Hearing service provider application Required fields are marked with an asterisk (*). Use this form if you are a hearing service provider seeking SIRA approval to provide hearing aids and/or rehabilitation in the NSW workers compensation system. Notice When completing the application form, you will NOT be able to save and return to complete at a later time. It is recommended that you have all required information ready to upload prior to completion. Application checklistBefore beginning this application, ensure you have all the documentation and attachments (listed under the "Attachments required" below), ready to loadSave all attachments (maximum file size of 2MB) with your trading name and relevant description as the file name (maximum filename length is 50 characters)Once your application has been completed, a copy will be emailed to the nominated contact person. It is advised that you review the email to ensure that all documents have been loaded. If they haven't, please lodge a further application with your contact details and any missing documentsAttachments requiredYou will need to download and complete the two spreadsheets (links below) and have these ready to attach to your application.Hearing service provider staffing listHearing service provider organisation sitesIf you have any questions or require assistance, please contact 13 10 50 or email: [email protected]
