NDIS carer statement preparation workbook Original optional tools to collect honest everyday examples, draft a carer statement and check it before sharing. Not an NDIA form or an independently advocacy-reviewed resource. Prepared 22 September 2026. Full guide and official source links: https://www.kinovo.com.au/resources/ndis-carer-statement-template Record one everyday support example Copy this page for a few representative examples. Record what happened, including what the participant did themselves. Label estimates and second-hand information. Date / activity / relevant setting: ___ What the participant wanted to do: ___ What they did independently or with existing aids: ___ The specific difficulty I observed: ___ Help I gave: prompt / supervision / physical help / organising / other How long active help took / estimate or recorded time: ___ Separate availability, interrupted sleep or waiting involved: ___ How often this happens / time period the estimate covers: ___ What changes on different days and how often: ___ What happened afterwards / participant's own view: ___ Effect on my other responsibilities or ability to continue: ___ Other support involved / avoid counting the same time twice: ___ Source: my observation / participant's account / named record Question or missing information to clarify before drafting: ___ Draft your carer statement Use these headings to write a short statement in your own words. Attach extra examples only if useful. No particular length or wording guarantees an outcome. Statement date / participant's name: ___ My name, relationship and caring arrangement: ___ Why I am providing this statement / period described: ___ What matters to the participant, in their words where possible: ___ The regular unpaid support I provide: ___ Example 1: activity, specific help, frequency and time: ___ Example 2: activity, specific help, frequency and time: ___ Variations, overnight help or less frequent support: ___ How caring affects my health, work, sleep or other responsibilities: ___ Support already working / other people's actual availability: ___ What I can continue / what is changing or becoming difficult: ___ Unmet support need or question I would like considered: ___ Attached examples or relevant documents / sharing preferences: ___ My name or signature / date / preferred contact details: ___ Check the statement before sharing Read for accuracy, dignity and relevance. Ask the intended recipient how to provide it and who may access it before including sensitive details. My own observations are separate from reports by others: ___ Examples include the participant's strengths and chosen goals: ___ Estimates and the period they describe are labelled: ___ Typical days and more difficult days are represented accurately: ___ Active help, availability and overlapping time are distinguished: ___ Other people's support is described as actually agreed: ___ Participant's views or differences of view are represented fairly: ___ Private details about others have been minimised: ___ Statement dated / version saved / optional reader feedback: ___ Recipient / purpose / consent or authority to clarify: ___ How to submit / timing / related evidence requested: ___ Sent on / channel / receipt or reference: ___ Person following up / check-in date: ___ Reminder: Kinovo does not submit this to the NDIA or decide funding. Optional coordination tool. Not an NDIA form, clinical instruction or funding approval. Store completed copies appropriately and share only with the people who need them.