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SA12 Notification of change to information about an approved service (s56 and 173-174 of the Education and Care Services National Law Act 2010) Provider approval number: PR(Office Use Only) Before.

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How to fill out the Sa12 Form online

The Sa12 Form allows approved providers to notify changes regarding their education and care services. This guide will walk you through the steps to successfully complete the form online, ensuring your information is accurate and submitted correctly.

Follow the steps to complete the Sa12 Form online.

  1. Press the ‘Get Form’ button to access the Sa12 Form and open it in your preferred editor.
  2. Fill out Part A: Provider details. Enter the approved provider name and number accurately.
  3. In Part B: Approved service details, provide the name and number of the approved service.
  4. Move on to Part C: Type of notification. Select the relevant notification(s) such as changes to the nominated supervisor, service operation, or contact details. Provide detailed explanations as needed.
  5. For each change, include any required information and attach additional pages if necessary. Ensure you meet the required notification timelines.
  6. Complete Part D: Contact details. Provide the name, role, mobile, phone number, email, and postal address of the person to be contacted by the regulatory authority.
  7. In Part E: Nominated supervisor consent, have both the approved provider and the incoming nominated supervisor sign and date the consent declaration.
  8. Sign the declaration in Part F. Ensure that the information provided is accurate and complete, then sign at the specified locations.
  9. Finally, you can save changes, download, print, or share the completed form as needed for submission to the relevant regulatory authority.

Complete your Sa12 Form online today to ensure swift processing of your service notifications.

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