Screen Reader Mode Icon
Please complete the form below to subscribe your service and your team of staff for the ACA/LifeWorks Employee Assistance Program (EAP).
 
Before you sign up, we recommend that you read the overview about the offer here.

Within 7 days of submitting the form, ACA National will send you an ACA/LifeWorks EAP welcome email giving you access to your ACA/LifeWorks EAP webpage, the mobile app, your logon ID and password, plus all relevant information to share with your team to brief them on the benefits of their new EAP.  If you need access urgently, please telephone your ACA State Body.
 
You will receive the invoice for the ACA/LifeWorks EAP from your local ACA State Body within about a month of signing up.

We look forward to welcoming your service to our ACA/LifeWorks Employee Assistance Program (EAP). 
 
Please note: Your submission of this online form means that you agree to pay the ACA/LifeWorks EAP subscription fee, which will be invoiced to you from your local ACA State Body.

Please be aware that t
he 12-month annual subscription fee is calculated at $22  (plus GST) per staffmember for ACA members and $29 (plus GST) per staffmember for non-members. New subscriptions will be billed on a pro-rata basis if they are outside of ACA's annual subscription period, which commences on 1 August each year. 
 
Eg. If you have 100 staff, the annual fee for an ACA member would be $2200 (plus GST) or $2900 (plus GST) for a non-member. 

Our cancellation policy: ACA cannot provide subscribers with a refund if they simply change their mind. Under the Australian Consumer Law, the customer is only entitled to a refund or replacement for a major problem with a product covered by consumer guarantees. If you wish to cancel your ACA/LifeWorks EAP subscription, you have the option of not renewing it on 1 August  the following year. 

Question Title

* 1. Early learning service name

Question Title

* 2. Postal address - Street no & street name

Question Title

* 3. Postal address - SUBURB

Question Title

* 5. Postal address - POSTCODE 

Question Title

* 6. Contact name

Question Title

* 7. Contact person's position

Question Title

* 8. Contact phone number

Question Title

* 9. Contact email address

Question Title

* 10. How many staff do you employ at your service?

Question Title

* 12. Please indicate today's date

Date
0 of 12 answered
 

T