Please fill out the form below. All fields marked with an asterisk (*) are required. Please indicate in the 'Your message/question' section if you would like to be contacted by the NDIA. If you think a decision made by the NDIA about you is wrong, you can ask for an internal review of a decision. What is your message or question about? (choose ONE option)* Accessing the NDIS (I am a person with a disability (or their representative) who wishes to participate in the NDIS) Participant support (I am a participant (or their representative) and need help understanding my plan, change of circumstance, the myplace portal etc.) Provider support (I am providing support for people with disability and need help with registration, payment requests, myplace portal etc.) Early Childhood Early Intervention (I am the carer of a child under 7 years old and need more information) Feedback or complaint (I would like to provide a complaint, compliment or feedback about the NDIS and/or NDIA) Other enquiries (general question about the NDIS) Your details and message below First name* Last name Email* Phone* Date of birth (this will help us answer your questions about access to the NDIS) Date of birth: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of birth: Day Day12345678910111213141516171819202122232425262728293031 Date of birth: Year Year1903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Address (this will help us answer your questions about access to the NDIS) Postcode* Message Submit Leave this field blank
