Verification of Voluntary Work: When To Use This Form 7

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Instructions

Verification of voluntary work


(SU462)

When to use this form 7 Description of voluntary work position


Use this form to request approval to participate in voluntary work to
count towards your mutual obligation requirements.

What you need to do now 8 For the period


Complete questions 1 to 11.
From (DD MM YYYY)
The voluntary work organisation must complete page 2.

Filling in this form To (DD MM YYYY)


You can fill this form digitally in some browsers, or you can open it
in Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, 9 How many hours will you be doing per fortnight?
you can print this form and complete it.
If you have a printed form: hours
• Use black or blue pen.
• Print in BLOCK LETTERS.
Privacy notice
Returning this form 10 You need to read this
Return this form and any supporting documents in person at one
Privacy and your personal information
of our service centres. Voluntary work cannot commence until
approved. The privacy and security of your personal information
is important to us, and is protected by law. We collect
this information so we can process and manage your
Customer to complete applications and payments, and provide services to you.
We only share your information with other parties where you
1 Your Customer Reference Number (if known) have agreed, or where the law allows or requires it. For more
information, go to servicesaustralia.gov.au/privacypolicy
www.

2 Your name
Declaration
11 I declare that:
• I will advise Services Australia if there are any changes to my
3 Voluntary work organisation name voluntary work.
• the information I have provided in this form is complete and
correct.
4 Volunteer site address I understand that:
• mutual obligation requirements means Activity Test or
participation requirements under the Social Security Act 1991.
• Services Australia can make relevant enquiries to make
sure I receive the correct entitlement.
Postcode • giving false or misleading information is a serious offence.

5 Organisation postal address (if different to above) Your name (nominee’s name if customer is not able to sign)

Your signature

Postcode On completion of this form,


print and sign by hand
6 Organisation contact details
Phone number Date (DD MM YYYY)
(including area code)
Email

Website
CLK0SU462 2309

SU462.2309
1 of 2
Voluntary work organisation to complete 18 Organisation contact person details
Phone number
(including area code)
12 Read this before answering the following question.
To be an approved voluntary work organisation you must Mobile number
have completed a Voluntary Work – Register, update or
Fax number
withdrawal of organisation approval (SU461) form and been
(including area code)
given an organisation ID from us.
Email
Has your organisation been approved for voluntary work
purposes?
Website
No Your organisation cannot verify voluntary work.
Do not complete this form.

Yes Go to next question


19 Description of voluntary work position
13 Read this before answering the following question.
Appropriate insurance includes public liability cover of
at least $5 million, as well as personal accident/voluntary
workers cover. There is no minimum amount of personal 20 For the period
accident/voluntary workers insurance to be held, and From (DD MM YYYY)
organisations should seek professional advice in determining
what level of cover is appropriate.
To (DD MM YYYY)
Does your organisation have current appropriate public liability
and personal accident/voluntary workers insurance?
21 How many hours of voluntary work will the person named at
No Your organisation is not eligible for approval. question 2 be doing per fortnight?
Do not complete this form.
hours
Yes Go to next question

14 Centrelink or Local Activities Database (LAD) ID for Privacy notice


Centrelink purposes
22 You need to read this
Privacy and your personal information
The privacy and security of your personal information is
15 Organisation name important to us, and is protected by law. We collect this
information to provide payments and services. We only share
your information with other parties where you have agreed,
or where the law allows or requires it. For more information,
16 Organisation contact person go to servicesaustralia.gov.au/privacypolicy
www.

Mr Mrs Miss Ms Mx Other


Full name Declaration

23 I declare that:
Position held • paid positions are not being replaced by the use of volunteers.
• we will advise Services Australia within 14 days if our
insurance circumstances change.
Contact number (including area code) • we agree to verify the volunteer’s attendance if required.
• we operate on a ‘not for profit’ basis.
• we verify that the information provided in relation to hours
and dates of voluntary work is correct.
• the information I have provided in this form is complete and
17 Organisation alternative contact person correct.
Mr Mrs Miss Ms Mx Other I understand that:
• giving false or misleading information is a serious offence.
Full name
Signature of organisations authorised representative

Position held On completion of this form,


print and sign by hand

Contact number (including area code) Date (DD MM YYYY)

SU462.2309
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