Common use of Form of variation Clause in Contracts

Form of variation. The parties agree that, from the date set out below, the Agreement shall be varied as follows and shall in all other respects remain in full force and effect: Your Name: Change of Household: Old Household New Household Change of Room & Occupancy (i.e. A or B or single): Old Room No. & Occupancy New Room No. & Occupancy Change of Care Level: Old Care Level New Care Level Change of Nursing Level: Old Nursing Level New Nursing Level Change of Total Weekly Fee: Old [Rate] New [Rate] Date of Assessment: Fee Change Effective From Date: Notes / Additional Information: Authorised Name: General Manager: Date: Schedule 5

Form of variation. The parties agree that, from the date set out below, the Agreement shall be varied as follows and shall in all other respects remain in full force and effect: Your Name: Change of Household: Old Household New Household Change of Room & Occupancy (i.e. A or B or single): Old Room No. & Occupancy New Room No. & Occupancy Change of Care Level: Old Care Level New Care Level Change of Nursing Level: Old Nursing Level New Nursing Level Change of Total Weekly Fee: Old [Rate] New [Rate] Date of Assessment: Fee Change Effective From Date: Notes / Notes/Additional Information: Authorised Name: General Manager: Date: Schedule 55 Funding