STA Booking Enquiry Form

Are you a Family member, carer, support worker or friend completing this form?(Required)

NDIS Participant Details

Is your NDIS Plan managed?(Required)

Plan Manager email(Required)

Do you have a Support Coordinator?(Required)

Support Coordinator email(Required)

Support Coordinator Phone(Required)

Upload Your Self Managed Fund Documents

Upload NDIS Plan(Required)

Drop files here or

Max. file size: 20 MB.

We require a screen shot or PDF of your Funded Supports Page which contains the participant plan dates - *start and review date - and the core budget support categories - *which evidences if self-managed & also the funding allocation ($ value) over the life of the plan.

Upload Evidence of Funds(Required)

Drop files here or

Max. file size: 20 MB, Max. files: 3.

Please provide a screenshot from your NDIS portal of the current' real time' funding

Support Requirements

Paid support, informal or solo?(Required)

Do you require Habitability to provide a support worker?(Required)

How many hours per day(Required)

Male or female/or no preference(Required)

Contact Person to Discuss Your STA

Contact person to discuss building your STA(Required)

Who should we contact to discuss building your STA e.g. with you, a representative or a plan manager / support coordinator?

Contact Phone

Please enter If not supplied already in other section of the form.

Contact Email

Enter if not already supplied in this form.

Person Responsible for Signing STA Service Agreement

Role or Relationship?(Required)

And their Email?(Required)

Enter the person or role responsible for signing the agreement, or unsure if not known at this time.

Please list the Name of location of the STA Accommodation you would like to stay in from our website. *If you are unsure at this time of your STA Accommodation preference, please write- UNSURE *(Required)

STA Respite Check in date(Required)

STA Respite Check out date(Required)

Number of bedrooms (depending on if your carer or support worker is attending the STA with you)(Required)

Please specify requirements(Required)

Write N/A if not applicable

Daily STA Provision(Required)

The quotes for meals and activities are negotiable and optional. Read the STA FAQ's on our website re the prepaid vouchers https://habitability.com.au/faq/

Requested STA Daily Provision(Required)

*Between $0 - $200 if attending independently

Once your STA Booking Enquiry Form is submitted, our STA Intake & Assessment Coordinator will contact you within 24-48 hours. Should we require additional information or clarification prior to sending you a Provisional STA Quote, this will be discussed at the time of contact and is an opportunity to discuss your specific requirements and customise your individual STA requirements.
Prior to approving your Provisional STA Quote, please seek confirmation from your Plan Manager and/or Support Coordinator (where applicable).
Upon approval of your STA Quote, we will formalize our NDIS Service Agreement (SA) within 24-48 hours, which will be sent to you for approval within 48 hours. Once your SA is signed, our Habitability STA Coordinator will be assigned to you, who will be on hand to assist you through to completion of your STA.
Please note the terms and condition outlined within your SA, including STA Cancellation Fees as per the NDIS Guidelines. Please note also the terms and conditions outlined within your SA, pertaining to our STA Accommodation Third Party Cancellation Policy, which sits outside of the NDIS Guidelines.

Who is making the enquiry?(Required)

Destination and preferred area?

Number of rooms required?

STA Respite Booking Enquiry Form

Welcome to your customised Habitability STA/Respite Experience!

STA Respite Booking Enquiry Form

NDIS Participant Details

NDIS Plan Details

Upload Your Self Managed Fund Documents

Support Requirements

Contact Person to Discuss Your STA

Person Responsible for Signing STA Service Agreement

STA Booking Details

Contact Us

Follow Us

Booking Enquiry

Sign In

STA Respite Booking Enquiry Form

Welcome to your customised Habitability STA/Respite Experience!

STA Respite Booking Enquiry Form

NDIS Participant Details

NDIS Plan Details

Upload Your Self Managed Fund Documents

Support Requirements

Contact Person to Discuss Your STA

Person Responsible for Signing STA Service Agreement

STA Booking Details

Contact Us

Follow Us

Booking Enquiry