Registration Form for NSW RPA System
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Service Provider User Account
Behaviour Support Practitioner User Account
Request access for a New Service Provider User
Function: Create and Lodge Submissions, Create Participants and convene Panels
Complete this form to register as a Service Provider user in the NSW RPA System. The Service Provider must already be registered in the NSW RPA System.
To assist you with completing this form, please refer to the user guide NSW RPA System User Guide - Requesting System Access, located in the
User guides and video tutorials
section of the
RPA portal website
.
New User Details
First Name
Last Name
Email Address
Mobile Phone Number (required)
Organisation Name
Organisation ABN
Role
Service Provider
Service Provider Admin
Your Manager’s Full name
Complete this form to register as a Behaviour Support Practitioner in the NSW RPA System.
To assist you with completing this form, please refer to the user guide NSW RPA System User Guide - Requesting System Access, located in the
User guides and video tutorials
section of the
RPA portal website
.
New User Details
First Name
Last Name
Email Address
Mobile Phone Number (required)
Organisation Name
NDIS Q&S Commission Practitioner Registration ID
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