Support Worker Privacy Notice for Ministry of Health funding packages You are being employed (or contracted) to provide disability supports, and the Person employing or contracting with you is using Funding arising from a NASC allocation for that purpose. The Person employing you or contracting with you may be required to make available the following details about you to the organisation authorising release of these funds for that Person: Your full name, date of birth, address and contact phone number, and your IRD number (or that of the contractor employing you); and The dates and times when you provide services. The purpose for which the information will be used is to monitor compliance with the requirements of this Funding and to verify claims made in relation to the services you provide for this Person. Auditors appointed by the Ministry of Health may also review this information. The auditors may make contact with you if they have any questions about claims made. The organisation contact details are . . . . . . . . . . . . . . . . . . . . . . . . . . . . [name and contact details of the IF/EIF Host]. You can access the information held about you, and ask for correction where necessary by contacting the Person. If you want further information refer to Declaration I understand that the Person employing or contracting me may be required to make available a number of details about me to the organisation specified above for the purpose specified above. Name of Support Worker: . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature of Support Worker: . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . .
Support Worker Privacy Notice for Ministry of Health funding packages You are being employed (or contracted) to provide disability supports, and the Person employing or contracting with you is using Funding arising from a NASC allocation for that purpose. The Person employing you or contracting with you may be required to make available the following details about you to the organisation authorising release of these funds for that Person: Your full name, date of birth, address and contact phone number, and your IRD number (or that of the contractor employing you); and The dates and times when you provide services. The purpose for which the information will be used is to monitor compliance with the requirements of this Funding and to verify claims made in relation to the services you provide for this Person. Auditors appointed by the Ministry of Health may also review this information. The auditors may make contact with you if they have any questions about claims made. The organisation contact details are . . . . . . . . . . . . . . . . . . . . . . . . . . . . [name and contact details of the IF/EIF Host]. You can access the information held about you, and ask for correction where necessary by contacting the Person. If you want further information refer to Declaration I understand that the Person employing or contracting me may be required to make available a number of details about me to the organisation specified above for the purpose specified above. Name of Support Worker: . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature of Support Worker: . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . .