Support Log
**DO NOT FILL THIS IN IF YOUR SHIFT WAS DURING AN ORGANISED GROUP ACTIVITY**

This form is used to document the supports provided to NDIS participants for reporting and auditing purposes. Please allow 5 mins in your shift to complete these notes. If you require any assistance filling this out please contact Luke David on 0424 160 174 or at luke@supportyourway.com.au
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Email *
Participant (Full Name) *
Staff (Full Name) *
Start Date *
MM
/
DD
/
YYYY
End Date (if different to the above date)
What day was the shift on? *
Required
Start Time (24-hour format) *
Time
:
Finish Time (24-hour format) *
Time
:
Support Type *
If the shift was cancelled, who cancelled it and why?
Kilometres driven with participant in your own vehicle? Max: 50km per shift
Description of activities: (Please include brief details of what you achieved during the shift) *
Goals addressed *
Which state do you work in? *
I declare this service was provided as stated as per the participants requests and needs under the NDIS scheme. *
A copy of your responses will be emailed to the address you provided.
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