finance checklist - pacific pines state high …school employees administering the srs. however, if...

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G:\coredata\admin\finance\2020 Forms SRS\Finance Checklist 2020 FINANCE CHECKLIST Please refer to information provided on the Student Resource Scheme for 2020 and tick the following: YES I WISH TO PARTICIPATE IN THE STUDENT RESOURCE SCHEME [ ] I have read the information provided and wish to participate in the Student Resource Scheme. [ ] I have completed the Participation Agreement Form and understand this form ensures my participation in the Student Resource Scheme for the duration of my child’s enrolment at Pacific Pines State High School. [ ] I have indicated on the form which payment options I have selected for the Student Resource Scheme fees and will make payment as indicated: [ ] I will pay $300 by Friday 22 November 2019 with discount applied [ ] I will pay over 3 instalments: $125 on Wednesday 22 January 2020 $100 on Friday 6 March 2020 $100 on Friday 1 May 2020 [ ] I will pay $325 in full by Wednesday 22 January 2020 NO I ELECT NOT TO PARTICIPATE IN THE STUDENT RESOURCE SCHEME [ ] I have read the information provided and DO NOT wish to participate in the Student Resource Scheme. [ ] I have completed the Participation Agreement Form indicating I do not wish to be part of the Student Resource Scheme. [ ] I have read in detail the resources I will need to provide for my child for all of their subjects. [ ] I understand that I will be required to meet with the Deputy Principal, or school representative, to discuss my decision. STUDENT NAME: _______________________________________ YEAR LEVEL 2020: _________________ PARENT NAME: _______________________________________ SIGNATURE: _____________________

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Page 1: FINANCE CHECKLIST - Pacific Pines State High …school employees administering the SRS. However, if required, some of this information may be shared with departmental employees for

G:\coredata\admin\finance\2020 Forms SRS\Finance Checklist 2020

FINANCE CHECKLIST Please refer to information provided on the Student Resource Scheme for 2020 and tick the following:

YES I WISH TO PARTICIPATE IN THE STUDENT RESOURCE SCHEME [ ] I have read the information provided and wish to participate in the Student Resource Scheme. [ ] I have completed the Participation Agreement Form and understand this form ensures my participation in the Student Resource Scheme for the duration of my child’s enrolment at Pacific Pines State High School. [ ] I have indicated on the form which payment options I have selected for the Student Resource Scheme fees and will make payment as indicated:

[ ] I will pay $300 by Friday 22 November 2019 with discount applied

[ ] I will pay over 3 instalments: $125 on Wednesday 22 January 2020 $100 on Friday 6 March 2020 $100 on Friday 1 May 2020

[ ] I will pay $325 in full by Wednesday 22 January 2020

NO I ELECT NOT TO PARTICIPATE IN THE STUDENT RESOURCE SCHEME [ ] I have read the information provided and DO NOT wish to participate in the Student Resource Scheme. [ ] I have completed the Participation Agreement Form indicating I do not wish to be part of the Student Resource Scheme. [ ] I have read in detail the resources I will need to provide for my child for all of their subjects. [ ] I understand that I will be required to meet with the Deputy Principal, or school representative, to discuss my decision. STUDENT NAME: _______________________________________ YEAR LEVEL 2020: _________________ PARENT NAME: _______________________________________ SIGNATURE: _____________________

Page 2: FINANCE CHECKLIST - Pacific Pines State High …school employees administering the SRS. However, if required, some of this information may be shared with departmental employees for

G:\coredata\admin\finance\2020 SRS Forms\Student Resource Scheme 2020 Information Sheet

STUDENT RESOURCE SCHEME 2020 YEAR 7 – 12 INCLUSIVE SRS Fee 2020: $325 per student

The Principal and Parents and Citizens Association of Pacific Pines SHS are proud to be able to extend to you the opportunity to take advantage of the school’s Student Resource Scheme. The scheme is authorised to operate under the Education (General Provisions) Act 2006 and Department of Education Training and Employment Policy. The major purpose of the Student Resource Scheme is to provide an extremely cost effective and efficient strategy to parents and students which:

Reduces the heavy financial outlay for parents in providing a wide variety of student resources

Eliminates shopping for text books and resources

Gives students access to a wide range of up-to-date resources

Supplements consumable resources which are used to ensure real life learning experiences for our students

Assists in maintaining a high level of technology across the school learning environment Accommodates a range of school based and workplace programs to enhance student skill development. Provision of student’s personal stationery requirements will be the responsibility of the parents and students. Please refer to the stationery list attached. As this school promotes an electronic learning environment, with all students providing their own device, stationery items are minimal. It is important to note that there are limited additional fees for subject levies. The majority of subject levy costs are included in your Resource Scheme fee. All monies raised through this scheme are expended directly on the students of the school on an annual basis. In return for payment of the Student Resource Scheme participation fee, your student will be provided with:

· All prescribed textbooks and digital version access · Initial Photographic ID card · Use of class sets of books and resources for in-class activities · Short term loans (e.g. plays, novels, and poetry for English) · Use of reference materials · The necessary range of teacher prepared notes and/or student worksheets in all subject areas · Use of equipment, consumable materials and photocopies for a range of subjects across all year levels · Student computer printing · Qld Core Skills preparation, practice and marking (Year 11 and 12 only) · The scheme contributes to the cost of materials in the majority of practical subjects · Access to Daymap, EdPerfect, Clickview and use of a number of computer software programs

The Government supplies tuition fees and basic general foundations for the delivery of student curriculum programs. Please note, the student resource scheme fees have had the cost of the government textbook allowance deducted to reduce the total cost which parents are required to pay. The Principal may refuse to admit a student to the scheme where there are outstanding fees from previous years. A student may also be excluded from extra-curricular activities due to non-payment of the student resource scheme. If you wish to discuss your payment options, please make contact with the finance office as soon as possible. Parents who elect not to participate in the Student Resource Scheme will be required to complete and sign certification that all necessary resources listed will be provided on time for their student. Failure to provide all resources as required could negatively impact student learning outcomes.

REFER TO SRS FEE SCHEDULE AND PAYMENT OPTIONS OVER PAGE

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G:\coredata\admin\finance\2020 SRS Forms\Student Resource Scheme 2020 Information Sheet

STUDENT RESOURCE SCHEME FEE SCHEDULE FOR 2020

The Student Resource Scheme fee will be $325 for students in Year 7 to Year 12 and the following payment options will apply: Payment in full by Friday 22 November 2019 will ensure a discount of $25, reducing the fee to $300 per student. You may elect to pay instalments (no discount will be applied):

· 1st instalment - $125 due on Wednesday 22 January 2020 · 2nd instalment - $100 due on Friday 6 March 2020 · 3rd instalment - $100 due on Friday 1 May 2020

The total amount of $325 will be due on Wednesday 22 January 2020 if the instalment option is not chosen. The school provides a number of payment plan options. Please refer the information listed below on direct debit and Centrepay.

Payment Options DIRECT DEBIT Student Resource Scheme Fee can be broken down in instalments of weekly, fortnightly or monthly. These can be set up from Bank Accounts and Credit Cards and made directly to the students invoice. Please contact Finance Office on 07 55025130 to set up your individual plan. OVER THE PHONE 24/7 To make a payment over the telephone please call 1300 631 073 and follow the instructions. Please note: Telephone payments cannot be made at Finance Office. CENTREPAY – Payment using your Centrelink/Family Tax Benefit funds. Fortnightly deductions from these payments can be set up via Finance Office. All completed forms must be returned to the Finance Office. Please do NOT send your form directly to Centrelink. The finance office will record your payment preference and submit the form digitally on your behalf. PAYMENT BY INTERNET BANKING/DIRECT CREDIT – Direct payment into school bank account Bank – Commonwealth Bank of Australia Account Name – Pacific Pines State High School General Account BSB – 064-474 Account Number – 10072737 Payment Description: Student EQ ID number or Invoice number It is very important that you are accurate with your payment description. If we cannot identify your student or what you are paying for, we cannot allocate the payment correctly. Please note – to ensure payment reaches the school’s bank account prior to the payment cut-off date, all internet bank payments must be made no later than 48 hours prior to the cut-off date/time. Payment through your internet banking can be made 24 hours a day, 7 days a week. PAYING IN PERSON – Payment by Credit Card, EFTPOS, Cash, Cheque Payments can be made at the Payment Window during office opening hours of Tuesday / Wednesday / Friday 8.30am to 2.00pm

Page 4: FINANCE CHECKLIST - Pacific Pines State High …school employees administering the SRS. However, if required, some of this information may be shared with departmental employees for

PACIFIC PINES SHS Student Resource Scheme

Participation Agreement Form 2020 Year 10

P Participation

T educ

and t

T

The scheme is designed to offset the cost to you of the provision of educational resources associated with your child’s education. These resources enhance your child’s educational experience and assist them to fully engage with the curriculum. The scheme may be split into two components:

1. a whole of school component which is common to all students depending on their year level; and 2. specific goods and services consumed by your child which are related to individual subjects undertaken by your child

Yes I wish to participate in the Student Resource Scheme in 2020. I have read and understand the Terms

Conditions of the scheme (see reverse) and agree to abide by them and to pay the participation fee in accordance with the selected payment arrangement below

No I do not wish to participate in the Student Resource Scheme in 2020. I have read and understand the

terms and Conditions of the scheme (see reverse) and agree to abide by them, particularly paragraphs between 15 and 39. I understand I am responsible to ensure my student has all the resources as per the Subject Requirements List and / or Year Level Requirements List which is available on the website.

Student Given Name Student Surname Year Level Fee

10

$300 if paid in full by the 22/11/2019 $300

$325 if paid after the 22/11/2019, with full payment of $325 due by 22/01/2020

$325

Parent Details Parent First Name Parent Surname

Parent Name:

Parent Signature: Date:

Payment Arrangement – Please tick

I will make the payment of $300 by the 22/11/2019 to be entitled to the discount.

I will make the payment of $325 in full by the 22/01/2020

I wish to make 3 instalment payments on or before the due date below:

1st instalment: $125 2nd instalment: $100 3rd instalment: $100

due by: 22/01/2020 due by: 06/03/2020 due by: 01/05/2020

I agree to make payments by the due dates and I understand that any failure to make payments by these dates may

result in debt recovery action being undertaken including, where warranted, referral to an external debt collection agency

at my expense. I understand my student will not be permitted to participate in optional school activities if my payment

arrangement falls into arrears. Optional activities include but are not limited to: Excursions, camps, Inter school sports etc.

Payment Method

I wish to make payment by: BPOINT* Cheque/Cash Direct Deposit

Centrepay Deduction*** EFTPOS (Credit/Debit Card)

Pacific Pines SHS: BSB Number 064 474 Account Number 10072737

* Online through BPOINT or see our school’s website

When paying by BPOINT, please use the Customer Reference Number (CRN) and invoice number printed on the

invoice received from the school. If unsure of your CRN, please contact the school.

*** Payment by Centrepay deduction can be arranged through the school office

Uncontrolled copy. Refer to Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 1 of 2

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Terms and Conditions of the Student Resource Scheme

Privacy Statement

The Department of Education collects this information in accordance with section

51 of the Education (General Provisions) Act 2006 ("the Act") in order to administer

the Student Resource Scheme (SRS). The information will only be accessed by

school employees administering the SRS. However, if required, some of this

information may be shared with departmental employees for the purpose of debt

recovery.

Definitions

1. Reference to a “parent” is in accordance with the definition in the Act

and refers equally to an independent student.

The Student Resource Scheme (SRS)

2. The cost of providing instruction, administration and facilities for the

education of students enrolled at state schools is met by the State.

3. The school is not responsible for providing textbooks, in-class

consumables and personal resources for students.

4. The SRS enables parents to access certain resources, as detailed by the

school, for an annual fee.

5. Participation in the SRS is optional: parents are under no obligation to

participate.

Textbook and Resource Allowance (TRA)

6. The State provides the TRA annually to parents of eligible secondary

students to assist with the costs of education.

7. The TRA is paid to the school based on enrolment data and will reduce

the cost of participating in the the SRS.

8. Parents who choose NOT to participate in the SRS and whose children

are eligible for the TRA have the option to receive the TRA as a

credit to their child’s school account or directly from the school.

Parents and Citizens’ (P&C) Association support of the SRS

9. All parents are invited to participate in the annual meeting of the P&C

Association at which the income and expenditure report is presented

and the proposed SRS inclusions and fees are tabled for approval.

Parents experiencing financial hardship

10. Principals may vary payment options and/or waive all or part of the

participation fee for parents experiencing financial hardship.

11. Parents experiencing financial hardship who wish to participate in the

SRS should contact the Principal to discuss options.

12. The onus of proof of financial hardship is on the parent.

13. The school may require annual proof of continuing financial hardship.

14. All discussions will be held in the strictest confidence.

Parents participating in the SRS

15. Parents indicate whether or not they wish to participate in the SRS by

completing this Participation Agreement Form.

16. [An] invoice/s for the amount of the annual participation fee will be

issued to the parent providing consent to participate in the SRS.

17. This agreement is for the duration of the student’s enrolment at the

school, unless a new Participation Agreement Form is completed.

18. Parents must notify the school before the invoice due date if they

intend to cease their participation in the SRS in any year.

19. Where a parent chooses to participate, they are agreeing to pay the

annual participation fee, in accordance with the payment frequency

option selected on the form. There is no provision for part-

participation.

20. All SRS resources provided for the student’s temporary use remain the

property of the school and must be returned when requested by the

school or if the student leaves the school.

21. Parents are responsible for ensuring that any SRS resources provided

for the student’s temporary use are kept in useable condition. Where

an issued item is lost, not returned, or negligently damaged, parents

will be responsible for payment to the school of the value of the item

or its repair.

22. Parents must inform the school if items on the list of resources are not

received.

23. Non-payment of the participation fee by designated payment date(s)

may result in debt recovery action in accordance with the

Department’s Debt Management procedure. In such cases, the

Principal may:

• withdraw the student’s participation in the SRS

• require the return of items provided by the SRS

• withhold the provision of any further items under the SRS

• refuse participation in the SRS where participation fees are

overdue from the previous year(s), and/or

• exclude the student from optional, non-curricular activities

and/or

• Initiate debt recovery action.

Parents NOT participating in the SRS

24. Parents indicate whether or not they wish to participate in the SRS by

completing this Participation Agreement Form.

25. This agreement is for the duration of the student’s enrolment at the school,

unless a new Participation Agreement Form is completed.

26. Where a parent has previously indicated that they will participate in the SRS,

but wishes not to participate in any year(s), the parent must notify the

school prior to the invoice due date of their intention to cease participation.

27. Parents who choose not to participate in the SRS are responsible for

providing their child with all items that would otherwise be provided by the

SRS. School-produced resources (e.g. Student Diary) will be available for

separate purchase from the school for nonparticipants.

Operating the SRS

28. Schools will provide all parents with a list of resources provided by the SRS

to enable parents to assess the cost effectiveness of participation.

29. Schools will also provide non-participating parents with detailed lists of

resources to supply for their child.

30. All items included in the SRS must be able to be independently sourced by

parents who choose not to participate in the SRS, either from a third party

supplier or by purchasing a school-specific resource (such as a diary or

workbook) from the school.

31. Schools may distribute information and invoices to parents in the year

preceding the SRS but invoices must not be due before the end of the first

week of term 1 of the SRS year. All invoices must have a minimum

of 30 days for payment. 32. Parents must be given the option annually to choose not participate in the

SRS.

33. In return for payment of the participation fee, the SRS will provide

participating students with the resources and materials as outlined in the

school SRS documents.

34. SRS moneys received are to be expended only on student resources outlined

in the school’s SRS and must not be expended on other items or used to

raise funds for other purposes.

35. As the SRS operates for the benefit of participating parents and is funded

primarily from participation fees, the school retains control of the resources

and determines the rules around their availability to

nonparticipants.

36. A student entering the school during the school year is entitled to pay a pro-

rata fee to participate.

37. Where participation fees have been paid and a student leaves the school

during the year, schools must determine if parents will be eligible for a pro-

rata refund. This calculation will also take into account any pro-rata

allocation of the TRA (if eligible) and any outstanding SRS debts (including

any debts from damaged or non-returned items). Where the cost of

outstanding debts is higher than the calculated refund, parents will be liable

to pay this balance of funds.

38. The replacement cost of any resource will be up to the maximum value

(subject to depreciation where appropriate) of the acquisition cost to the

school, as detailed on the annual SRS information provided to parents.

39. Schools may initiate debt recovery action in accordance with the debt

management procedure where a parent has an outstanding debt

Uncontrolled copy. Refer to Department of Education Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current

version of this document.

Page 6: FINANCE CHECKLIST - Pacific Pines State High …school employees administering the SRS. However, if required, some of this information may be shared with departmental employees for

The Student Resource Scheme provides parents with a convenient and cost-effective way to access

educational resources their children need for school. These resources supplement the school’s

resources and enhance students’ learning experience at their school.

If you have selected NOT to participate in the Student Resource Scheme and pay the annual fee of $325.00, please

ensure that your student has all resources below to ensure your’ student can fully participate in the curriculum.

The cost of non-participation in SRS may be in excess of $3000.00.

I HAVE MADE AN APPOINTMENT WITH THE DEPUTY PRINCIPAL, OR A DESIGNATED SCHOOL REPRESENTATIVE, TO DISCUSS MY RESPONSIBILITIES IN PROVIDING THE NECESSARY RESOURCES

TO ENSURE MY STUDENT CAN FULLY PARTICIPATE IN THE CURRICULUM.

2020 Year 10

TOTAL COST OF NON PARTICIPATION Not including Special Education $7,642.65

SUBJECT SUPPLIED UNDER SCHEME

ALL SUBJECTS

Daymap https://pacificpinesshs.eq.daymap.net (Unavailable individually)

$22.00

Clickview https://online.clickview.com.au (Unavailable individually) $8.00 Education Perfect https://www.educationperfect.com $100.00 Pearson Places https://www.pearsonplaces.com.au $20.00 Printing Credit $10.00

Cost to purchase $160.00

ACCOUNTING Worksheets/Booklets $20.00

Online student Purchase of MYOB $15.00

Cost to purchase $35.00

BUSINESS & ENTERPRISE Worksheets/Booklets $20.00

Cost to purchase $20.00

DANCE

Ochres (DVD) (Bangarra Dance Theatre) $80.00

Café and boxes (DVD) $56.00

Giselle (DVD) $40.00

Romeo & Juliet - Expressions x4 DVDs $170.00

Cost to purchase $346.00

DIGITAL TECHNOLOGIES Access to advanced software (titles available upon request) POA

Cost to purchase POA

DRAMA

Centre stage (2nd ed.) 9781740813372 $54.00

10 things I hate about you (DVD) $15.00

Background music for forming drama works $4.50

IPOD docking station $110.00

Shakespeare costumes $40.00

Shakespeare Scripts - Romeo and Juliet, Macbeth $45.00

Fabric $30.00

Percussion instruments - Bongo, Clapping sticks, Drum, Tamborine $120.00

Consumables - baby wipes, make-up $30.00

Cost to purchase $448.50

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ENGLISH

Complete English Basics 1 $45.00

Oxford Australian School Dictionary & Thesaurus (2nd ed) $25.00

Shakespearean Playbook / Playbook $25.00

DVD's x4 $80.00

Worksheets/booklets $25.00

Appreciating Poetry $54.50

Novels x 1 $22.00

Cost to purchase $276.50

HEALTH & PHYSICAL

EDUCATION

Health & Physical Education for the Australian Curriculum $70.00

Health Education (Jacaranda) (Health only) $75.00

P.E. (Oxford) (PED only) $75.00

School produced workbook & handouts $30.00

Sport equipment, including GPS tracker and heart rate monitor $400.00

Software and app access $60.00

Sunscreen $10.00

Cost to purchase $720.00

TOURISM

Workbooks $10.00

Tourism Resources-magazines etc $20.00

Cost to purchase $30.00

EARLY CHILDHOOD STUDIES

Workbooks $10.00

Consumables-craft items/toys etc $10.00

Cost to purchase $20.00

HOSPITALITY

(per term)

Workbooks $10.00

Aprons and gloves $15.00

Cooking ingredients $30.00

Consumables (glad wrap, foil, foil trays) $10.00

Consumables (detergent, dishcloths, laundry, ect) $10.00

Cost to purchase $75.00

FURNISHINGS

(per term)

Tools and Equipment to manufacture projects and demonstrate skills $600.00

Consumables ( for project such as camp stool practice joints) $60.00

Cost to purchase $660.00

CONSTRUCTION

(per term)

Tools and Equipment to manufacture projects and demonstrate skills $600.00

Consumables ( for project such as DOG KENNEL practice joints) $60.00

Cost to purchase $660.00

JAPANESE

Flashcards, cardboard $10.00

Flashcards, Hiragana $30.00

Flashcards, Katakana $30.00

Oxford Beginner's Japanese Dictionary 9780199298525 $30.00

Whiteboard & whiteboard markers $15.00

Worksheets/booklets $20.00

Consumables $20.00

Cost to purchase $155.00

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MATHEMATICS

Coloured paper, sticky tape, scissors $10.00

Protractor and compass $15.00

Worksheets/booklets $10.00

Pearson mathematics. 10-10A, S.B. $55.00

Cost to purchase $90.00

MEDIA ARTS IN PRACTICE

Media : new ways and meaning $63.00

Camera $1,500.00

Tripod $150.00

Light reflector $150.00

16 GB USB flashdrive $25.00

Head phones $10.00

2 GB SD card $20.00

Consumables $450.00

Cost to purchase $2,368.00

MUSIC

Worksheets/booklets $20.00

Sheet Music x 3 @ $25.00 $75.00

Sibelius Software $200.00

Yamaha Guitar $200.00

Yamaha Keyboard $250.00

Consumables $10.00

Cost to purchase $755.00

SCIENCE

Pearson Science 10 $58.70

Stile $13.00

Reference Books (various) $25.00

Audio/visual resources $25.00

Chemicals & consumables $30.00

Worksheets/booklets $10.00

Cost to purchase $161.70

SOCIAL SCIENCE/

HUMANITIES

Geography Alive 10 $50.00

History Alive 10 $50.00

Jacaranda Atlas (9th ed.) $74.95

Jacaranda, Egypt $30.00

Life BC $35.00

COLOUR Printed Historical/Geographical sources $40.00

The Time Team Archaeology DVD $70.00

Excursion/ Field Studies/ Practical Applications Workbooks $15.00

Print Resources Worksheets/booklets $40.00

Cost to purchase $404.95

VET CERTIFICATE COURSES Worksheets/booklets $10.00

Cost to purchase $10.00

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Artwise $77.00

Worksheets/booklets $20.00

CONSUMABLES: Clay (Raku/fine blend), Glaze & Top glaze,

(wattle, mango, mauve, berry, sky, azure, lagoon, lime, liquorice,

coconut, firecracker, skin)

VISUAL ART Ceramic tools & kiln. Etching - etching tools / black ink, etched

plates (Plastic sheet), watercolours, pencils, charcoal, graphite,

cartridge paper, Coloured pencils, Fine tip markers, Markers, paper

mache, Acrylic paints (blue, red, yellow, green, black, white, orange,

teal purple, brown, silver, gold, light blue, olive, indigo) Scissors,

Paper glue $150.00

Cost to purchase $247.00

SPECIAL EDUCATION

PROGRAM

Creating programs for students with significant learning needs

requires access to online programs, creating individualised work

booklets and utilising many hands on materials to consolidate

educational experiences. These resources are developed based on

the individual needs of each student, and as such, costs can be quite

high. Participation in the Student Resource Scheme covers these

costs

$500.00

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CENTREPAY DEDUCTION FORM 

Please complete this form in full and return it to the Finance Window 

 

PART A – PARENT/GUARDIAN DETAILS 

FAMILY NAME:   

GIVEN NAME/S:   

YOUR DATE OF BIRTH:   

PHONE NUMBER:   

CENTRELINK REFERENCE NUMBER:        ‐        ‐        ‐   

CENTRELINK PAYMENT TYPE:   

 

PART B – STUDENT DETAILS 

NAME:    STUDENT ID:   

NAME:    STUDENT ID:   

NAME:    STUDENT ID:   

NAME:    STUDENT ID:   

 

PART C – TYPE OF REQUEST 

  START –  a new deduction for Student Resource Scheme (Complete Part E and H) 

  CHANGE – a current deduction for Student Resource Scheme (Complete Part F and H) 

  CANCEL – a current deduction for Student Resource Scheme (Complete Part G and H) 

 

PART D – SERVICE PROVIDERS DETAILS 

NAME:  Pacific Pines State High School 

ADDRESS:  PO Box 380, Helensvale  4212 

PHONE NUMBER:  (07) 5502 5111 

CENTREPAY REFERENCE NUMBER   

 

PART E – CHANGE A CURRENT DEDUCTION FOR STUDENT RESOURCE SCHEME 

FORTNIGHTLY AMOUNT:   

START DATE:   

ONGOING :    OR   TARGET AMOUNT:         $  OR  END BY:         /          /       

Once Part E is completed, please complete Part H 

     

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PART F ‐  CHANGE A CURRENT DEDUCTION FOR STUDENT RESOURCE SCHEME  

FORTNIGHTLY AMOUNT:  $ 

START DATE:       /       / 

ONGOING PAYMENTS:    TARGET AMOUNT:         $ 

Once Part F  is completed, please complete Part H 

 

PART G – CANCEL A CURRENT DEDUCTION FOR STUDENT RESOURCE SCHEME  

CANCELLATION DATE:       /       /  

Once Part G  is completed, please complete Part H 

 

PART H – AUTHORISATION – Please read, sign and date the statement (Must be completed)  

 

 I authorise the Australian Government Department of Human Services to make the nominated deduction and pay the amount to the service provider (or as they direct).  I give permission for: 

The information I have provided on this form to be given by Human Services to the services provider (or their agent). 

The services provider I have nominated on this form to provide my correct account or billing number to Human Services if required. 

 I understand that: 

if my deduction has a target amount and the final deduction is set to pay less than $2, my second last deduction will be increased by up to $2 to cover the final amount. 

if I have a current Centrepay deduction and I lodge a new claim, that the existing deduction(s) will not be carried over to the new payment. 

if I have a current Centrepay deduction and I transfer to another eligible Centrelink payment in the future that my deductions will continue. 

it is my choice to have this amount deducted from my Centrelink payments, and I can change my Centrepay deduction at any time. 

if I stop using the service provider but do not stop my Centrepay deduction, the service provider may instruct Human Services to stop the deduction. 

if I change service providers, I may also need to advise Human Services to stop my previous deduction. 

when a payment has been made to a service provider after my deduction authority has been cancelled or suspended, Human Services may be able to assist me to recover the Centrepay deduction. 

PRIVACY AND YOUR PERSONAL INFORMATION Your personal information is protected by law, including the Privacy Act 1988, and is collected by the Australian Government of Human Services for the assessment and administration of payments and services. This information is required to process your application or claim. Your information may be used by the department or given to other parties for the purposes of research, investigation or where you have agreed or it is required or authorised by law. You can get more information about the way in which the Department of Human Services will manage your personal information, including their privacy policy at humanservices.gov.au/privacy or by requesting a copy from the department.  

 

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