Prepare for a useful conversation
NDIS Carer Statement Template: Describe the Support You Provide With Clear Examples
An NDIS carer statement is a written account of the unpaid support you provide and how that caring role affects your life and ability to keep providing support. Use specific examples, describe the participant's strengths and preferences, and be clear about what is changing. The template below helps you organise your own observations; it does not replace professional evidence or guarantee funding.
- For:
- Unpaid carers, family members and chosen supporters preparing a statement about the support they provide
- Includes:
- Practical guide + 3 copyable tools + printable workbook
- Time:
- 10 minute read
Published 25 September 2026 · Updated 25 September 2026
Editorially reviewed 22 September 2026
Written by Callum Cruikshank — Founder of Kinovo
Callum draws on his family's lived experience of coordinating support. These resources offer practical coordination ideas, not clinical, legal or NDIS funding advice. No independent clinical review is claimed.

What is an NDIS carer statement, and what can it explain?
A carer statement, sometimes called a carer impact statement, describes your experience of supporting a person with disability. It can explain work that is not obvious in an appointment: the prompting before leaving home, time spent organising support, help during the night, or the effect of an arrangement that relies on one person being available.
The NDIA's supporting-evidence guidance for health professionals lists carer statements among possible evidence about disability's impact on daily life. That page concerns access to the NDIS. For a planning conversation, plan change or other process, ask the relevant contact what information is useful and how to provide it; the requirements are not all the same.
Your role is to describe what you know from your caring relationship. A clinician's role is different: they may assess function, treatment or support needs within their professional scope. A participant's own account is also distinct and important. A carer statement adds your perspective; it should not replace either of those voices.
For parents, the Association for Children with a Disability's Writing a Carer Statement fact sheet offers another preparation resource, including describing support beyond usual parenting of a child of similar age. Its advice is aimed at families of children; adapt the approach to your own relationship and situation.
This guide and its worksheets are original Kinovo preparation tools. They have not been independently reviewed by a disability advocate. They can help you organise a draft, but they do not tell you what a particular decision-maker will require or what support will be funded.
Before you start: choose the purpose and protect the person's voice
Write down why you are preparing the statement and the period you are describing. For example: 'To explain the support I provide in a typical fortnight and the change in my availability from November.' Ask the intended recipient whether there is a deadline, requested information or preferred way to send it.
Involve the participant in a way that suits them. Explain what you want to describe and listen to how they describe their own experience. You can be honest about the impact on you while also recognising their choices, abilities and relationships. If your views differ, identify whose view you are recording rather than presenting your interpretation as theirs.
Think about privacy before writing sensitive details about yourself or someone else. You do not have to reproduce every personal detail to explain a practical limit. If you want to share something privately, ask the recipient who may see the statement and what confidentiality arrangements apply. Do not assume that marking a document 'confidential' controls all future access.
If your team needs help keeping the participant's choices central, see supported decision-making in a care team. The statement can describe your caring experience without speaking over the person receiving support.
Use specific examples instead of trying to sound clinical
Start with a few ordinary activities you know well. For each one, describe what the participant wanted to do, what they managed themselves, what help you provided and the practical result. Mention prompting, supervision, physical help or organising only where those describe what actually happened.
- Broad wording
- I help with everything.
- More useful detail, if accurate
- I help organise the morning steps on four weekdays. Alex chooses clothes and gets dressed; I give reminders about the sequence and check we have what is needed before leaving.
- Broad wording
- Appointments take all my time.
- More useful detail, if accurate
- For the two appointments last week, I booked transport, prepared the current documents and attended at Alex's request. I spent about three hours in total, including travel.
- Broad wording
- I am always on call.
- More useful detail, if accurate
- I keep my phone available each evening. Last week I actively helped on two evenings, for about 20 minutes each; on the other evenings I was available but did not provide active help.
- Broad wording
- Nobody else helps.
- More useful detail, if accurate
- My sister can assist on one Saturday morning each month. No other regular unpaid arrangement is currently confirmed.
| Broad wording | More useful detail, if accurate |
|---|---|
| I help with everything. | I help organise the morning steps on four weekdays. Alex chooses clothes and gets dressed; I give reminders about the sequence and check we have what is needed before leaving. |
| Appointments take all my time. | For the two appointments last week, I booked transport, prepared the current documents and attended at Alex's request. I spent about three hours in total, including travel. |
| I am always on call. | I keep my phone available each evening. Last week I actively helped on two evenings, for about 20 minutes each; on the other evenings I was available but did not provide active help. |
| Nobody else helps. | My sister can assist on one Saturday morning each month. No other regular unpaid arrangement is currently confirmed. |
These are fictional writing examples, not wording to copy unless it accurately describes your situation. You do not need specialist terms. A clear sentence about a real Tuesday morning is often easier to understand than a paragraph of broad claims.
Be careful with time. Label estimates, say which period they describe and separate active help from waiting or being available. If you supervise while preparing a meal, do not add the same minutes twice in a total. If two people help together, explain their different roles rather than making it look like one person's hours.
Describe variation honestly. If a difficult event happened twice in a month, say that rather than presenting it as daily. If support is easier with a familiar routine or aid, explain what helps. Do not withhold necessary support, provoke a difficult situation or change a routine just to produce evidence.
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: ___
Explain the impact on you and what is realistic to continue
Your statement can include the practical effect on work, study, sleep, health, relationships or other caring responsibilities. Choose details you are comfortable sharing and connect them to the support you provide. 'I moved my start time on three days because the morning support was unavailable' explains more than 'My work is affected'.
Separate what is happening now from what you expect to change. If a change has a date, include it. If the future is uncertain, say so. It is reasonable to state a limit clearly: 'I can continue helping with the weekly appointment, but I cannot keep providing weekday transport after my work hours change.' That is more useful than promising availability you do not have.
Recognise support that is working. Name the actual arrangement and its limits, with permission where relevant. Avoid assuming that another relative, friend or neighbour will take over unless they have agreed and can provide the support involved.
The NDIA makes funding decisions using evidence and the reasonable and necessary criteria. A statement can make your situation clearer, but it does not establish an entitlement to a particular budget, service or number of hours. Describe the unresolved need or question rather than presenting a funding outcome as certain.
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: ___
A fictional carer impact statement example
The example below is entirely invented. It shows a tone and structure you can adapt, not an approved statement, a minimum evidence standard or a recommended amount of support. The dates, activities and time estimates belong only to this fictional situation.
Carer statement by Mei Chen about support provided to her adult brother, Alex Chen. Dated 22 September 2026.
I am Alex's sister and we share a home. I am writing about the unpaid support I have provided over the past fortnight and a change to my work hours in November. Alex has read this draft with me. He would like to keep attending his art group and become more confident travelling there. He chooses his activities and manages many parts of his routine himself.
On four weekday mornings each week, I help Alex organise the steps before he leaves home. He chooses his clothes and gets dressed. I give reminders about the order of the remaining tasks and check the items he wants to take. Over the fortnight, this involved about 25 to 40 minutes of active help on each of those mornings. These times are estimates, not a timed record. Having the steps written down helps, but he still asked for or needed reminders on the mornings I have described.
Last week I also arranged transport and attended two appointments at Alex's request. That took about three hours in total, including travel and preparation. I have not included that time in the morning estimates. On two evenings, Alex asked me to help understand messages about a changed appointment; each conversation took about 20 minutes. I keep my phone available on other evenings, but I am not counting that availability as active support time.
I have been able to adjust my working hours for these arrangements. From November I will start earlier on three weekdays and cannot continue the same morning help on those days. Alex's cousin has agreed to spend one Saturday morning a month with him, but has not offered weekday support. We have not confirmed an alternative for the mornings affected by my work change.
Alex wants any new support to help him use his own routine and choices. I would like the planning discussion to consider the morning support gap and what further information would help explain it. I can continue helping with the weekly planning conversation, but I cannot promise to cover the three earlier mornings. This statement describes my observations and estimates; it is not a clinical assessment. Mei Chen, 22 September 2026.
Notice what makes the example useful: a defined period, a clear relationship, the participant's own priority, specific help, labelled estimates and a dated change in availability. It does not claim that a particular diagnosis or funding decision follows from those observations.
Check for accuracy, clarity and dignity
Read the draft once for meaning and once for accuracy. Can someone unfamiliar with your household understand what you do and what has changed? Check that a quotation is really the participant's wording, that an observation is something you actually observed and that information from another person is identified as their account.
There is no special phrase that makes a statement successful. Avoid exaggerating frequency, copying a fictional example as your own experience or presenting every day as the most difficult day. Equally, do not leave out substantial support simply because you have become used to providing it.
A concise main statement with a few well-chosen examples is a sensible writing target. That is a readability suggestion, not a universal NDIA page limit. Ask the recipient what they need, and attach a short supporting record if it adds useful detail rather than repeating the same points.
If you want another reader, choose someone you trust and are comfortable sharing with. Ask them whether the draft is clear and accurate, not whether they can make it sound more severe. A disability advocate may be able to help with an individual process where available; a trusted reader is not the same as professional advocacy advice.
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.
Confirm where to send it and how to follow up
Ask the intended recipient or your my NDIS contact which process applies, how to provide the statement and whether other evidence is needed. Preparing or sharing a statement is not, by itself, the same as lodging a formal request, and a family relationship does not automatically authorise someone to act for the participant.
Keep a dated copy of the version you send. Record the recipient, channel and any receipt or reference. If you send an updated version later, identify what it replaces. Agree who will check that it reached the right person and when; the writer does not have to carry every follow-up alone.
Where a clinician's report is also needed, use how to ask allied health for a plan-review report to make a separate, clear request. Your account of everyday support and the clinician's professional evidence serve different purposes.
If support is already missing or a carer can no longer continue, raise that practical situation with the appropriate service promptly. Do not wait for a polished statement to ask for help. The statement can support a conversation; it is not a response to an urgent care gap.
For preparation around an absence or loss of availability, see the backup care information checklist.
Use Kinovo to organise the preparation and follow-up
Kinovo can help an invited care team keep the preparation organised: a task to confirm what the recipient needs, the relevant current document and an agreed follow-up date. Start with the next unresolved action rather than building an archive of every personal detail.
A carer statement can contain private information about more than one person. Review the document's visibility and the intended readers before adding it to a shared workspace. If the available sharing arrangement is not suitable, keep the statement in an appropriate private place and use a minimally detailed task to track the follow-up.
The people responsible for a report, clarification or agreed task can provide their own updates within their permissions. This can reduce the amount the family has to chase while keeping the participant's preferences central.
Kinovo does not assess the statement, submit it to the NDIA, provide advocacy representation or decide funding. Its role is to help the team coordinate the preparation and keep track of the next agreed step.
Sources and editorial note
Sources checked 22 September 2026. The NDIA evidence page concerns access; confirm requirements for your own process. The ACD fact sheet is parent-focused and dated October 2023. The Kinovo templates and fictional example are original and have not had an independent advocacy review.
FAQ
What should I include in an NDIS carer statement?
Describe your relationship, the unpaid support you provide, specific everyday examples, frequency and time where relevant, the impact on you and what you can realistically continue. Include the participant's strengths and preferences, label estimates and date the statement.
Is this an official NDIS carer statement template?
No. It is an optional, original Kinovo preparation tool. It is not an NDIA form and has not had an independent advocacy review. Ask the relevant contact whether your process has a particular form, evidence request or submission requirement.
How long should a carer impact statement be?
Aim for a concise account that is easy to follow, with a few specific examples and extra detail only where useful. This guide does not set an NDIA page limit. Check whether the intended recipient has asked for a particular format or length.
Should I describe only the worst days?
No. Describe the actual pattern, including typical days, more difficult days and what helps. Say how often different situations happen. Do not exaggerate, withhold needed support or create a difficult situation to produce evidence.
Does a carer statement replace a functional capacity assessment?
No. A carer statement gives your perspective on everyday support and its impact. A functional capacity assessment is professional evidence with a different purpose. Confirm which information is relevant to the participant's situation and process.
Will a carer statement guarantee extra NDIS funding?
No. The NDIA considers relevant evidence and applicable funding criteria. A clear statement can explain the caring arrangement and changes in availability, but this template does not establish eligibility or guarantee a particular support or outcome.
Disclaimer
General writing and preparation information only, not advocacy, legal, clinical or NDIS funding advice. This original Kinovo guide and its tools have not had an independent advocacy review. They are not NDIA forms and do not guarantee any decision. The example is entirely fictional.