Start the worksheet or contact Smurfettes when the scope is ready.
This NDIS cleaning scope worksheet helps a participant or authorised contact prepare a clear indoor household-cleaning enquiry. Print the page or copy the headings into a document. The worksheet does not send or save information, decide whether NDIS funding can be used, or confirm a provider booking.
The indoor result that matters most: ______________________________________________
Who is completing this sheet: participant / nominee / other authorised contact / support person helping at the participant’s direction
Preferred way for the provider to reply: phone / email / another agreed method
Do not write portal passwords, bank details, full plan documents or unrelated medical information on this worksheet. If using a shared device or printer, keep the completed copy private.
Suburb and postcode for the first enquiry: __________________________________________
Exact address to provide privately when requesting the availability check: __________________
Preferred days or time windows: _________________________________________________
Frequency to assess: [ ] one-off [ ] weekly [ ] fortnightly [ ] another interval: __________
Dwelling or entry notes: house / unit / apartment / access desk / lift / stairs / other: __________
Mark only the indoor areas that should be assessed:
Areas that must not be entered: __________________________________________________
Number the most important tasks first. Keep each instruction observable and specific.
Priority 1: room ____________________ task __________________________________________
Priority 2: room ____________________ task __________________________________________
Priority 3: room ____________________ task __________________________________________
Priority 4: room ____________________ task __________________________________________
Priority 5: room ____________________ task __________________________________________
Possible standard tasks to discuss include vacuuming, mopping suitable indoor floors, wiping or dusting safely reachable surfaces, cleaning agreed standard bathroom and kitchen surfaces, and emptying agreed household bins.
Optional work only after the priorities are complete:
________________________________________________________________________________
Items, equipment, papers or surfaces the cleaner must not move or touch:
________________________________________________________________________________
Participant-approved movement permissions:
________________________________________________________________________________
Mark any item that should be mentioned to the provider but not assumed to be accepted:
Each marked request remains assessment-only until the provider confirms it in writing. This worksheet is not for gardening, yards, exterior work, maintenance, repairs, handyman work, personal care, transport, meal preparation, dishes, organising, decluttering, packing, moving items, clinical tasks, mould remediation, biohazard work or pest treatment.
Entry or key arrangement to discuss privately: _______________________________________
Pets and agreed household response: ______________________________________________
Product sensitivities or surface restrictions: _________________________________________
Who is expected to supply products and equipment: __________________________________
Indoor route or mobility equipment that must remain clear: ______________________________
Person authorised to approve a change: ____________________________________________
Participant’s private areas: ________________________________________________________
Agreed common areas and the participant-related portion to discuss:
________________________________________________________________________________
Other residents’ private work that is not part of this request:
________________________________________________________________________________
Relevant funding management: [ ] self-managed [ ] plan-managed [ ] NDIA-managed [ ] unsure
Person or organisation that should receive the quote: _________________________________
Invoice destination to confirm privately: ____________________________________________
Do not put portal credentials, bank information or private account identifiers on this page. The management choice affects payment and provider requirements, but it does not by itself make cleaning fundable.
Use the separate NDIS cleaning quote guide for a detailed explanation of each check.
The NDIA says funding may only be used for NDIS supports that relate to disability and are in line with the participant’s plan. Cleaning can be a relevant household task in some plans, but this worksheet cannot establish eligibility. Check the plan and current rules, or ask the participant’s my NDIS contact, plan manager or support coordinator within their actual role.
Official information about NDIS supports and service agreements was reviewed on 4 September 2026.
Before sending the completed outline, make sure the participant has authorised the contact and remove unnecessary personal information. Smurfettes needs the exact address, indoor work requested, priorities, access notes, timing choices and billing pathway to assess an enquiry. It does not need an unrelated history.
Email info@smurfettescleaningservice.net or request a written response online. Task fit, current capacity and the final scope must be confirmed before a booking exists. For more explanation, read the task-list guide or return to the national NDIS cleaning guide.
