applicable)Certificate Number

Type a questionExpiry Date

Public Liability Insurance Certificate Number *

Public Liability Insurance Expiry Date *

Please provide a copy of the above certificates *

Additional Certificates (yellow card / NDIS card)

Yellow card / NDIS Card Please provide orginal or certifed copy for all workers:-

Worker (1) Full Name *

Worker (1) Certificate Number *

Worker (1) Certificate Expiry Date *

Worker (2) Full Name

Worker (2) Certificate Number

Worker (2) Certificate Expiry Date

Worker (3) Full Name

Worker (3) Certificate Number

Worker (3) Certificate Expiry Date

Worker (4) Full Name

Worker (4) Certificate Number

Worker (4) Certificate Expiry Date

Please Provide a Copy of the above certificates

For Uploads over 8MB, please use one of the free of charge file transfer services for example https://wetransfer.com/

Please Provide COVID-19 vaccination certificates for the above workers

For Uploads over 8MB, please use one of the free of charge file transfer services for example https://wetransfer.com/

Please indicate the areas you are prepared to work in by ticking the boxes:-

Town / Suburb (Region - Bundaberg)BundabergChildersGin GinMonto

Other, Please specify

Town / Suburb (Region - North Burnett)BiggendenEidsvoldGayndahMundubbera

Other, Please specify

Please send a copy of this form submission to

133 Adelaide Street Maryborough 07/4123 2234

07 4123 2234

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Home Assist Community Services

- Work For Us -

Non-Profit Organisation Established in 1999 - QBCC Builders Registration: 1109355 ABN: 82493405845
Home Assist Community Services 133 Adelaide Street Maryborough QLD4650 - Phone 07/4123 2234 Monday to Friday 9am until 3pm (message bank after hours)