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Dear,

Variation of Funding Agreement

We have a current Funding Agreement with you, Services and Support for People with
Disability, FOFMS Program Schedule ID number dated June 2012 (the Agreement) between
the Commonwealth of Australia, represented by the Department of Families, Housing,
Community Services and Indigenous Affairs and insert organisation name as listed in the
agreement (the Parties).

Following discussion with you concerning the extension of the Disability Employment
Assistance Activity, including a new end date, the addition of Supplementary Condition Q –
Changes to the Privacy Act 1988(Cth) -12 March 2014, the need to include additional reporting
requirements, the new 2013-2014 case based funding prices, SACS Supplementation and an
update of the Operational Guidelines we have agreed to vary the Agreement.

The parties seek to vary the Agreement, as follows and do so with this Letter of Variation.

Two original copies of this Letter of Variation are enclosed for you to sign. Once you have
signed both copies, you need to return both copies to us at the above address within thirty (30)
Business Days of the date of this letter otherwise this offer will lapse.

We will sign both copies and return one copy to you for your records. The variation takes
effect from the date on which we sign this Letter of Variation.

Participation in DisabilityCare Australia, the national disability insurance scheme (the

scheme)

As we are working with DisabilityCare Australia, the national disability insurance scheme, to
transition services to the scheme, we will require you to work with us to ensure continuity of
services of clients currently being supported under this Activity, and to also ensure reasonable
assistance is given to all people who are participating in the scheme who may choose to
receive support from your organisation.

Where you will be providing services in DisabilityCare Australia launch sites, please refer to
the requirements under Item B Activity B3 of the Funding Agreement Schedule.

SACS Supplementation

Your organisation has been identified as eligible for SACS Supplementation of $ for 2013-
2014. To be entitled to the Commonwealth supplementation, your organisation must have a
legal obligation imposed by the equal remuneration order (ERO) issued by Fair Work Australia
(FWA) to pay the increased wages, and had eligible SACS workers on 1 February 2012. In
signing this variation you are certifying that your organisation:

 has a legal obligation imposed by the SACS Equal Remuneration Order issued by
FWA to pay the increased wages, and had eligible SACS workers on 1 February 2012
  agrees to use the Commonwealth’s funding adjustment for the sole purpose of meeting
your legal obligation imposed by the ERO to pay increased wages for SACS workers,

 agrees to the total funding adjustment supplementation amount detailed in the Letter of
Notification

You must certify that you have used the supplementation funding for the sole purpose of
meeting your legal obligation imposed by the ERO to pay increased wages for SACS workers
when you acquit your funding. You must keep accurate records to show how you have spent
the supplementation funding and if we require, you must promptly provide evidence, in a form
we require, that you have complied with this requirement.

For more information about the Government’s response to the ERO, please visit the Fair pay
for social and community services workers page on the Department of Families, Housing,
Community Services and Indigenous Affairs website: http://www.fahcsia.gov.au.

The Parties agree to the following variations:

1. Schedule Completion Date

Delete 30 November 2013 and Replace with 30 November 2014.

2. Item B – Your Activity Information

Delete Activity End Date of 30 June 2013 and Replace Activity End date 30 June 2014.

3. Item C – Funding and Payment

Add 2013-2014 Financial Year with the following table:

Financial Year Amount Payable GST Total
(if applicable)
Case Based Funding 10% of the amount Not Applicable
2013-2014 Fees as per Attachment A payable
to this Schedule

SACS Supplementation - For the avoidance of doubt, the total supplementation referred to below is to be
treated as “Funding” for the purposes of the Agreement.
SACS
Supplementation GST
Financial Year Amount (if applicable) Total

2013-2014 $ 10% of the amount $ $

4. Item E.1 – Performance Reports (Against Performance Indicators listed in Item B)

Delete Performance Reports and replace with the following:

E.1 Performance Reports (Against Performance Indicators listed in Item B)
You must provide performance reports by the dates specified in Item F. Some of the
reporting data will be collected through the FaHCSIA Online Funding Management System
(FOFMS) on an ongoing basis and by reference to your annual independently audited
financial acquittal reports. Other performance reporting information will be collect via a
Template which will be provided by us to you prior to the collection date.

5. Item E.4 – Financial Acquittal Reports

Add the SACS Supplementation Acquittal requirements as follows for 2013-2014:

E.4 Financial Acquittal Reports
2013-2014
SACS Supplementation will need to be accounted for in the Financial Acquittal Reports to be
provided by you. You will also need to sign a statutory declaration certifying that the
supplementation funds have been spent in accordance with this agreement.

6. Item E.5 – Other Reports

Delete Other Reports and replace with the following:

E.5 Other Reports
Disability Services Census Report
You must complete the annual Disability Services Census as required under the National
Disability Agreement by providing information on the outlet operations of all FaHCSIA-funded
disability service outlets on the Service Outlet Form and every Supported Employee who
accessed supported employment services through the FaHCSIA Online Funding
Management System (FOFMS). Participation in the Disability Services Census will be
required for the periods:
2013 (1 July 2012 to 30 June 2013)
2014 (1 July 2013 to 30 June 2014)
You must refer to the Data Guide and any other instructions provided by FaHCSIA when
completing the information requirements under the Disability Services Census.

7. Item F – Milestones/Reporting Requirements/Payment Schedule

Delete Milestones/Reporting Requirements/Payment Schedule and replace with following:

Item F MILESTONES / REPORTING REQUIREMENTS / PAYMENT SCHEDULE

The following table combines all of your reporting requirements. If you comply with the terms
of this Agreement, we will make payments to you on the first available Business Day on or
after the due date as set out below or, where no date is specified, then by mutual agreement
as and when required.

Payment
Activity
Milestones and Due Amount
(if Information to be included GST
Reports Date (GST
Applicable)
excl.)

F.1 2013-2014 On
Disability
SACS execution
Employment Not applicable $ $
Supplementation of this
Assistance
variation

F.2 Report Disability Disability Services Census

22 July
Employment Report in accordance with the N/A N/A
2013
Assistance requirements of Item E.5.

F.3 Acquittal Report Provide annual independently

Disability 31
audited financial acquittal
Employment October N/A N/A
report in accordance with Item
Assistance 2013
E.4.

F.4 Performance Provide data on activity

Report Disability performance indicators. The 31
Employment data will be completed using a October N/A N/A
Assistance performance data template 2013
which will be provided to you
Item F MILESTONES / REPORTING REQUIREMENTS / PAYMENT SCHEDULE

The following table combines all of your reporting requirements. If you comply with the terms
of this Agreement, we will make payments to you on the first available Business Day on or
after the due date as set out below or, where no date is specified, then by mutual agreement
as and when required.

Payment
Activity
Milestones and Due Amount
(if Information to be included GST
Reports Date (GST
Applicable)
excl.)
by us.

F.5 Report Disability Disability Service Census

22 July
Employment Report in accordance with the N/A N/A
2014
Assistance requirements of Item E.5

F.6 Acquittal Report Provide annual independently

Disability 31
audited financial acquittal
Employment October N/A N/A
report in accordance with Item
Assistance 2014
E.4.

F.7 Performance Provide data on activity

Report performance indicators. The
Disability 31
data will be completed using a
Employment October N/A N/A
performance data template
Assistance 2014
which will be provided to you
by us.

8. Attachment A – A1.1 Case Based Funding Fees

Add “2012-2013” to Table 1 – Case Based Funding Core Fees and Table 2 – Case Based
Funding Additional Fees.

Add the Case Based Funding fees for 2013-2014 by adding Table 1 and Table 2 (2013-2014)
as follows:
Table 1 – Case Based Funding Core Fees 2013-2014

Core Fee Amount

Intake Fee $587

Employment Assistance Fee (or Pre-DMI Fee) $587
(per month, for up to 12 months) (up to a maximum of $7,044)

Employment Maintenance Fee: Amount Amount

Per Month Per Annum

 Level 1 $345 $4,140

 Level 2 $587 $7,044
 Level 3 $879 $10,548
 Level 4 $1,168 $14,016

Table 2 – Case Based Funding Additional Fees 2013-2014

Additional Fee Amount

Work Based Personal Either:

Assistance
 $29.40 per hour where the work based personal assistance
is provided by an Approved Support Worker from within the
Outlet; or
 $38.90 per hour where the work based personal assistance
is purchased from a second agency,
is provided up to a maximum of 10 hours per week or 40 hours
over a four week period.

Incentives for  $126.50 when the Supported Employee accumulates 4 weeks

Australian working in an Australian Apprenticeship/Traineeship;
Apprenticeships  $250 when the Supported Employee accumulates 13 weeks
working in an Australian Apprenticeship/Traineeship; and
 $371 for each year that the Supported Employee works in an
Australian Apprenticeship/Traineeship.
Rural and Remote ARIA Classification: Amount Amount
Service Supplement
Per Month Per Annum

 Highly Accessible: Nil. Nil.

 Accessible: $1,394 $16,728
 Moderately Accessible: $2,789 $33,468
 Remote: $4,182 $50,184
 Very Remote: $5,571 $66,852
Existing High Cost An amount in excess of CBF Employment Maintenance Fee Level
Worker’s Payment 4, as determined by us in accordance with paragraph 26 of the
Operational Guidelines.

9. Attachment C - Operational Guidelines – Disability Employment Assistance

a. Delete on page 1 - Version No 2 and Replace with Version No 3

b. Delete Date on page 1: July 2012 and Replace with Date: July 2013

c. Footer – Delete V2.7.2012 and Replace with V3.7.2013

d. Definitions – Insert ‘Support Staff’ before ‘in the context of the Activity
Performance Indicators at Item B of the Schedule, means any person employed
by your Outlet who provides direct work based employment support to a
Supported Employee, consistent with the delivery of the Activity under Item B of
the Schedule’.

e. Paragraph 11.8 – insert after ‘When the Supported Employee has achieved an
Employment Outcome, you must complete and authorise a DMI Assessment on
FOFMS’ the word ‘immediately’.

f. Paragraph 16.5 – insert after ‘If your Outlet’s full-time hours for one Business
Operating Day are less than eight hours per day but’ the words ‘equal to or’.
g. Paragraph 17.3 – insert after ‘The DMI Assessment must be finalised’ the
words ‘immediately’. Before ‘Supported Employee achieves an Employment
 Outcome, otherwise you may be deemed to be in breach of the Agreement’
Delete the word ‘when’.

h. Paragraph 17.4 – insert at the beginning of the paragraph the following

sentence. ‘A Supported Employee has up to 12 months from their Intake
Assessment to achieve an Employment Outcome excluding periods of
Suspension’. Delete ‘a DMI’ and replace with ‘If the DMI’ at the beginning of
the second sentence.

i. Paragraph 22.2 – First line - Delete the words ‘Exits an Outlet’ and Replace
with ‘is Suspended/Exited’.
j. Insert a new Paragraph 22.3 – ‘The period of 12 months (or two years if
returning from accessing Open Employment) commences from the first date on
FOFMS of either the Suspension or Exit. If a case is Suspended on FOFMS
and then changed to Exit, the 12 months starts from the date of the Suspension
and not the date the status was changed to Exit. It is a combined period of
absence from an Outlet.’

k. Renumber the following Paragraphs 22.3 to 22.4, 22.4 to 22.5, 22.5 to 22.6,
22.6 to 22.7, 22.7 to 22.8, 22.8 to 22.9, and 22.9 to 22.10.

l. In the New Paragraph 22.10. Delete 22.8 and Replace with 22.9

m. Insert a new Paragraph 33 – Resources.

n. Insert a new Paragraph 33.1 - ADEs should refer to the Guide to collecting and
entering client and case information available from the FOFMS Literature Tab
when entering data for the Disability Employment Assistance Activity and the
Disability Services Census.

o. Insert a new Paragraph 33.2 - There are a number of Task Cards also available
on the FOFMS Literature Tab which contains step-by-step instructions on
entering information and completing assessments on FOFMS.

p. Renumber the following Paragraphs 33 to 34, 33.1 to 34.1, 33.2 to 34.2, and
33.3 to 34.3.

q. Insert at the beginning of new Paragraph 34.3 the words ‘For other questions
relating to the funding agreement you, or if’.

r. Appendix B – Disability Maintenance Instrument Guidelines V6 – Table 7 –

Insert the word ‘cumulative’ between ‘13’ and ‘weeks’.

s. Appendix 1 – DMI Reassessment Triggers Table – Trigger 3 – Significant

changes in disability - insert the word ‘and’ between ‘Documentation from an
independent health professional describing the change in disability’ and
‘Documented observations by the Organisation demonstrating the impact
on work performance and support requirements.’

t. Appendix 1 – DMI Reassessment Triggers Table – Trigger 4 – Significant

change in personal circumstances - disability – insert the word ‘and’ between
‘Self-reported information from the Supported Employee, and/or a
communication from a carer, advocate or family member, documented by
the Organisation, is preferable’ and ‘Documented observations from the
Organisation that demonstrate the impact on support requirements’.

u. Appendix C – Delete Client Consent Information and Client Consent Form and
Replace with Client Consent Information and Client Consent Form (1 July
2013).
For your convenience we have provided a copy of Operational Guidelines V3.7.2013 including
all Appendices.
The Parties agree that:

(a) terms in this Letter of Variation with initial capital letter(s) have the same meaning as they
have in the Agreement; and

(b) the only variations are those set out in this Letter of Variation. In all other respects, the
Agreement remains unamended.

If you have any questions, please contact insert contact name on insert phone number or
email insert email address.

Yours sincerely