Advocacy Request and Service Agreement

I request MDAA to complete the advocacy action selected above. I understand MDAA is a short-term advocacy service, except NDIS Appeals, and usually works on one advocacy action per request. I understand if advocacy is required for another action, a new request may be required. I authorise MDAA to collect information from relevant parties in relation to my advocacy action. I authorise MDAA to release information to relevant parties in relation to my advocacy action. I authorise MDAA to refer my matter to a legal service when legal advice is required as MDAA is not a legal service. I have been provided a Welcome to MDAA Info Book, and the contents have been explained to me by my advocate. I have been informed about the Complaints Resolution and Referral Service (CRRS), a free, independent service funded by the Australian Government, to help people with disability who use Commonwealth-funded disability services resolve complaints. I understand MDAA cannot provide crisis support. MDAA can provide a referral to the right services for me. I understand I have a right to an interpreter. I understand I can arrange a support person for all interactions with MDAA. I understand I can withdraw any authority provided by me above at any time to MDAA. I authorise MDAA to collect and share my de-identified information with its advocacy funding providers through a data exchange service.