Government Subsidised Training Place Job Seeker Referral Form - Only For Use Invictoria Page 2

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Fee information – ONLY COMPLETE ONE OPTION (either Option 1 or Option 2)
To complete this section you will need to:
Check the published “Standard Fee” for this course on the RTO website;
1.
Confirm with the RTO the job seeker’s eligibility for government subsidised training and a concession fee
2.
and the actual “Standard Fee” that will apply for the specific job seeker, based on their specific subject
choices and individual characteristics (e.g. Indigenous); and
Refer to the worked example in the Government Subsidised Training Place Fact Sheet – Victoria.
3.
NOTE this fee information should be agreed with the RTO prior to referral however this may need
to be amended once the RTO has met with the job seeker should they identify the opportunity for
RPL or more appropriate subject choices. In these cases the form will be returned to you for
amendment.
Option 1: Job Seeker is eligible for concession fee in Victoria
(includes holders of a Health Care Card, Pensioner Card, Veteran’s Gold Card, or the dependant spouse or
child of a holder of a Health Care Card or Pensioner Card)
Concession Fee:
$
□
□
Who should be invoiced for this fee (please select one)
JSA Provider
Job Seeker
Funding Gap:
$
This fee will be invoiced to the JSA Provider
Other Costs:
$
□
□
Who should be invoiced for this fee (please select one)
JSA Provider
Job Seeker
OR
Option 2: Job Seeker is NOT eligible for concession fee in Victoria
“Standard Fee”:
$
□
□
Who should be invoiced for this fee (please select one)
JSA Provider
Job Seeker
Other Costs:
$
□
□
Who should be invoiced for this fee (please select one)
JSA Provider
Job Seeker
Invoicing arrangements
Total to be invoiced to JSA Provider
$
Total to be invoiced to Job Seeker
$
JSA Provider sign-off
JSA Provider name: ____________________________________________
Signatory name: _______________________________________________
Signatory’s position: ____________________________________________
Signature: ___________________________
Date: _____________________________
Government Subsidised Training Place Job Seeker Referral Form – Victoria D13/437876
Effective Date: September 2013
S:\STUDENTS\2014\forms\Vic referral form_JSA effective September 2013.docx
Page 2

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