NDIS Cleaning Booking

Need Service or an estimate?
Call 0489 066 764 Or today or fill out the form Below

"*" indicates required fields

NDIS Participant Name*

First Last

Participant Date of Birth*

NDIS Number*

Representative Name (if applicable)

First Last

Phone*

Phone number of the primary contact for this service.

Email*

Email address of the primary contact for this service.

Address of the Property to be Serviced

Please let us know the exact address of the property so we can check availability for your cleaning service.

Street Address*

Suburb City State / Province / Region ZIP / Postal Code Country

Details of your NDIS Plan

Please let us know the details of your personalised NDIS Plan.

Name of your Plan Manager (if applicable)

First

Start Date of NDIS Plan*

End Date of NDIS Plan*

Do you want your agreement to end before your NDIS plan?*

(Recommended) No, I want it to run as long as my plan is active.

Yes, I would like my service agreement to end early.

How do you pay your NDIS Providers?*

What is the best email address for invoices to be sent to?*

(If you have a plan manager please enter their email, if you are NDIA or self-managed please enter your own email.)

Has a Maid2Match Team Member assisted you in completing this form? If so, please put their name below.

First

NDIS Services You Are Requesting

Please provide details about the property that is being serviced.

How many hours would you like to have a cleaner for?*

How often would you like to have a cleaner?*

What are your preferred day/s and time/s for your service?*

Please note that we do not currently provide services on weekends.

What is your preferred method of communication about your cleaning service?*

We try to stick with your preferences unless the situation is urgent.

Phone Call

SMS

What is your preferred time of day for communication about your cleaning service?*

We try to stick with your preferences unless the situation is urgent.

Please give some thought to providing us with any specific details you would like us to know about your participant. This helps us provide the best house cleaning experience possible.*

Do you have any gender preference for your cleaner? Will there be any pets at the property? Is there anything else you would like us to know that might be help

How did you hear about us?*

Who are You ?*

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NDIS Cleaning Booking

Need Service or an estimate?Call 0489 066 764 Or today or fill out the form Below

Address of the Property to be Serviced

Details of your NDIS Plan

NDIS Services You Are Requesting

What Our Clients Say

Need Service or an estimate?
Call 0489 066 764 Or today or fill out the form Below