NDIS Services

NDIS Booking Request

Complete the form below to request NDIS cleaning services. Our team will review your details and get back to you promptly.

1300 131 708

Participant Information

Participant First Name *

Participant Last Name *

NDIS Number *

Your unique NDIS participant number — starts with '43'

Participant Date of Birth *

Representative Name

If someone else is filling this out on behalf of the participant, please provide their name

Email *

Phone *

Property Address

Street Address *

Suburb *

State/Territory *

Postcode *

NDIS Plan Details

Plan Manager Name

If your plan is managed by a Plan Manager, let us know their name so we can coordinate billing

Start Date of NDIS Plan *

You can find these dates on your NDIS plan letter

End Date of NDIS Plan *

Would you like the service agreement to end before your plan expiry date? *

No, run as long as plan is active Yes, end early

Agreement End Date

How do you pay your NDIS providers? *

The NDIA pays on my behalf My Plan Manager handles payments I manage and pay providers myself

Invoice Email Address *

Where should we send invoices? This may be your Plan Manager's email if applicable

Has a Calibre team member assisted you in completing this form? If so, please put their name below.

Services Requested

What type of service do you need? *

How often would you like us to clean? *

Preferred Days and Times *

Let us know which days and times work best for you — we'll do our best to match your schedule

How would you like us to contact you? *

Email Phone call SMS

We'll do our best to use your preferred method unless it's urgent

When is the best time to reach you? *

AM PM

We'll do our best to call within your preferred hours unless it's urgent

Is there anything else we should know? *

For example: cleaner gender preference, pets in the home, access instructions, specific areas to focus on, or anything that helps us tailor the service to you

How did you hear about us? *

What is your relationship to the NDIS participant? *

Participant Plan Manager Support Coordinator Other

Please specify your role

What Happens Next?

Our NDIS team will review your booking request within 1-2 business days.
We'll contact you via your preferred communication method to confirm details.
A service agreement will be sent for your review and approval.
Once signed, we'll schedule your first cleaning session.

NDIS Booking Request

Participant Information

Property Address

NDIS Plan Details

Services Requested

What Happens Next?

Call Us

Head Office

Email

Opening Hours

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