Code of Conduct Worker Acknowledgment Form

SAH-RT-004 Code of Conduct Worker Acknowledgment Form. An editable Word form from the Chapter & Clause aged care library, for Support at Home and CHSP providers.

The form each worker signs to acknowledge the Aged Care Code of Conduct (Part A) and their confidentiality obligations (Part B).

Who it applies to: Written for every registration category unless the document says otherwise. Check its category references before you adopt it.

A form completed at the time, carrying a note that cites the provisions it evidences.

Also in

• Registration & Monitoring Essentials, 40 documents, $395
• Personal Care Provider Library, 59 documents, $1,195

Need more than a handful? The packs are better value, and they are built to work as one system, with every document cross-referenced.

Delivery

Instant download as an editable Word document. Replace the placeholder fields with your own details, drop your logo into the marked zone, and it is yours to use in one business.

Currency

A one-time purchase of the document as it stands today. It does not include updates for later changes in the law or official guidance; corrections of errors are free. When the law moves we re-stamp and amend affected documents, and the new versions go to anyone holding a current currency membership. The membership is for pack owners: join within 30 days of buying a pack and the first month is free, then $29.99 a month; otherwise it is $89.97 a quarter (prices effective 01/10/2026). You can cancel at any time. Cancelling never takes anything away from you. Every change we make is listed in the document change log.

An editable template and general information, not legal, clinical or financial advice. It needs customising to your service and implementing in practice. Policies alone are not evidence of compliance. Using it does not guarantee registration, audit success or compliance with any obligation. Licence and terms.

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