This form is designed in partnership with Acacia Connection (EAP).  

If you are a workplace that uses Acacia Connection for your EAP please use this form to assist us to implement an independent external reporting service.  If you have any questions please contact us on 1300 454 574.  We look forward to being part of your robust reporting framework and building healthy workplace eco-systems. 

Your Organisation's Details

Legal Entity

Membership and Service Selection

This may accrue further costs
This may accrue further costs

Nominated Organisational Contacts

Please include your preferred contacts within the organisation that you would like to receive any reports.  We recommend 2 - 3 people.  We call these contacts RHL's [Refer to Higher Levels].

Browse

Emverio External Reporting Service

Service Agreement

1.  Services

Emverio Workplace Complaints Pty Ltd (“Emverio”) will provide an independent external reporting service for workplace complaints / reports and whistleblower disclosures, including receipt of reports via online form, email, and telephone, and controlled referral of reports to nominated organizational contacts.  Services are limited to receipt, recording, and transfer of reports. Investigation, assessment, mediation, or advisory services are not included and require a separate engagement.

2.  Fees

The organisation agrees to pay the applicable subscription, setup, and report-based fees in accordance with Emverio’s current Pricing Schedule, as amended from time to time.
No additional report charges will be incurred without prior notice.

3.  Confidentiality and Notice

Emverio will treat all reports and related information as confidential and handle information in accordance with the Privacy Act 1988 (Cth), applicable whistleblower laws, and Emverio’s security controls.
Information will only be shared with nominated organisational contacts in accordance with consent, law, and agreed reporting protocols.

4.  Role of Emverio

The organisation acknowledges that Emverio acts as an independent external recipient and does not determine outcomes, take disciplinary action, or guarantee any particular result.

5.  Compliance and Use

The organisation agrees to maintain appropriate internal policies and procedures, use the service for lawful workplace reporting purposes, and ensure nominated contacts are authorised recipients.

6.  Term and Termination

The service commences on acceptance of this agreement and continues in accordance with the selected subscription period. Either party may terminate in accordance with the full-Service Agreement.

7.  Use of Name and Logo

The organisation grants Emverio a non-exclusive, royalty-free, revocable licence to use the organisation’s name and logo solely for acknowledging the organisation as a client of Emverio and for general marketing, promotional, and informational purposes.  Emverio will not make performance claims or endorsements on behalf of the organisation. Consent may be withdrawn at any time by written notice, after which Emverio will cease further use within a reasonable period.

8.  Governing Law

This agreement is governed by the laws of Queensland, Australia.

9.  Binding Agreement

By accepting this agreement electronically, the organisation confirms that it is authorised to do so and agrees to be bound by this click-wrap agreement and the Emverio External Reporting / Whistleblower Service Agreement, which is incorporated by reference.