Thank you for choosing MOIRA Financial Plan Management. Follow the simple steps below to begin the sign up process and select MOIRA as your NDIS plan manager.

If you need help at any point during this sign up please contact FPMengagement@moira.org.au or call 1300 666 472 for assistance.

*Fields marked with an astrix are mandatory and must be completed to finalise the sign up process.

Participant Details

Date of Birth (DD/MM/YYYY)*
NDIS Plan Start Date (DD/MM/YYYY)*
NDIS Plan Review Date (DD/MM/YYYY)*

Preferred contact method*

The Participant will authorise all invoices*

An Authorised representative can authorise all invoices*

Authorised Representative Details

Authorised Representative 1

 

Preferred contact method*

+ Add additional representative

Upload your NDIS Plan (Optional)

MOIRA request a copy of your NDIS plan to review and confirm the support areas and funding available.
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File types accepted include .pdf, .doc, .docx, .xlsx & .xls. Max size 10mb. Upload is not mandatory but strongly encouraged.
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Please email Service Agreement to:

Alternative Contact Details

Are you signing up for yourself or on behalf of an NDIS participant? *

Submitting without uploading your NDIS plan may delay the sign up process and our ability to support your plan.

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