NATIONAL POLICE CHECKING SERVICE
EMPLOYER REGISTRATION
ORGANISATION DETAILS
Employer/ Organisation Name:
ABN:
Postal address:
Street address:
Phone Number:
Fax Number:
General Email Address:
Email for Invoicing:
This Organisation is a member of the Catholic Church Group for GST:
Yes
No
Signed on behalf of Employer/Organisation
Signature:
Date:
Surname:
Given name/s:
Title of Position:
Email Address:
The Catholic Commission for Employment Relations (CCER) has an obligation to protect all information stored within its
computer systems. Your access will be granted on the condition that any information gained is used only in the execution of
your professional duties.
As outlined in the Contract between your organisation and CCER for the provision of the National Police Checking Service, only the
Authorised Officer and Personnel have access to Criminal History information, which must only be accessed as per the terms outlined in
the Contract between the parties.
Please provide below details of your organisation’s Authorised Officer and any Personnel.
Please note that CCER requires all Personnel, including the Authorised Officer are required to have undertaken a National Criminal
History Check within the last 5 years and also that they sign a Confidentiality Agreement.
AUTHORISED OFFICER AND AGENCY PERSONNEL DETAILS
AUTHORISED OFFICER DETAILS
Family name/surname:
First given name:
Date of Birth:
Other given names:
Gender:
Male
Female
Position:
E-mail address:
National Criminal History Check (NCHC) conducted through CCER?
Yes
Date check conducted:
No
Please supply a copy if NCHC was NOT conducted through CCER
Signed Undertaking re Confidentiality attached?
Copy of NCHC attached:
Yes
Yes
No
No
Use of CCER’s computer systems is restricted to employees of organisations authorised to access the information contained on CCER’s online databases. Unauthorised use or alteration of computer data is prohibited. Any unauthorised access, modification or impairment of
CCER’s system or data will be considered a criminal offence under the Cybercrime Act 2001 and may result in legal action.
I have read and agree to comply with the above Information.
Signature: _________________
Date:__________________
PERSONNEL DETAILS
Family name/surname:
First given name:
Date of Birth:
Other given names:
Gender:
Male
Female
Position:
E-mail address:
National Criminal History Check (NCHC) conducted through CCER?
Yes
Date check conducted:
No
Please supply a copy if NCHC was NOT conducted through CCER
Signed Undertaking re Confidentiality attached?
Yes
Copy of NCHC attached:
Yes
No
No
Use of CCER’s computer systems is restricted to employees of organisations authorised to access the information contained on CCER’s online databases. Unauthorised use or alteration of computer data is prohibited. Any unauthorised access, modification or impairment of
CCER’s system or data will be considered a criminal offence under the Cybercrime Act 2001 and may result in legal action.
I have read and agree to comply with the above Information.
Signature: _________________
Date:__________________
PERSONNEL DETAILS
Family name/surname:
First given name:
Date of Birth:
Other given names:
Gender:
Male
Female
Position:
E-mail address:
National Criminal History Check (NCHC) conducted through CCER?
Yes
Date check conducted:
No
Please supply a copy if NCHC was NOT conducted through CCER
Signed Undertaking re Confidentiality attached?
Copy of NCHC attached:
Yes
Yes
No
No
Use of CCER’s computer systems is restricted to employees of organisations authorised to access the information contained on CCER’s online databases. Unauthorised use or alteration of computer data is prohibited. Any unauthorised access, modification or impairment of
CCER’s system or data will be considered a criminal offence under the Cybercrime Act 2001 and may result in legal action.
I have read and agree to comply with the above Information.
Signature: _________________
Date:__________________
PERSONNEL DETAILS
Family name/surname:
First given name:
Date of Birth:
Other given names:
Gender:
Male
Female
Position:
E-mail address:
National Criminal History Check (NCHC) conducted through CCER?
Yes
Date check conducted:
No
Please supply a copy if NCHC was NOT conducted through CCER
Signed Undertaking re Confidentiality attached?
Yes
Copy of NCHC attached:
Yes
No
No
Use of CCER’s computer systems is restricted to employees of organisations authorised to access the information contained on CCER’s online databases. Unauthorised use or alteration of computer data is prohibited. Any unauthorised access, modification or impairment of
CCER’s system or data will be considered a criminal offence under the Cybercrime Act 2001 and may result in legal action.
I have read and agree to comply with the above Information.
Signature: _________________
Date:__________________
NATIONAL POLICE CHECKING SERVICE
AGREEMENT
Acceptance of Terms
Catholic Commission for Employment Relations (CCER) is pleased to offer its National Police Checking Service
to you on the basis of the Contract signed between your organisation and CCER for the provision of the National
Police Checking Service, and the following terms and conditions. Please confirm your acceptance by signing this
agreement.
Terms and Conditions
1.
In these terms and conditions: ‘you’ means the designated employer; ‘applicant’ means each individual
about whom you require a National Criminal History Check (NCHC).
2.
Results from the NCHC are provided to CCER from CrimTrac. CCER does not accept and is not liable
for the accuracy or completeness of the information provided.
3.
CCER will use its best endeavours to provide the requested NCHC results within 14 business days,
however CCER is not liable for any delay or failure to provide information caused or contributed by a
third party, including CrimTrac.
4.
You agree to keep all user name/s and password/s, password reminder question/s and answer/s and
any other security or access information confidential to prevent unauthorised access and to prevent
unauthorised use of the NCHC service. You agree not to give or make available your access information
to any unauthorised person.
5.
CCER reserves the right, under certain circumstances, to deny your access to the NCHC service, in
order to maintain or restore security.
6.
You agree that all electronic communications received via the NCHC service will be deemed valid,
authentic and binding obligations. These electronic communications (e.g. ticking signed consent and
confirming identity) will be given the same legal effect as your written and signed paper communications
and shall be considered “writing” or “in writing” and shall be deemed for all purposes to have been
“signed”.
7.
It is an essential condition of CCER’s agreement with you that:
(a)
You will only use the reports and information received for the purposes of employment
screening and probity checking.
(b)
You will take proper and reasonable steps to ensure that the reports and information
remain confidential and you will not disclose information without the relevant individual’s
consent except as otherwise permitted or required by law.
(c)
You warrant that the fax, email or mailing address you provide CCER for correspondence
is suitable for maintaining the confidentiality of the information CCER provides you and
you will notify CCER of any change to any confidential contact numbers.
8.
It is an essential condition of this agreement that you ensure that any person or organisation to which
you provide any information that was provided to you by CCER complies with the obligations as set out
in clause 9.
9.
You agree to indemnify and defend CCER against all suits, liabilities, claims, costs and demands
whatsoever which may be brought or made as a result of any disclosure, use or misuse of personal
information relating to an applicant which occurs as a result of any act or omission on your part.
10. CCER reserves the right to vary its terms and conditions and our rates of charge from time to time. Any
changes will be applicable from the date CCER notifies you.
11. The fees for the cost of a NCHC are $41 for paid staff and $15.38 for volunteers, unless further advised
by CCER in writing.
12. Costs become payable once the NCHC has been forwarded to CrimTrac.
13. As a result of a NCHC, where you request CCER to conduct further inquiry in the form of a risk
assessment, an additional payment will be charged. Additional payments are required for CCER to
carry out risk assessments.
14. Risk assessment costs may involve the application for relevant court transcripts and/or briefs of
evidence containing police facts sheets etc. These costs will need to be borne by you or the applicant
about whom the NCHC relates. Where such information is considered necessary CCER will seek prior
approval for the application of such information from you before proceeding.
15. CCER’s services are payable within fourteen (14) days of invoice. We reserve the right to suspend or
cease providing NCHC services if invoices are not paid within the specified time period.
16. The Laws of the State of the New South Wales govern this contract, and you hereby agree to submit to
the nonexclusive jurisdiction of the Courts of New South Wales.
I accept these terms and conditions on behalf of the Employer/ Organisation.
_________________________________________
Name
______________________________________
Position
_________________________________________
______________________________________
Signature
Date