Open Care Connect - New Employee Details Form

New Employee Details Form

Open Care Community Services Pty Ltd t/a Open Care Connect | ABN: 22 668 873 694 | NDIS: 4-JU2I9UJ

HR-NED-001 | V1.3 | Custodian: Quality & Compliance Manager

Privacy Collection Notice (Privacy Act 1988, APP 5): Open Care Community Services Pty Ltd t/a Open Care Connect (ABN 22 668 873 694) collects personal information on this form for employment commencement and HR administration under the Fair Work Act 2009 and NDIS Act 2013. Sensitive fields (date of birth, home address, medical details) are sent directly to HR for SharePoint filing and are not stored in Supabase as part of the onboarding wizard. Employment records are retained for a minimum of 7 years. You may access or correct your information by contacting admin@opencareconnect.com.au. Unresolved privacy complaints may be referred to the OAIC at oaic.gov.au.

Section A - Personal Details & Contact

Legal given name *

Preferred name

Middle name(s)

Surname *

Date of birth *

OCC Staff ID

Gender

Male Female Non-binary Prefer not to say

Residential address *

Suburb *

State *

Postcode *

Mobile *

Personal email

Emergency contact name *

Emergency contact phone *

Section B - Right to Work

Evidence of right to work MUST be provided and verified before commencement. Complete only the fields that match your selected status below.

Citizenship / visa category

Australian Citizen Permanent Resident Visa Holder New Zealand Citizen

Australian Citizen evidence

Passport Australian Citizenship Certificate

Permanent resident - visa grant number

Visa holder - visa subclass

Visa holder - expiry

New Zealand Citizen

Passport provided

Section C - Bank Account Details

Super is completed online-first in myGov / ATO and confirmed in the onboarding wizard.

Bank / financial institution *

Account name *

BSB number *

Account number *

Section D - Medical & Adjustments

This information is collected under the Work Health and Safety Act 2011 (Cth) solely to assess and provide reasonable workplace adjustments. It is treated as sensitive health information under the Privacy Act 1988 (Cth) and is accessible only to authorised HR and management staff. It will not be used for any other purpose and, in the onboarding wizard, is sent directly to HR for filing rather than stored in Supabase.

Pre-existing condition

Yes No

Adjustments required

Yes No

Details (if Yes above - describe any condition relevant to workplace safety or adjustments needed)

I consent to OCC collecting and using the health and adjustment information I have provided above for the sole purpose of assessing and providing reasonable workplace adjustments under the Work Health and Safety Act 2011 (Cth).

Section E - Declaration

I declare that all information is true and correct. I understand that false information may result in disciplinary action or termination.

By signing below in the signature pad and entering the required name and date in this declaration section, you are electronically authorising OCC to process this HR pack and store your signature record, declaration date, and submission audit timestamp while private details continue via secure HR delivery.

Staff Signature

Date

HR Officer Signature

Date

Records Control

Document No.	Version	Created	Review Due	Custodian
HR-NED-001	V1.3	12 Mar 2026	Feb 2027	Quality & Compliance Manager