{
	"_component": "",
	"breakpoints": [
		478,
		991,
		1440
	],
	"clearHidden": "no",
	"dialogs": {
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			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "About dialog",
			"id": "aboutDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "About dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "About this form",
						"id": "dialogContentCustom",
						"insightsName": "",
						"jsFiles": [],
						"label": "About this form",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "DialogContentCustom",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Abouttext",
									"id": "abouttextPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Abouttext",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "AbouttextPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.abouttextPrefill\">abouttext</span>",
									"id": "aboutTextDisplay",
									"insightsName": "",
									"jsFiles": [],
									"label": "abouttext",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"alertDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Alert Dialog",
			"id": "alertDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Alert Dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "{{data.alertDialogData.heading}}",
						"id": "alertDialogHeading",
						"insightsName": "",
						"jsFiles": [],
						"label": "",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.alertDialogData.text}}",
									"id": "errorDialogText",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.alertDialogData.button}}",
									"id": "errorDialogButton",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false,
										"fontawesome": "fa-face-laugh",
										"icon": "act-button__no-icon",
										"size": "act-button__default",
										"type": "act-button__primary"
									},
									"repeatingData": false,
									"span": {
										"lg": 4,
										"md": 4,
										"sm": 12,
										"xs": 12
									},
									"type": "button-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				],
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exLayout": true,
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Alert Dialog Data",
						"id": "alertDialogData",
						"insightsName": "",
						"jsFiles": [],
						"label": "Alert Dialog Data",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "data-field"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"helpDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Help dialog",
			"id": "helpDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Help dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Need help?",
						"id": "helptextContent",
						"insightsName": "",
						"jsFiles": [],
						"label": "Need help?",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Helptext",
									"id": "helptextPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Helptext",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "HelptextPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.helptextPrefill\">helptext</span>",
									"id": "helpTextDisplay",
									"insightsName": "",
									"jsFiles": [],
									"label": "helptext",
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									"noData": true,
									"offset": {
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										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
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										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"mobileMenuDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Mobile menu",
			"id": "mobileMenuDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Mobile menu",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "",
						"id": "mobileMenu",
						"insightsName": "",
						"jsFiles": [],
						"label": "Mobile Menu",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-mobile-menu"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"mobileNavMenu": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Mobile Nav Menu",
			"id": "mobileNavMenu",
			"insightsName": "",
			"jsFiles": [],
			"label": "Mobile Nav Menu",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "",
						"id": "mobileNavigatorMenu",
						"insightsName": "",
						"jsFiles": [],
						"label": "Mobile Navigator Menu",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {
							"disableOnNonActive": false,
							"navAriaLabel": "Secondary wizard status",
							"navItemGroupRole": "tablist",
							"navItemRole": "tab",
							"tabFocus": 0,
							"trackingCodePrefix": "Reference code: "
						},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-mobile-navigator-menu"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"privacyDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Privacy",
			"id": "privacyDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Privacy",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Privacy",
						"id": "privacyContent",
						"insightsName": "",
						"jsFiles": [],
						"label": "Privacy",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Privacy",
									"id": "privacyPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Privacy",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "PrivacyPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.privacyPrefill\">privacy</span>",
									"id": "privacyText",
									"insightsName": "",
									"jsFiles": [],
									"label": "privacy",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"savechallenge": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Save challenge",
			"id": "savechallenge",
			"insightsName": "",
			"jsFiles": [],
			"label": "Save challenge",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Save challenge",
						"id": "openYourSavedForm",
						"insightsName": "",
						"jsFiles": [],
						"label": "Save challenge",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
							[
								{
									"_component": "openYourSavedForm",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.isCollab ? \"Click Confirm to continue to the next step\" : \"To resume your form please complete the following details.\"}}",
									"id": "textDisplayCustom_7",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[
								{
									"_component": "openYourSavedForm",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "",
									"id": "block_2",
									"insightsName": "",
									"jsFiles": [],
									"label": "Block",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"ariaHidden": false,
										"ariaLabel": ""
									},
									"repeatingData": false,
									"rows": [
										[
											{
												"_component": "openYourSavedForm",
												"clearHidden": "",
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								"xs": 12
							},
							"type": "template-masthead-container"
						}
					],
					[
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							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "",
							"id": "customNavBar",
							"insightsName": "",
							"jsFiles": [],
							"label": "Custom NavBar",
							"mandatory": false,
							"noData": true,
							"offset": {
								"lg": 0,
								"md": 0,
								"sm": 0,
								"xs": 0
							},
							"overrideParentUsRule": false,
							"path": "",
							"pathContext": "",
							"properties": {
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								"altRight": "Access Canberra",
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								"heightLargeRight": 0,
								"heightMediumLeft": 58,
								"heightMediumRight": 0,
								"heightSmallLeft": 36,
								"heightSmallRight": 0,
								"linkLeft": "https://www.worksafe.act.gov.au/",
								"linkRight": "https://www.accesscanberra.act.gov.au",
								"logoLeft": {
									"fileName": "WorkSafeACT Logo tagline.gif",
									"height": "74px",
									"width": "210px"
								},
								"logoRight": {
									"fileName": "",
									"height": "0px",
									"width": ""
								},
								"titleLeft": "Worksafe ACT Government",
								"titleRight": "Access Canberra"
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							"repeatingData": false,
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										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "About",
										"id": "about",
										"insightsName": "",
										"jsFiles": [],
										"label": "About",
										"mandatory": false,
										"noData": true,
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											"sm": 0,
											"xs": 0
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											"floatRight": false,
											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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										"span": {
											"lg": 12,
											"md": 12,
											"sm": 0,
											"xs": 0
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										"type": "button-custom"
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									{
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										"clearHidden": "",
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										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "Need help",
										"id": "needHelp",
										"insightsName": "",
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										"label": "Need help",
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											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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											"sm": 0,
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										"type": "button-custom"
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										"exclude": false,
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										"htmlLabel": "Save and close",
										"id": "saveAndClose",
										"insightsName": "",
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										"label": "Save and close",
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											"floatRight": false,
											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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											"sm": 0,
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										"type": "button-custom"
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										"exclude": false,
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										"htmlLabel": "Open saved form",
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										"insightsName": "",
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										"label": "Open saved form",
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											"type": "act-button__secondary"
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											"sm": 0,
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										"type": "button-custom"
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										"htmlLabel": "",
										"id": "trackingCodeCustom",
										"insightsName": "",
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										"label": "Tracking code (Custom)",
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											"xs": 0
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										"overrideParentUsRule": false,
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										"properties": {
											"trackingCodePrefix": "Reference code: "
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											"md": 12,
											"sm": 12,
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										"type": "tracking-code"
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										"exclude": false,
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										"id": "buttonMenu",
										"insightsName": "",
										"jsFiles": [],
										"label": "Button (Menu)",
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											"sm": 0,
											"xs": 0
										},
										"overrideParentUsRule": false,
										"path": "ButtonMenu",
										"pathContext": "",
										"properties": {},
										"repeatingData": false,
										"span": {
											"lg": 0,
											"md": 0,
											"sm": 12,
											"xs": 12
										},
										"type": "button-menu"
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								]
							],
							"span": {
								"lg": 12,
								"md": 12,
								"sm": 12,
								"xs": 12
							},
							"type": "template-custom-navbar"
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					],
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							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "Page title row",
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							"insightsName": "",
							"jsFiles": [],
							"label": "pageTitleRow",
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							"noData": true,
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								"xs": 0
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							"overrideParentUsRule": false,
							"path": "PageTitleRow",
							"pathContext": "",
							"properties": {
								"formName": "{{T[Form.view.id].label}}",
								"subtitle": ""
							},
							"repeatingData": false,
							"span": {
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								"md": 12,
								"sm": 12,
								"xs": 12
							},
							"type": "template-page-title-row"
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							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "",
							"id": "errorBlockCustom",
							"insightsName": "",
							"jsFiles": [],
							"label": "Error Block (Custom)",
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								"sm": 0,
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							"overrideParentUsRule": false,
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							"properties": {
								"fontawesome": "fa-circle-exclamation",
								"header": "Please resolve the following issues before proceeding",
								"icon": "act-alert-inpage__icon-left",
								"mobileA11yMessageAfter": "Please select the screen to go to the first error.",
								"mobileA11yMessageBefore": "The following {{Form.validation.errors.length + (Form.validation.errors.length == 1 && ' issue was' || ' issues were')}} found.",
								"mobileHeader": "{{Form.validation.errors.length}} error(s) found",
								"mobileSubHeader": "Please touch here to resolve the first error.",
								"subHeader": "Click on an issue to go directly to the related section of the form."
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							"span": {
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								"sm": 12,
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							"type": "template-custom-nav-errors"
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				"span": {
					"lg": 12,
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					"xs": 12
				},
				"type": "block"
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				"htmlLabel": "",
				"id": "formContainerCustom",
				"insightsName": "",
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				"label": "Form Container (Custom)",
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					"xs": 0
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							"excludeRowData": false,
							"htmlLabel": "Content",
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							"insightsName": "",
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							"label": "Content",
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							"noData": true,
							"offset": {
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							"properties": {
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								"restartAtLastSavedPage": false,
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								"transitionDelay": 500,
								"validationMode": "sequential"
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										"htmlLabel": "Submission confirmation",
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										"label": "SubmissionConfirmation",
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											"additionalText": "",
											"forcePageBreak": false,
											"formName": "{{T[Form.view.id].label}}",
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											"hideHeader": false,
											"menuText": "",
											"navAriaLabel": "Secondary wizard status",
											"offMenu": false,
											"sectionHeading": "{{T[Form.view.id].label}} - Submission confirmation"
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													"htmlLabel": "Your submission has been successful. Please keep a copy of this receipt for your records.",
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													"insightsName": "",
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													"label": "Your submission has been successful. Please keep a copy of this receipt for your records.",
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													"_component": "submissionConfirmation",
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													"htmlLabel": "Date and time",
													"id": "dateAndTime",
													"insightsName": "",
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													"label": "Date and time",
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													"path": "SFMData/SystemProfile/SubmitDateString",
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														"alertText": "",
														"floatRight": false,
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													"type": "text-input-custom"
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												{
													"_component": "submissionConfirmation",
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													"excludeRowData": false,
													"htmlLabel": "Reference code",
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													"insightsName": "",
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													"label": "Reference code",
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													"path": "SFMData/SystemProfile/TrackingCode",
													"pathContext": "abs",
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														"floatRight": false,
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													"span": {
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														"md": 3,
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														"xs": 3
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													"type": "text-input-custom"
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													"_component": "submissionConfirmation",
													"clearHidden": "",
													"entityPath": "",
													"exclude": false,
													"excludeRowData": false,
													"htmlLabel": "{{data.followupdata}}",
													"id": "textdisplay1",
													"insightsName": "",
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													"mandatory": false,
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														"xs": 12
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													"type": "text-display-custom"
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											[
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													"_component": "submissionConfirmation",
													"clearHidden": "",
													"entityPath": "",
													"exclude": false,
													"excludeRowData": false,
													"htmlLabel": "ReceiptFooter",
													"id": "receiptfooter",
													"insightsName": "",
													"jsFiles": [],
													"label": "ReceiptFooter",
													"mandatory": false,
													"noData": true,
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														"xs": 0
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													"overrideParentUsRule": false,
													"path": "",
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														"ariaLabel": ""
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																"_component": "submissionConfirmation",
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																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "{{data.agencyName}}<br>\n&nbsp;",
																"id": "agency",
																"insightsName": "",
																"jsFiles": [],
																"label": "",
																"mandatory": false,
																"noData": true,
																"offset": {
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																"type": "html-display"
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															{
																"_component": "submissionConfirmation",
																"clearHidden": "",
																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "<span style=\"font-size:9px\">GPO Box 158<br />Canberra ACT 2601</span>",
																"id": "addresssuburbStatePostcode",
																"insightsName": "",
																"jsFiles": [],
																"label": "GPO Box 158Canberra ACT 2601",
																"mandatory": false,
																"noData": true,
																"offset": {
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																"properties": {},
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																"type": "html-display"
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															{
																"_component": "submissionConfirmation",
																"clearHidden": "",
																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "Phone: {{data.agencyPhone}}<br>\n{{data.agencyEmail}}",
																"id": "phoneXxXxxxXxxx",
																"insightsName": "",
																"jsFiles": [],
																"label": "Phone:",
																"mandatory": false,
																"noData": true,
																"offset": {
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																	"md": 4,
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																"type": "html-display"
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													"span": {
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													"type": "block"
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											"md": 12,
											"sm": 12,
											"xs": 12
										},
										"type": "submissionconfirmation"
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																									"label": "Set Focus",
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																									"key": "fullAddress",
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																								{
																									"key": "addressLine1",
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																									"key": "addressLine2",
																									"ref": "data.addressLine2_5"
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																									"key": "locality",
																									"ref": "data.locality_2"
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																									"key": "state",
																									"ref": "data.state_2"
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																								{
																									"key": "postalCode",
																									"ref": "data.postalCode_2"
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																								{
																									"key": "country",
																									"ref": "data.country_2"
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																								{
																									"key": "suburbSSB",
																									"ref": "data.suburbSSB_2"
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																								{
																									"key": "sectionSSB",
																									"ref": "data.sectionSSB_2"
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																									"key": "blockSSB",
																									"ref": "data.blockSSB_2"
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																									"key": "executionStatus",
																									"ref": "data.executionStatus"
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																									"key": "geocode",
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																									"key": "lookupKey",
																									"ref": "data.$googleAddressLookupKey"
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																									"ref": "data.format_2"
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																									"htmlLabel": "<h5>{{Form.getItemProperty(\"data.content_4\",\"itemLabel\")}} {{$index+1}}</h5>\n",
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													"htmlLabel": "<p>A reference to the Workers Compensation Authority is a reference to the Workers Compensation Authority who issued the <em>Instrument of Approval.</em></p>\n\n<p>The Conditions of Approval are:</p>\n\n<ol>\n\t<li>The workplace rehabilitation provider must comply with the <a href=\"https://www.worksafe.act.gov.au/__data/assets/pdf_file/0006/3049503/HWCA-Principles-of-Practice-for-Workplace-Rehabilitation-Providers-2019.pdf\" rel=\"noopener\" target=\"_blank\">Principles of Practice for Workplace Rehabilitation Providers (PDF, 287 KB)</a>.</li>\n\t<li>The workplace rehabilitation provider must ensure that all services are delivered in accordance with the workplace rehabilitation model by persons who hold the minimum qualifications as defined in the <em>Principles of Practice for Workplace Rehabilitation Providers</em> and in accordance with service descriptions appropriate to the Workers Compensation Authority where the approval is being sought.</li>\n\t<li>The workplace rehabilitation provider’s management structure must include at least one person who holds a rehabilitation consultant qualification outlined in the <em>Principles of Practice for Workplace Rehabilitation Providers</em> and who is able to demonstrate five years relevant workplace rehabilitation experience.</li>\n\t<li>The workplace rehabilitation provider must participate in annual self-evaluations and in independent evaluations as required by the Workers Compensation Authority to demonstrate conformance with the Conditions of Approval.</li>\n\t<li>The workplace rehabilitation provider must demonstrate management of 12 cases of workplace rehabilitation within any workers compensation jurisdiction for each 12 month period within the three year approval period. (Due consideration will be given to providers servicing rural and remote areas).</li>\n\t<li>The workplace rehabilitation provider must maintain the minimum return to work rate as set by the Workers Compensation Authority.</li>\n\t<li>The workplace rehabilitation provider must provide data to the Workers Compensation Authority consistent with the Conditions of Approval.</li>\n\t<li>The workplace rehabilitation provider must deliver services in compliance to the Code of Conduct for Workplace Rehabilitation Providers.</li>\n\t<li>The workplace rehabilitation provider’s facilities at all locations where services are delivered must provide an accessible and appropriate environment for workers, staff and visitors and comply with local workplace health and safety legislation.</li>\n\t<li>The workplace rehabilitation provider must remain financially solvent.</li>\n\t<li>The workplace rehabilitation provider must notify the Workers Compensation Authority in advance, or as soon as practical, if any of the following situations arise and accept that the Workers Compensation Authority will review the status of approval and determine whether the proposed arrangements conform with the Conditions of Approval:\n\t<ol style=\"list-style-type:lower-roman\">\n\t\t<li>the business is sold or the controlling interest in the business is taken over by a new shareholder(s), owner(s) or director(s).</li>\n\t\t<li>the business changes its trading name or location of premises.</li>\n\t\t<li>the business supplies or has connections with other suppliers of services within the&nbsp;&nbsp; workers compensation industry.</li>\n\t\t<li>a new chief executive officer or director or head of management is appointed.</li>\n\t\t<li>there is a major change in the service delivery model and/or staff which may impact on the delivery of workplace rehabilitation services.</li>\n\t\t<li>there is any other change that affects, or may affect, the provider’s service quality and procedures.</li>\n\t\t<li>the provider has entered into voluntary financial administration, becomes insolvent or is the subject of bankruptcy proceedings.</li>\n\t\t<li>there is any professional misconduct proceedings being taken against the provider or any individuals employed or engaged by the provider.</li>\n\t\t<li>home jurisdiction approval is no longer current.</li>\n\t</ol>\n\t</li>\n\t<li>The workplace rehabilitation provider must accept that the Workers Compensation Authority may:\n\t<ol style=\"list-style-type:lower-roman\">\n\t\t<li>initiate an independent evaluation at any time during the period of the approval which may involve an evaluation of conformance to the Conditions of Approval</li>\n\t\t<li>consult with the relevant professional or industry associations in determining what are reasonable expectations regarding performance</li>\n\t\t<li>impose additional requirements</li>\n\t\t<li>exchange information with other Workers Compensation Authorities on provider performance</li>\n\t\t<li>cancel approval status if the above conditions are not met.</li>\n\t</ol>\n\t</li>\n</ol>\n\n<p>I/We have read, understand and accept that I/we must meet and continue to conform to the Conditions of Approval and give consent for sharing of information in relation to this application and the ongoing approval.</p>\n\n<p>I/We understand and are aware that any breach with the terms and conditions of the Conditions of Approval may nullify any application or <em>Instrument of Approval </em>issued by the Workers Compensation Authority in the event the application is approved.</p>\n\n<p><em>To be signed by the person/s who is/are authorised to sign this application on behalf of the organisation seeking approval as a workplace rehabilitation provider.</em></p>\n",
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						"label": "Any of its management?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Yes",
									"value": "Yes"
								},
								{
									"label": "No",
									"value": "No"
								}
							],
							"underHelpText": ""
						}
					},
					"anyofitsowners": {
						"htmlLabel": "Any of its owners?",
						"label": "Any of its owners?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Yes",
									"value": "Yes"
								},
								{
									"label": "No",
									"value": "No"
								}
							],
							"underHelpText": ""
						}
					},
					"applicantdetails": {
						"htmlLabel": "Applicant details",
						"label": "Applicant details",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "<em>Fields marked with <span style='color: red; !important'>*</span> are required</em>",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[item.id].label}}"
						}
					},
					"applicanttype": {
						"htmlLabel": "Applicant type",
						"label": "Applicant type",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "ACT only - Provide services in the ACT only",
									"value": "ACT"
								},
								{
									"label": "ACT Home Jurisdiction - Provide majority of services in the ACT",
									"value": "Home"
								},
								{
									"label": "Home Cross-Jurisdiction - Home jurisdiction is another State/Territory, application is for mutual recognition",
									"value": "Cross"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"applicationcontactperson": {
						"htmlLabel": "Application contact person",
						"label": "Application contact person",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"approvedinotherStatesTerritories": {
						"htmlLabel": "Approved in other States/Territories",
						"label": "Approved in other States/Territories",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"attachmentABN": {
						"htmlLabel": "Attach a copy of the ABN record from the Australian Business Register.",
						"label": "Attach a copy of the ABN record from the Australian Business Register.",
						"mandatoryMsg": "",
						"properties": {
							"attachmentDescription": "",
							"attachmentFileName": "",
							"attachmentName": "attachmentABN",
							"cancelUploadButtonLabel": "Cancel",
							"chooseFileButton": "Upload files",
							"confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?",
							"deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"",
							"deleteIcon": "fa-trash",
							"downloadIcon": "fa-download",
							"dropZoneText": "Or drop files",
							"errorMessagePrefix": "Error: ",
							"exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.",
							"exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.",
							"fallbackErrorMessage": "An error has occurred uploading this attachment",
							"fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx",
							"helpText": "",
							"invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.",
							"invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.",
							"manualAttachmentButtonLabel": "I will deliver manually",
							"removeSuccessful": "\"~~fileName~~\" has been removed.",
							"sizeLimitLabel": "Size limit: ~~sizeLimit~~",
							"successMessagePrefix": "Success: ",
							"tooManyUploads": "Too many file attachments have been added to the form.",
							"uploadButtonTooltip": "Choose a file to add to upload queue",
							"uploadIcon": "fa-upload",
							"uploadSuccessful": "\"~~fileName~~\" successfully uploaded.",
							"virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.",
							"waitMessage": "Please wait"
						}
					},
					"attachmentField_1": {
						"htmlLabel": "Copy of other Workers Compensation Authority Instrument of Approval.",
						"label": "Copy of other Workers Compensation Authority Instrument of Approval.",
						"mandatoryMsg": "",
						"properties": {
							"attachmentDescription": "",
							"attachmentFileName": "",
							"attachmentName": "Workers Compensation Authority",
							"cancelUploadButtonLabel": "Cancel",
							"chooseFileButton": "Upload files",
							"confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?",
							"deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"",
							"deleteIcon": "fa-trash",
							"downloadIcon": "fa-download",
							"dropZoneText": "Or drop files",
							"errorMessagePrefix": "Error: ",
							"exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.",
							"exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.",
							"fallbackErrorMessage": "An error has occurred uploading this attachment",
							"fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx",
							"helpText": "",
							"invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.",
							"invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.",
							"manualAttachmentButtonLabel": "I will deliver manually",
							"removeSuccessful": "\"~~fileName~~\" has been removed.",
							"sizeLimitLabel": "Size limit: ~~sizeLimit~~",
							"successMessagePrefix": "Success: ",
							"tooManyUploads": "Too many file attachments have been added to the form.",
							"uploadButtonTooltip": "Choose a file to add to upload queue",
							"uploadIcon": "fa-upload",
							"uploadSuccessful": "\"~~fileName~~\" successfully uploaded.",
							"virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.",
							"waitMessage": "Please wait"
						}
					},
					"attachmentField_2": {
						"htmlLabel": "Certified copy of qualifications",
						"label": "Certified copy of qualifications",
						"mandatoryMsg": "",
						"properties": {
							"attachmentDescription": "",
							"attachmentFileName": "",
							"attachmentName": "Certified Qualifications",
							"cancelUploadButtonLabel": "Cancel",
							"chooseFileButton": "Upload files",
							"confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?",
							"deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"",
							"deleteIcon": "fa-trash",
							"downloadIcon": "fa-download",
							"dropZoneText": "Or drop files",
							"errorMessagePrefix": "Error: ",
							"exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.",
							"exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.",
							"fallbackErrorMessage": "An error has occurred uploading this attachment",
							"fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx",
							"helpText": "",
							"invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.",
							"invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.",
							"manualAttachmentButtonLabel": "I will deliver manually",
							"removeSuccessful": "\"~~fileName~~\" has been removed.",
							"sizeLimitLabel": "Size limit: ~~sizeLimit~~",
							"successMessagePrefix": "Success: ",
							"tooManyUploads": "Too many file attachments have been added to the form.",
							"uploadButtonTooltip": "Choose a file to add to upload queue",
							"uploadIcon": "fa-upload",
							"uploadSuccessful": "\"~~fileName~~\" successfully uploaded.",
							"virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.",
							"waitMessage": "Please wait"
						}
					},
					"attachmentField_4": {
						"htmlLabel": "Please attach a referee statement attesting to the applicants suitability as a workplace rehabilitation provider, including references to the personal integrity, honesty and due diligence of the organisations owner/s and/or management.",
						"label": "Please attach a referee statement attesting to the applicants suitability as a workplace rehabilitation provider, including references to the personal integrity, honesty and due diligence of the organisations owner/s and/or management.",
						"mandatoryMsg": "",
						"properties": {
							"attachmentDescription": "",
							"attachmentFileName": "",
							"attachmentName": "referee statement",
							"cancelUploadButtonLabel": "Cancel",
							"chooseFileButton": "Upload files",
							"confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?",
							"deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"",
							"deleteIcon": "fa-trash",
							"downloadIcon": "fa-download",
							"dropZoneText": "Or drop files",
							"errorMessagePrefix": "Error: ",
							"exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.",
							"exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.",
							"fallbackErrorMessage": "An error has occurred uploading this attachment",
							"fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx",
							"helpText": "",
							"invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.",
							"invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.",
							"manualAttachmentButtonLabel": "I will deliver manually",
							"removeSuccessful": "\"~~fileName~~\" has been removed.",
							"sizeLimitLabel": "Size limit: ~~sizeLimit~~",
							"successMessagePrefix": "Success: ",
							"tooManyUploads": "Too many file attachments have been added to the form.",
							"uploadButtonTooltip": "Choose a file to add to upload queue",
							"uploadIcon": "fa-upload",
							"uploadSuccessful": "\"~~fileName~~\" successfully uploaded.",
							"virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.",
							"waitMessage": "Please wait"
						}
					},
					"authorisedPerson": {
						"htmlLabel": "<strong>Details of person/s authorised to sign this application on behalf of the organisation</strong>",
						"label": "Details of person/s authorised to sign this application on behalf of the organisation",
						"mandatoryMsg": ""
					},
					"backendcontrollers": {
						"htmlLabel": "BackendControllers",
						"label": "BackendControllers",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"basisofemployment": {
						"htmlLabel": "Basis of employment",
						"label": "Basis of employment",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Fee for service",
									"value": "Fee for service"
								},
								{
									"label": "Part time",
									"value": "Part time"
								},
								{
									"label": "Full time",
									"value": "Full time"
								},
								{
									"label": "Other",
									"value": "Other"
								}
							],
							"underHelpText": ""
						}
					},
					"block": {
						"htmlLabel": "",
						"label": "Block",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"blockSSB": {
						"htmlLabel": "Block",
						"label": "Block",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"blockSSB_1": {
						"htmlLabel": "Block",
						"label": "Block",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"blockSSB_2": {
						"htmlLabel": "Block",
						"label": "Block",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"block_2": {
						"htmlLabel": "",
						"label": "Block",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"breach": {
						"htmlLabel": "I/We understand and are aware that any breach with the terms and conditions of the Conditions of Approval may nullify any application or Instrument of Approval issued by the Workers Compensation Authority in the event the application is approved.",
						"label": "I/We understand and are aware that any breach with the terms and conditions of the Conditions of Approval may nullify any application or Instrument of Approval issued by the Workers Compensation Authority in the event the application is approved.",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"breachcheckbox_2": {
						"htmlLabel": "I/We understand and are aware that any breach of the Code of Conduct for Workplace Rehabilitation Providers may nullify any Instrument of Approval issued by the Workers Compensation Authority in the event the application is approved.",
						"label": "I/We understand and are aware that any breach of the Code of Conduct for Workplace Rehabilitation Providers may nullify any Instrument of Approval issued by the Workers Compensation Authority in the event the application is approved.",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"businessname": {
						"htmlLabel": "Business name",
						"label": "Business name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"buttonMenu": {
						"htmlLabel": "",
						"label": "Button (Menu)",
						"mandatoryMsg": ""
					},
					"cancel": {
						"htmlLabel": "Cancel",
						"label": "Cancel",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"checkEmailBlock": {
						"htmlLabel": "Check Email Block",
						"label": "Check Email Block",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"checkEmailBlock_1": {
						"htmlLabel": "Check Email Block",
						"label": "Check Email Block",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"checkbox": {
						"htmlLabel": "Postal address is the same as the organisation address",
						"label": "Postal address is the same as the organisation address",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"code": {
						"htmlLabel": "Code",
						"label": "Code",
						"mandatoryMsg": ""
					},
					"commonPrefillJson": {
						"htmlLabel": "commonPrefillJson",
						"label": "commonPrefillJson",
						"mandatoryMsg": ""
					},
					"comprehensiveandRobustCorporateGovernanceInfrastructure": {
						"htmlLabel": "<p><strong>2.1&nbsp; Competent and qualified professionals </strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To meet and maintain competency and professional standards</li><li>Minimum experience for workplace rehabilitation consultants</li></ol>",
						"label": "2.1 Competent and qualified professionals To meet and maintain competency and professional standardsMinimum experience for workplace rehabilitation consultants",
						"mandatoryMsg": ""
					},
					"conflictdetails": {
						"htmlLabel": "Detail all your organisation&rsquo;s business affiliations with other suppliers of services within any of the Workers Compensation Authorities.",
						"label": "Detail all your organisations business affiliations with other suppliers of services within any of the Workers Compensation Authorities.",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"conflictofinterest": {
						"htmlLabel": "Conflict of interest",
						"label": "Conflict of interest",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"conflictperception": {
						"htmlLabel": "How will any actual or perceived conflict of interest be managed?",
						"label": "How will any actual or perceived conflict of interest be managed?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"conflictyn": {
						"htmlLabel": "Has a conflict of interest been identified with other suppliers of services within any of the workers&rsquo; compensations authorities?",
						"label": "Has a conflict of interest been identified with other suppliers of services within any of the workers compensations authorities?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Yes",
									"value": "Yes"
								},
								{
									"label": "No",
									"value": "No"
								}
							],
							"underHelpText": ""
						}
					},
					"conformcheckbox_1": {
						"htmlLabel": "I/We have read and agree to conform to the Code of Conduct for Workplace Rehabilitation Providers if approved as a workplace rehabilitation provider.",
						"label": "I/We have read and agree to conform to the Code of Conduct for Workplace Rehabilitation Providers if approved as a workplace rehabilitation provider.",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"conformingtotheconditionsofapproval": {
						"htmlLabel": "Conforming to the conditions of approval",
						"label": "Conforming to the conditions of approval",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "<em>Fields marked with <span style='color: red; !important'>*</span> are required</em>",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[item.id].label}}"
						}
					},
					"content": {
						"htmlLabel": "Content",
						"label": "Content",
						"mandatoryMsg": "",
						"properties": {
							"transitionDelay": 500
						}
					},
					"content_1": {
						"htmlLabel": "Content",
						"label": "Content",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Authorised person"
						}
					},
					"content_4": {
						"htmlLabel": "Content",
						"label": "Content",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Person"
						}
					},
					"content_6": {
						"htmlLabel": "Content",
						"label": "Content",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Staff member"
						}
					},
					"content_7": {
						"htmlLabel": "Content",
						"label": "Content",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Referee"
						}
					},
					"controlFields": {
						"htmlLabel": "Control Fields",
						"label": "Control Fields",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"controlFields_1": {
						"htmlLabel": "Control Fields",
						"label": "Control Fields",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"controlFields_2": {
						"htmlLabel": "Control Fields",
						"label": "Control Fields",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"country": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"continueMessage": "Continue typing...",
							"descriptiveText": "Lookup list. Type characters to open a list of matched options. The list will be empty until at least 1 character has been entered. The field will be cleared if you leave without selecting an option.",
							"extraItemMessage": "",
							"helpText": "",
							"noResultsFoundMsg": "No results found. Please continue typing.",
							"noResultsFoundMsgIfExtra": "Or use up and down arrow keys to manually enter, and press enter to select.",
							"oneResultFoundMsg": "result found. Use up and down arrow keys to navigate, and press enter to select.",
							"placeholder": "Start typing country here..",
							"progressMsg": "Please wait...",
							"resultsFoundMsg": "results found. Use up and down arrow keys to navigate, and press enter to select.",
							"underHelpText": ""
						}
					},
					"countryBlk": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"countryBlk_1": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"countryBlk_2": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"countryCode": {
						"htmlLabel": "Country Code",
						"label": "Country Code",
						"mandatoryMsg": ""
					},
					"countryCode_1": {
						"htmlLabel": "Country Code",
						"label": "Country Code",
						"mandatoryMsg": ""
					},
					"countryCode_2": {
						"htmlLabel": "Country Code",
						"label": "Country Code",
						"mandatoryMsg": ""
					},
					"country_1": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"continueMessage": "Continue typing...",
							"descriptiveText": "Lookup list. Type characters to open a list of matched options. The list will be empty until at least 1 character has been entered. The field will be cleared if you leave without selecting an option.",
							"extraItemMessage": "",
							"helpText": "",
							"noResultsFoundMsg": "No results found. Please continue typing.",
							"noResultsFoundMsgIfExtra": "Or use up and down arrow keys to manually enter, and press enter to select.",
							"oneResultFoundMsg": "result found. Use up and down arrow keys to navigate, and press enter to select.",
							"placeholder": "Start typing country here..",
							"progressMsg": "Please wait...",
							"resultsFoundMsg": "results found. Use up and down arrow keys to navigate, and press enter to select.",
							"underHelpText": ""
						}
					},
					"country_2": {
						"htmlLabel": "Country",
						"label": "Country",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"continueMessage": "Continue typing...",
							"descriptiveText": "Lookup list. Type characters to open a list of matched options. The list will be empty until at least 1 character has been entered. The field will be cleared if you leave without selecting an option.",
							"extraItemMessage": "",
							"helpText": "",
							"noResultsFoundMsg": "No results found. Please continue typing.",
							"noResultsFoundMsgIfExtra": "Or use up and down arrow keys to manually enter, and press enter to select.",
							"oneResultFoundMsg": "result found. Use up and down arrow keys to navigate, and press enter to select.",
							"placeholder": "Start typing country here..",
							"progressMsg": "Please wait...",
							"resultsFoundMsg": "results found. Use up and down arrow keys to navigate, and press enter to select.",
							"underHelpText": ""
						}
					},
					"customNavBar": {
						"htmlLabel": "",
						"label": "Custom NavBar",
						"mandatoryMsg": "",
						"properties": {
							"altLeft": "Worksafe ACT Government",
							"altRight": "Access Canberra",
							"linkLeft": "https://www.worksafe.act.gov.au/",
							"linkRight": "https://www.accesscanberra.act.gov.au",
							"titleLeft": "Worksafe ACT Government",
							"titleRight": "Access Canberra"
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					},
					"customNavBarSave": {
						"htmlLabel": "Custom Nav Bar Save",
						"label": "Custom Nav Bar Save",
						"mandatoryMsg": "",
						"properties": {
							"altLeft": "Worksafe ACT Government",
							"altRight": "Access Canberra",
							"linkLeft": "https://www.worksafe.act.gov.au/",
							"linkRight": "https://www.accesscanberra.act.gov.au",
							"titleLeft": "Worksafe ACT Government",
							"titleRight": "Access Canberra"
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					},
					"customNavBarSubmit": {
						"htmlLabel": "Custom Nav Bar Submit",
						"label": "Custom Nav Bar Submit",
						"mandatoryMsg": "",
						"properties": {
							"altLeft": "Worksafe ACT Government",
							"altRight": "Access Canberra",
							"linkLeft": "https://www.worksafe.act.gov.au/",
							"linkRight": "https://www.accesscanberra.act.gov.au",
							"titleLeft": "Worksafe ACT Government",
							"titleRight": "Access Canberra"
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					},
					"date": {
						"htmlLabel": "{{data.parentLabel}}",
						"label": "",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"amPmLabels": "AM, PM",
							"closeBtnLabel": "Close",
							"dateDisplayFormat": "dd/MM/yyyy",
							"dayInitials": "S, M, T, W, T, F, S",
							"dayLabels": "Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday",
							"dayShortLabels": "Sun, Mon, Tue, Wed, Thu, Fri, Sat",
							"futureDateIncTodayValidationMsg": "Date must be today or a future date.",
							"futureDateValidationMsg": "Date must be a future date.",
							"helpText": "",
							"maxDateValidationMsg": "Date must be less than or equal to ~~maxDate~~.",
							"minDateValidationMsg": "Date must be greater than or equal to ~~minDate~~.",
							"monthLabels": "January, February, March, April, May, June, July, August, September, October, November, December",
							"monthShortLabels": "JAN, FEB, MAR, APR, MAY, JUN, JUL, AUG, SEP, OCT, NOV, DEC",
							"nowBtnLabel": "Now",
							"pastDateIncTodayValidationMsg": "Date must be today or a past date.",
							"pastDateValidationMsg": "Date must be a past date.",
							"placeholder": "",
							"underHelpText": "",
							"weekStartDay": "0"
						}
					},
					"dateAndTime": {
						"htmlLabel": "Date and time",
						"label": "Date and time",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"datePicker_1": {
						"htmlLabel": "{{data.parentLabel_1}}",
						"label": "",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"amPmLabels": "AM, PM",
							"closeBtnLabel": "Close",
							"dateDisplayFormat": "dd/MM/yyyy",
							"dayInitials": "S, M, T, W, T, F, S",
							"dayLabels": "Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday",
							"dayShortLabels": "Sun, Mon, Tue, Wed, Thu, Fri, Sat",
							"futureDateIncTodayValidationMsg": "Date must be today or a future date.",
							"futureDateValidationMsg": "Date must be a future date.",
							"helpText": "",
							"maxDateValidationMsg": "Date must be less than or equal to ~~maxDate~~.",
							"minDateValidationMsg": "Date must be greater than or equal to ~~minDate~~.",
							"monthLabels": "January, February, March, April, May, June, July, August, September, October, November, December",
							"monthShortLabels": "JAN, FEB, MAR, APR, MAY, JUN, JUL, AUG, SEP, OCT, NOV, DEC",
							"nowBtnLabel": "Now",
							"pastDateIncTodayValidationMsg": "Date must be today or a past date.",
							"pastDateValidationMsg": "Date must be a past date.",
							"placeholder": "",
							"underHelpText": "",
							"weekStartDay": "0"
						}
					},
					"dec": {
						"htmlLabel": "Declaration",
						"label": "Declaration",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"declaration": {
						"htmlLabel": "Declaration",
						"label": "Declaration",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"delete": {
						"htmlLabel": "<strong>Delete {{Form.getItemProperty(&quot;data.content_1&quot;,&quot;itemLabel&quot;)}}</strong>",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"deleteSmall": {
						"htmlLabel": "Delete {{Form.getItemProperty(\"data.content_1\",\"itemLabel\").toLowerCase()}}",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"deleteSmall_1": {
						"htmlLabel": "Delete {{Form.getItemProperty(\"data.content_4\",\"itemLabel\").toLowerCase()}}",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"deleteSmall_2": {
						"htmlLabel": "Delete {{Form.getItemProperty(\"data.content_7\",\"itemLabel\").toLowerCase()}}",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"deleteSmall_3": {
						"htmlLabel": "Delete {{Form.getItemProperty(\"data.content_6\",\"itemLabel\").toLowerCase()}}",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"delete_1": {
						"htmlLabel": "<strong>Delete {{Form.getItemProperty(&quot;data.content_4&quot;,&quot;itemLabel&quot;)}}</strong>",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"delete_3": {
						"htmlLabel": "<strong>Delete staff member</strong>",
						"label": "Delete staff member",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"delete_4": {
						"htmlLabel": "<strong>Delete {{Form.getItemProperty(&quot;data.content_7&quot;,&quot;itemLabel&quot;)}}</strong>",
						"label": "Delete",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"deleteblk": {
						"htmlLabel": "DeleteBlk",
						"label": "DeleteBlk",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"deleteblk_1": {
						"htmlLabel": "DeleteBlk",
						"label": "DeleteBlk",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"deleteblk_3": {
						"htmlLabel": "DeleteBlk",
						"label": "DeleteBlk",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"deleteblk_4": {
						"htmlLabel": "DeleteBlk",
						"label": "DeleteBlk",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"delivery": {
						"htmlLabel": "Delivery",
						"label": "Delivery",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"deliveryCodeV2": {
						"htmlLabel": "1433",
						"label": "1433",
						"mandatoryMsg": ""
					},
					"deliveryrepeat": {
						"htmlLabel": "DeliveryRepeat",
						"label": "DeliveryRepeat",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Item"
						}
					},
					"description": {
						"htmlLabel": "Description",
						"label": "Description",
						"mandatoryMsg": ""
					},
					"details": {
						"htmlLabel": "Details",
						"label": "Details",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"dialogContentCustom": {
						"htmlLabel": "About this form",
						"label": "About this form",
						"mandatoryMsg": ""
					},
					"downloadEmailBlock": {
						"htmlLabel": "Download Email Block",
						"label": "Download Email Block",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"downloadPdf": {
						"htmlLabel": "Download a PDF copy of your form",
						"label": "Download a PDF copy of your form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"downloadPdf_1": {
						"htmlLabel": "Download a PDF copy of your form",
						"label": "Download a PDF copy of your form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"downloadPdf_3": {
						"htmlLabel": "Download a PDF copy of your form",
						"label": "Download a PDF copy of your form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"effectiveServiceProvisionatanAppropriateCost": {
						"htmlLabel": "<p><strong>1.3&nbsp; Deliver outcome driven workplace-based services</strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To identify tailored goals and support cost effective goal achievement</li><li>To ensure services are cost effective</li></ol>",
						"label": "1.3 Deliver outcome driven workplace-based servicesTo identify tailored goals and support cost effective goal achievementTo ensure services are cost effective",
						"mandatoryMsg": ""
					},
					"emailAddress2": {
						"htmlLabel": "Email",
						"label": "Email",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
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					},
					"emailAddress2_1": {
						"htmlLabel": "Email",
						"label": "Email",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
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					},
					"emailAddress2_2": {
						"htmlLabel": "Email",
						"label": "Email",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
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					},
					"emailAddress2_3": {
						"htmlLabel": "Email",
						"label": "Email",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
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					},
					"emailAnotherCopy": {
						"htmlLabel": "Email another copy",
						"label": "Email another copy",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"emailOptInText": {
						"htmlLabel": "emailOptInText",
						"label": "emailOptInText",
						"mandatoryMsg": ""
					},
					"emailOptInTextDisplay": {
						"htmlLabel": "<span ng-bind-html=\"data.emailOptInText\">EmailOptInTextDisplay</span>",
						"label": "EmailOptInTextDisplay",
						"mandatoryMsg": ""
					},
					"enterAtLeastOnePhoneNumber": {
						"htmlLabel": "Enter at least one phone number: <span style=\"color:#ba2133\">*</span>",
						"label": "Enter at least one phone number: *",
						"mandatoryMsg": ""
					},
					"enterAtLeastOnePhoneNumber_1": {
						"htmlLabel": "Enter at least one phone number: <span style=\"color:#ba2133\">*</span>",
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						"mandatoryMsg": ""
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					"enterAtLeastOnePhoneNumber_2": {
						"htmlLabel": "Enter at least one phone number: <span style=\"color:#ba2133\">*</span>",
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						"mandatoryMsg": ""
					},
					"enterAtLeastOnePhoneNumber_3": {
						"htmlLabel": "Enter at least one phone number: <span style=\"color:#ba2133\">*</span>",
						"label": "Enter at least one phone number: *",
						"mandatoryMsg": ""
					},
					"errorBlockCustom": {
						"htmlLabel": "",
						"label": "Error Block (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-circle-exclamation",
							"header": "Please resolve the following issues before proceeding",
							"mobileA11yMessageAfter": "Please select the screen to go to the first error.",
							"mobileA11yMessageBefore": "The following {{Form.validation.errors.length + (Form.validation.errors.length == 1 && ' issue was' || ' issues were')}} found.",
							"mobileHeader": "{{Form.validation.errors.length}} error(s) found",
							"mobileSubHeader": "Please touch here to resolve the first error.",
							"subHeader": "Click on an issue to go directly to the related section of the form."
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					},
					"errorDialogButton": {
						"htmlLabel": "{{data.alertDialogData.button}}",
						"label": "",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
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					},
					"errorDialogText": {
						"htmlLabel": "{{data.alertDialogData.text}}",
						"label": "",
						"mandatoryMsg": ""
					},
					"evidencebaseddecisions": {
						"htmlLabel": "<p><strong>1.5&nbsp; Services that result in a measurable benefit to the worker and employer</strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To demonstrate service delivery effectiveness</li></ol>",
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					},
					"expiryDate": {
						"htmlLabel": "Expiry Date",
						"label": "Expiry Date",
						"mandatoryMsg": ""
					},
					"family": {
						"htmlLabel": "Family",
						"label": "Family",
						"mandatoryMsg": ""
					},
					"familyName": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
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					},
					"familyNameDF": {
						"htmlLabel": "Family Name DF",
						"label": "Family Name DF",
						"mandatoryMsg": ""
					},
					"familyNameDF2": {
						"htmlLabel": "Family Name DF2",
						"label": "Family Name DF2",
						"mandatoryMsg": ""
					},
					"familyNameDF_1": {
						"htmlLabel": "Family Name DF",
						"label": "Family Name DF",
						"mandatoryMsg": ""
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					"familyName_1": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
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					},
					"familyName_2": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
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					"familyName_3": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
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							"alertText": "",
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							"placeholder": "",
							"underHelpText": ""
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					"familyName_4": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
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					},
					"feecode": {
						"htmlLabel": "FeeCode",
						"label": "FeeCode",
						"mandatoryMsg": ""
					},
					"floorSSB": {
						"htmlLabel": "Floor",
						"label": "Floor",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
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					},
					"floorSSB_1": {
						"htmlLabel": "Floor",
						"label": "Floor",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
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					},
					"floorSSB_2": {
						"htmlLabel": "Floor",
						"label": "Floor",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
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					},
					"followupdata": {
						"htmlLabel": "FollowUpData",
						"label": "FollowUpData",
						"mandatoryMsg": ""
					},
					"followupdatasubmitdisplay": {
						"htmlLabel": "<span ng-bind-html=\"data.followupdata\">followupdata</span>",
						"label": "followupdata",
						"mandatoryMsg": ""
					},
					"fontAwesome6Brands": {
						"htmlLabel": "Font Awesome 6 Brands",
						"label": "Font Awesome 6 Brands",
						"mandatoryMsg": ""
					},
					"fontAwesome6Free": {
						"htmlLabel": "Font Awesome 6 Free",
						"label": "Font Awesome 6 Free",
						"mandatoryMsg": ""
					},
					"fontAwesome6Regular": {
						"htmlLabel": "Font Awesome 6 Regular",
						"label": "Font Awesome 6 Regular",
						"mandatoryMsg": ""
					},
					"footer": {
						"htmlLabel": "Footer",
						"label": "Footer",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"footerLinks": {
						"htmlLabel": "Footer Links",
						"label": "Footer Links",
						"mandatoryMsg": ""
					},
					"footerLinksParsed": {
						"htmlLabel": "Footer Links Parsed",
						"label": "Footer Links Parsed",
						"mandatoryMsg": ""
					},
					"footer_1": {
						"htmlLabel": "Footer",
						"label": "Footer",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
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					},
					"footer_3": {
						"htmlLabel": "Footer",
						"label": "Footer",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
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					},
					"footer_4": {
						"htmlLabel": "Footer",
						"label": "Footer",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"footersBlock": {
						"htmlLabel": "Footers",
						"label": "Footers",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"formClassSetter": {
						"htmlLabel": "Form Class Setter",
						"label": "Form Class Setter",
						"mandatoryMsg": ""
					},
					"formContainerCustom": {
						"htmlLabel": "",
						"label": "Form Container (Custom)",
						"mandatoryMsg": ""
					},
					"formGlobalAlert": {
						"htmlLabel": "",
						"label": "Global Alert",
						"mandatoryMsg": ""
					},
					"format": {
						"htmlLabel": "Format",
						"label": "Format",
						"mandatoryMsg": ""
					},
					"format_1": {
						"htmlLabel": "Format",
						"label": "Format",
						"mandatoryMsg": ""
					},
					"format_2": {
						"htmlLabel": "Format",
						"label": "Format",
						"mandatoryMsg": ""
					},
					"fullAddress": {
						"htmlLabel": "Full Address",
						"label": "Full Address",
						"mandatoryMsg": ""
					},
					"fullAddress_1": {
						"htmlLabel": "Full Address",
						"label": "Full Address",
						"mandatoryMsg": ""
					},
					"fullAddress_2": {
						"htmlLabel": "Full Address",
						"label": "Full Address",
						"mandatoryMsg": ""
					},
					"fullnameoforganisation": {
						"htmlLabel": "Full name of organisation",
						"label": "Full name of organisation",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"genericLookup": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"genericLookup30": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"altLookup": "",
							"ariaLabel": "",
							"lookupName": "ssb"
						}
					},
					"genericLookup30_1": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"altLookup": "",
							"ariaLabel": "",
							"lookupName": "ssb"
						}
					},
					"genericLookup30_2": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"altLookup": "",
							"ariaLabel": "",
							"lookupName": "ssb"
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						"htmlLabel": "Generic Lookup",
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						"htmlLabel": "Geocode",
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						"htmlLabel": "Geocode",
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						"htmlLabel": "Given name",
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						"htmlLabel": "Given Name DF",
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						"htmlLabel": "Given Name DF2",
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						"htmlLabel": "<h4>Next steps</h4>\n<p>You are required to complete these additional forms to finalize your request.</p>",
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						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"quantity": {
						"htmlLabel": "Quantity",
						"label": "Quantity",
						"mandatoryMsg": ""
					},
					"receiptcode": {
						"htmlLabel": "ReceiptCode",
						"label": "ReceiptCode",
						"mandatoryMsg": ""
					},
					"receiptfooter": {
						"htmlLabel": "ReceiptFooter",
						"label": "ReceiptFooter",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"referees": {
						"htmlLabel": "Referees",
						"label": "Referees",
						"mandatoryMsg": "",
						"properties": {
							"infoText": ""
						}
					},
					"referenceCode": {
						"htmlLabel": "Reference code",
						"label": "Reference code",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"repeat": {
						"htmlLabel": "",
						"label": "Repeat",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Item"
						}
					},
					"repeatAcknowledge": {
						"htmlLabel": "Repeat Acknowledge",
						"label": "Repeat Acknowledge",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Item"
						}
					},
					"repeatInstance": {
						"htmlLabel": "Repeat Instance",
						"label": "Repeat Instance",
						"mandatoryMsg": ""
					},
					"repeatedContent": {
						"htmlLabel": "Repeated Content",
						"label": "Repeated Content",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedContent_1": {
						"htmlLabel": "Repeated Content",
						"label": "Repeated Content",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedContent_3": {
						"htmlLabel": "Repeated Content",
						"label": "Repeated Content",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedContent_4": {
						"htmlLabel": "Repeated Content",
						"label": "Repeated Content",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedHeader": {
						"htmlLabel": "Repeated Header",
						"label": "Repeated Header",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedHeaderIndex": {
						"htmlLabel": "<h5>{{Form.getItemProperty(\"data.content_1\",\"itemLabel\")}} {{$index+1}}</h5>\n",
						"label": "",
						"mandatoryMsg": ""
					},
					"repeatedHeaderIndex_1": {
						"htmlLabel": "<h5>{{Form.getItemProperty(\"data.content_4\",\"itemLabel\")}} {{$index+1}}</h5>\n",
						"label": "",
						"mandatoryMsg": ""
					},
					"repeatedHeaderIndex_3": {
						"htmlLabel": "<h5>{{Form.getItemProperty(\"data.content_6\",\"itemLabel\")}} {{$index+1}}</h5>\n",
						"label": "",
						"mandatoryMsg": ""
					},
					"repeatedHeaderIndex_4": {
						"htmlLabel": "<h5>{{Form.getItemProperty(\"data.content_7\",\"itemLabel\")}} {{$index+1}}</h5>\n",
						"label": "",
						"mandatoryMsg": ""
					},
					"repeatedHeader_1": {
						"htmlLabel": "Repeated Header",
						"label": "Repeated Header",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedHeader_3": {
						"htmlLabel": "Repeated Header",
						"label": "Repeated Header",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatedHeader_4": {
						"htmlLabel": "Repeated Header",
						"label": "Repeated Header",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatingBlockTemplate": {
						"htmlLabel": "",
						"label": "Repeating Block Custom",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatingBlockTemplate_1": {
						"htmlLabel": "",
						"label": "Repeating Block Custom",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatingBlockTemplate_3": {
						"htmlLabel": "",
						"label": "Repeating Block Custom",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"repeatingBlockTemplate_4": {
						"htmlLabel": "",
						"label": "Repeating Block Custom",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"resources": {
						"htmlLabel": "resources",
						"label": "resources",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"returnToForm": {
						"htmlLabel": "Click here to return to your form",
						"label": "Click here to return to your form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"returnToPortal_1": {
						"htmlLabel": "Return to portal",
						"label": "Return to portal",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"returnToPortal_2": {
						"htmlLabel": "Return to portal",
						"label": "Return to portal",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"ruleDone": {
						"htmlLabel": "Rule Done",
						"label": "Rule Done",
						"mandatoryMsg": ""
					},
					"sA": {
						"htmlLabel": "SA",
						"label": "SA",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"saveAndClose": {
						"htmlLabel": "Save and close",
						"label": "Save and close",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveComponent": {
						"htmlLabel": "Save Component",
						"label": "Save Success Component",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"saveConfirm": {
						"htmlLabel": "Confirm",
						"label": "Confirm",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveConfirm_1": {
						"htmlLabel": "Confirm",
						"label": "Confirm",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveYourForm": {
						"htmlLabel": "Save confirmation",
						"label": "Save confirmation",
						"mandatoryMsg": ""
					},
					"save_challenge_question_section": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"save_challenge_reference_code": {
						"htmlLabel": "Reference code",
						"label": "Reference code",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"save_success_send_reminder": {
						"htmlLabel": "Send now",
						"label": "Send now",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"savechallenge": {
						"htmlLabel": "Save challenge",
						"label": "Save challenge",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"saveconfirm": {
						"htmlLabel": "Save confirm",
						"label": "Save confirm",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"savesuccess": {
						"htmlLabel": "savesuccess",
						"label": "savesuccess",
						"mandatoryMsg": "",
						"properties": {
							"alertMsg": "",
							"leavePageWarningMessage": "",
							"linkWarningMsg": "opens in a new window",
							"mandatoryMsgSuffix": "is required",
							"progressMsg": "Please wait..."
						}
					},
					"sectionSSB": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"sectionSSB_1": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"sectionSSB_2": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"select": {
						"htmlLabel": "Select other jurisdictions where approval has been granted to the applicant.",
						"label": "Select other jurisdictions where approval has been granted to the applicant.",
						"mandatoryMsg": ""
					},
					"sendNow": {
						"htmlLabel": "Send now",
						"label": "Send now",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"sendReminderBlock": {
						"htmlLabel": "sendReminderBlock",
						"label": "sendReminderBlock",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"send_another_reminder_email": {
						"htmlLabel": "Send another reminder email",
						"label": "Send another reminder email",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"send_reminder_email": {
						"htmlLabel": "Your email address",
						"label": "Your email address",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
						}
					},
					"serviceFee": {
						"htmlLabel": "Service Fee",
						"label": "Service Fee",
						"mandatoryMsg": ""
					},
					"setFocus": {
						"htmlLabel": "Set Focus",
						"label": "Set Focus",
						"mandatoryMsg": ""
					},
					"setFocus_1": {
						"htmlLabel": "Set Focus",
						"label": "Set Focus",
						"mandatoryMsg": ""
					},
					"setFocus_2": {
						"htmlLabel": "Set Focus",
						"label": "Set Focus",
						"mandatoryMsg": ""
					},
					"sharingofinformation": {
						"htmlLabel": "I/We have read, understand and accept that I/we must meet and continue to conform to the Conditions of Approval and give consent for sharing of information in relation to this application and the ongoing approval.",
						"label": "I/We have read, understand and accept that I/we must meet and continue to conform to the Conditions of Approval and give consent for sharing of information in relation to this application and the ongoing approval.",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"siteorproviderapprovalnumber": {
						"htmlLabel": "Site or provider approval number",
						"label": "Site or provider approval number",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"smartformsLibrary": {
						"htmlLabel": "Smartforms Library",
						"label": "Smartforms Library",
						"mandatoryMsg": ""
					},
					"sourceSansPro": {
						"htmlLabel": "Source Sans Pro",
						"label": "Source Sans Pro",
						"mandatoryMsg": ""
					},
					"ssbBlock": {
						"htmlLabel": "SSB",
						"label": "SSB",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"ssbBlock_1": {
						"htmlLabel": "SSB",
						"label": "SSB",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"ssbBlock_2": {
						"htmlLabel": "SSB",
						"label": "SSB",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"ssbHelp": {
						"htmlLabel": "If you require help with suburb/district, section or block details, visit&nbsp;<a href=\"https://www.actmapi.act.gov.au\" target=\"_blank\">ACTMAPi</a>.",
						"label": "If you require help with suburb/district, section or block details, visitACTMAPi.",
						"mandatoryMsg": ""
					},
					"ssbHelp_1": {
						"htmlLabel": "If you require help with suburb/district, section or block details, visit&nbsp;<a href=\"https://www.actmapi.act.gov.au\" target=\"_blank\">ACTMAPi</a>.",
						"label": "If you require help with suburb/district, section or block details, visitACTMAPi.",
						"mandatoryMsg": ""
					},
					"ssbHelp_2": {
						"htmlLabel": "If you require help with suburb/district, section or block details, visit&nbsp;<a href=\"https://www.actmapi.act.gov.au\" target=\"_blank\">ACTMAPi</a>.",
						"label": "If you require help with suburb/district, section or block details, visitACTMAPi.",
						"mandatoryMsg": ""
					},
					"staffdetails": {
						"htmlLabel": "Staff details",
						"label": "Staff details",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "<em>Fields marked with <span style='color: red; !important'>*</span> are required</em>",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[item.id].label}}"
						}
					},
					"startANewForm_1": {
						"htmlLabel": "Start a new form",
						"label": "Start a new form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"startANewForm_2": {
						"htmlLabel": "Start a new form",
						"label": "Start a new form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"stateBlk": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"stateBlk_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"stateBlk_2": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"stateDD": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "ACT",
									"value": "ACT"
								},
								{
									"label": "NSW",
									"value": "NSW"
								},
								{
									"label": "NT",
									"value": "NT"
								},
								{
									"label": "QLD",
									"value": "QLD"
								},
								{
									"label": "SA",
									"value": "SA"
								},
								{
									"label": "TAS",
									"value": "TAS"
								},
								{
									"label": "VIC",
									"value": "VIC"
								},
								{
									"label": "WA",
									"value": "WA"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateDD_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "ACT",
									"value": "ACT"
								},
								{
									"label": "NSW",
									"value": "NSW"
								},
								{
									"label": "NT",
									"value": "NT"
								},
								{
									"label": "QLD",
									"value": "QLD"
								},
								{
									"label": "SA",
									"value": "SA"
								},
								{
									"label": "TAS",
									"value": "TAS"
								},
								{
									"label": "VIC",
									"value": "VIC"
								},
								{
									"label": "WA",
									"value": "WA"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateDD_2": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "ACT",
									"value": "ACT"
								},
								{
									"label": "NSW",
									"value": "NSW"
								},
								{
									"label": "NT",
									"value": "NT"
								},
								{
									"label": "QLD",
									"value": "QLD"
								},
								{
									"label": "SA",
									"value": "SA"
								},
								{
									"label": "TAS",
									"value": "TAS"
								},
								{
									"label": "VIC",
									"value": "VIC"
								},
								{
									"label": "WA",
									"value": "WA"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateField": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateField_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateField_2": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"state_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": ""
					},
					"state_2": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": ""
					},
					"state_3": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": ""
					},
					"subTotal": {
						"htmlLabel": "Sub Total",
						"label": "Sub Total",
						"mandatoryMsg": ""
					},
					"submissionConfirmation": {
						"htmlLabel": "Submission confirmation",
						"label": "SubmissionConfirmation",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[Form.view.id].label}} - Submission confirmation"
						}
					},
					"submit": {
						"htmlLabel": "Submit",
						"label": "Submit",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"submitComponent": {
						"htmlLabel": "Submit Component",
						"label": "Submit Success Component",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"submitsuccess": {
						"htmlLabel": "",
						"label": "submitsuccess",
						"mandatoryMsg": "",
						"properties": {
							"alertMsg": "",
							"leavePageWarningMessage": "",
							"linkWarningMsg": "opens in a new window",
							"mandatoryMsgSuffix": "is required",
							"progressMsg": "Please wait..."
						}
					},
					"suburbBlk": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"suburbBlk_1": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"suburbBlk_2": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"suburbDD": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"suburbDD_1": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
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						"htmlLabel": "<p>A reference to the Workers Compensation Authority is a reference to the Workers Compensation Authority who issued the <em>Instrument of Approval.</em></p>\n\n<p>The Conditions of Approval are:</p>\n\n<ol>\n\t<li>The workplace rehabilitation provider must comply with the <a href=\"https://www.worksafe.act.gov.au/__data/assets/pdf_file/0006/3049503/HWCA-Principles-of-Practice-for-Workplace-Rehabilitation-Providers-2019.pdf\" rel=\"noopener\" target=\"_blank\">Principles of Practice for Workplace Rehabilitation Providers (PDF, 287 KB)</a>.</li>\n\t<li>The workplace rehabilitation provider must ensure that all services are delivered in accordance with the workplace rehabilitation model by persons who hold the minimum qualifications as defined in the <em>Principles of Practice for Workplace Rehabilitation Providers</em> and in accordance with service descriptions appropriate to the Workers Compensation Authority where the approval is being sought.</li>\n\t<li>The workplace rehabilitation provider’s management structure must include at least one person who holds a rehabilitation consultant qualification outlined in the <em>Principles of Practice for Workplace Rehabilitation Providers</em> and who is able to demonstrate five years relevant workplace rehabilitation experience.</li>\n\t<li>The workplace rehabilitation provider must participate in annual self-evaluations and in independent evaluations as required by the Workers Compensation Authority to demonstrate conformance with the Conditions of Approval.</li>\n\t<li>The workplace rehabilitation provider must demonstrate management of 12 cases of workplace rehabilitation within any workers compensation jurisdiction for each 12 month period within the three year approval period. (Due consideration will be given to providers servicing rural and remote areas).</li>\n\t<li>The workplace rehabilitation provider must maintain the minimum return to work rate as set by the Workers Compensation Authority.</li>\n\t<li>The workplace rehabilitation provider must provide data to the Workers Compensation Authority consistent with the Conditions of Approval.</li>\n\t<li>The workplace rehabilitation provider must deliver services in compliance to the Code of Conduct for Workplace Rehabilitation Providers.</li>\n\t<li>The workplace rehabilitation provider’s facilities at all locations where services are delivered must provide an accessible and appropriate environment for workers, staff and visitors and comply with local workplace health and safety legislation.</li>\n\t<li>The workplace rehabilitation provider must remain financially solvent.</li>\n\t<li>The workplace rehabilitation provider must notify the Workers Compensation Authority in advance, or as soon as practical, if any of the following situations arise and accept that the Workers Compensation Authority will review the status of approval and determine whether the proposed arrangements conform with the Conditions of Approval:\n\t<ol style=\"list-style-type:lower-roman\">\n\t\t<li>the business is sold or the controlling interest in the business is taken over by a new shareholder(s), owner(s) or director(s).</li>\n\t\t<li>the business changes its trading name or location of premises.</li>\n\t\t<li>the business supplies or has connections with other suppliers of services within the&nbsp;&nbsp; workers compensation industry.</li>\n\t\t<li>a new chief executive officer or director or head of management is appointed.</li>\n\t\t<li>there is a major change in the service delivery model and/or staff which may impact on the delivery of workplace rehabilitation services.</li>\n\t\t<li>there is any other change that affects, or may affect, the provider’s service quality and procedures.</li>\n\t\t<li>the provider has entered into voluntary financial administration, becomes insolvent or is the subject of bankruptcy proceedings.</li>\n\t\t<li>there is any professional misconduct proceedings being taken against the provider or any individuals employed or engaged by the provider.</li>\n\t\t<li>home jurisdiction approval is no longer current.</li>\n\t</ol>\n\t</li>\n\t<li>The workplace rehabilitation provider must accept that the Workers Compensation Authority may:\n\t<ol style=\"list-style-type:lower-roman\">\n\t\t<li>initiate an independent evaluation at any time during the period of the approval which may involve an evaluation of conformance to the Conditions of Approval</li>\n\t\t<li>consult with the relevant professional or industry associations in determining what are reasonable expectations regarding performance</li>\n\t\t<li>impose additional requirements</li>\n\t\t<li>exchange information with other Workers Compensation Authorities on provider performance</li>\n\t\t<li>cancel approval status if the above conditions are not met.</li>\n\t</ol>\n\t</li>\n</ol>\n\n<p>I/We have read, understand and accept that I/we must meet and continue to conform to the Conditions of Approval and give consent for sharing of information in relation to this application and the ongoing approval.</p>\n\n<p>I/We understand and are aware that any breach with the terms and conditions of the Conditions of Approval may nullify any application or <em>Instrument of Approval </em>issued by the Workers Compensation Authority in the event the application is approved.</p>\n\n<p><em>To be signed by the person/s who is/are authorised to sign this application on behalf of the organisation seeking approval as a workplace rehabilitation provider.</em></p>\n",
						"label": "A reference to the Workers Compensation Authority is a reference to the Workers Compensation Authority who issued the Instrument of Approval.\n\nThe Conditions of Approval are:\n\n\n\tThe workplace rehabilitation provider must comply with the Principles of Practice for Workplace Rehabilitation Providers (PDF, 287 KB).\n\tThe workplace rehabilitation provider must ensure that all services are delivered in accordance with the workplace rehabilitation model by persons who hold the minimum qualifications as defined in the Principles of Practice for Workplace Rehabilitation Providers and in accordance with service descriptions appropriate to the Workers Compensation Authority where the approval is being sought.\n\tThe workplace rehabilitation provider’s management structure must include at least one person who holds a rehabilitation consultant qualification outlined in the Principles of Practice for Workplace Rehabilitation Providers and who is able to demonstrate five years relevant workplace rehabilitation experience.\n\tThe workplace rehabilitation provider must participate in annual self-evaluations and in independent evaluations as required by the Workers Compensation Authority to demonstrate conformance with the Conditions of Approval.\n\tThe workplace rehabilitation provider must demonstrate management of 12 cases of workplace rehabilitation within any workers compensation jurisdiction for each 12 month period within the three year approval period. (Due consideration will be given to providers servicing rural and remote areas).\n\tThe workplace rehabilitation provider must maintain the minimum return to work rate as set by the Workers Compensation Authority.\n\tThe workplace rehabilitation provider must provide data to the Workers Compensation Authority consistent with the Conditions of Approval.\n\tThe workplace rehabilitation provider must deliver services in compliance to the Code of Conduct for Workplace Rehabilitation Providers.\n\tThe workplace rehabilitation provider’s facilities at all locations where services are delivered must provide an accessible and appropriate environment for workers, staff and visitors and comply with local workplace health and safety legislation.\n\tThe workplace rehabilitation provider must remain financially solvent.\n\tThe workplace rehabilitation provider must notify the Workers Compensation Authority in advance, or as soon as practical, if any of the following situations arise and accept that the Workers Compensation Authority will review the status of approval and determine whether the proposed arrangements conform with the Conditions of Approval:\n\t\n\t\tthe business is sold or the controlling interest in the business is taken over by a new shareholder(s), owner(s) or director(s).\n\t\tthe business changes its trading name or location of premises.\n\t\tthe business supplies or has connections with other suppliers of services within the workers compensation industry.\n\t\ta new chief executive officer or director or head of management is appointed.\n\t\tthere is a major change in the service delivery model and/or staff which may impact on the delivery of workplace rehabilitation services.\n\t\tthere is any other change that affects, or may affect, the provider’s service quality and procedures.\n\t\tthe provider has entered into voluntary financial administration, becomes insolvent or is the subject of bankruptcy proceedings.\n\t\tthere is any professional misconduct proceedings being taken against the provider or any individuals employed or engaged by the provider.\n\t\thome jurisdiction approval is no longer current.\n\t\n\t\n\tThe workplace rehabilitation provider must accept that the Workers Compensation Authority may:\n\t\n\t\tinitiate an independent evaluation at any time during the period of the approval which may involve an evaluation of conformance to the Conditions of Approval\n\t\tconsult with the relevant professional or industry associations in determining what are reasonable expectations regarding performance\n\t\timpose additional requirements\n\t\texchange information with other Workers Compensation Authorities on provider performance\n\t\tcancel approval status if the above conditions are not met.\n\t\n\t\n\n\nI/We have read, understand and accept that I/we must meet and continue to conform to the Conditions of Approval and give consent for sharing of information in relation to this application and the ongoing approval.\n\nI/We understand and are aware that any breach with the terms and conditions of the Conditions of Approval may nullify any application or Instrument of Approval issued by the Workers Compensation Authority in the event the application is approved.\n\nTo be signed by the person/s who is/are authorised to sign this application on behalf of the organisation seeking approval as a workplace rehabilitation provider.",
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						"htmlLabel": "Please provide details of the circumstances and reasons why there is no cause to reject your organisation&rsquo;s application. These details should state whether the refused approval was associated with:<ul><li>Your organisation</li><li>Any of its owners</li><li>Any of its management</li><li>Any of its employees, including contractors and staff</li></ul>",
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						"htmlLabel": "In the context of workplace rehabilitation service provision, please attach copies of your organisation’s insurance documents.",
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						"htmlLabel": "<p><strong>1.1 Adopt a biopsychosocial approach to build capacity through work participation</strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To identify risks and needs when planning interventions</li><li>To build capacity through work&nbsp;</li></ol>",
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						"htmlLabel": "<p><strong>1.2&nbsp; Empower the worker and employer to achieve goals </strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To empower the worker and employer to achieve goals</li></ol>",
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						"htmlLabel": "<p><strong>1.4&nbsp; An evidence-based approach to service design and delivery</strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To apply contemporary and evidence-based practices</li></ol>",
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						"htmlLabel": "<p><strong>2.2&nbsp; Appropriate governance processes</strong></p><ol style=\"list-style-type: lower-alpha;\"><li>To provide an appropriate infrastructure for professional, consistent and high-quality service provision to workers, employers, insurers and other relevant parties</li></ol>",
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						"htmlLabel": "<p><strong>CODE OF CONDUCT FOR WORKPLACE REHABILITATION PROVIDERS </strong></p><p>The <em>Code of Conduct for Workplace Rehabilitation Providers (the Code)</em> has been prepared to assist providers in achieving a professional standard of practice. It is the responsibility of providers to make certain that they act in accordance with the <em>Code</em> and the trust placed in them by the community.</p><p>The <em>Code </em>describes the responsibilities and standards of behaviour required of any person or organisation approved as a provider by a workers compensation authority.</p><p>The <em>Code</em> has been developed in accordance with the following principles of ethical decision-making:</p><ul><li>respect for the law</li><li>respect for the system of government</li><li>respect for the community and other people</li><li>integrity</li><li>diligence</li><li>efficiency</li><li>accountability.</li></ul><p>The <em>Code</em> deals with situations where a provider may be unsure of the appropriate course of action. The <em>Code</em> is also a guide to assist in taking responsible decisions. The <em>Code</em> will be reviewed and re-issued periodically by the workers compensation authorities.</p>",
						"label": "CODE OF CONDUCT FOR WORKPLACE REHABILITATION PROVIDERS The Code of Conduct for Workplace Rehabilitation Providers (the Code) has been prepared to assist providers in achieving a professional standard of practice. It is the responsibility of providers to make certain that they act in accordance with the Code and the trust placed in them by the community.The Code describes the responsibilities and standards of behaviour required of any person or organisation approved as a provider by a workers compensation authority.The Code has been developed in accordance with the following principles of ethical decision-making:respect for the lawrespect for the system of governmentrespect for the community and other peopleintegritydiligenceefficiencyaccountability.The Code deals with situations where a provider may be unsure of the appropriate course of action. The Code is also a guide to assist in taking responsible decisions. The Code will be reviewed and re-issued periodically by the workers compensation authorities.",
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									"value": "Ms"
								},
								{
									"label": "Dr",
									"value": "Dr"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"total_1": {
						"htmlLabel": "Total",
						"label": "Total",
						"mandatoryMsg": ""
					},
					"trackingCodeCustom": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"trackingCodeCustom_2": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"trackingCodeCustom_3": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"tradingnameoforganisation": {
						"htmlLabel": "Trading name of organisation",
						"label": "Trading name of organisation",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"typeofmembership": {
						"htmlLabel": "Type of membership",
						"label": "Type of membership",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Professional membership",
									"value": "Professional membership"
								},
								{
									"label": "Registration",
									"value": "Registration"
								}
							],
							"underHelpText": ""
						}
					},
					"unitSSB": {
						"htmlLabel": "Unit",
						"label": "Unit",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"unitSSB_1": {
						"htmlLabel": "Unit",
						"label": "Unit",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"unitSSB_2": {
						"htmlLabel": "Unit",
						"label": "Unit",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"unitvalue": {
						"htmlLabel": "UnitValue",
						"label": "UnitValue",
						"mandatoryMsg": ""
					},
					"vIC": {
						"htmlLabel": "VIC",
						"label": "VIC",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"workPhoneNumber": {
						"htmlLabel": "Work phone",
						"label": "Work phone",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"workPhoneNumber_1": {
						"htmlLabel": "Work phone",
						"label": "Work phone",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"workPhoneNumber_2": {
						"htmlLabel": "Work phone",
						"label": "Work phone",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"workPhoneNumber_3": {
						"htmlLabel": "Phone number",
						"label": "Phone number",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"workersCompensationCertificateofCurrency": {
						"htmlLabel": "Workers Compensation Certificate of Currency",
						"label": "Workers Compensation Certificate of Currency",
						"mandatoryMsg": "",
						"properties": {
							"attachmentDescription": "",
							"attachmentFileName": "",
							"attachmentName": "Workers Compensation Certificate of Currency",
							"cancelUploadButtonLabel": "Cancel",
							"chooseFileButton": "Upload files",
							"confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?",
							"deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"",
							"deleteIcon": "fa-trash",
							"downloadIcon": "fa-download",
							"dropZoneText": "Or drop files",
							"errorMessagePrefix": "Error: ",
							"exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.",
							"exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.",
							"fallbackErrorMessage": "An error has occurred uploading this attachment",
							"fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx",
							"helpText": "",
							"invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.",
							"invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.",
							"manualAttachmentButtonLabel": "I will deliver manually",
							"removeSuccessful": "\"~~fileName~~\" has been removed.",
							"sizeLimitLabel": "Size limit: ~~sizeLimit~~",
							"successMessagePrefix": "Success: ",
							"tooManyUploads": "Too many file attachments have been added to the form.",
							"uploadButtonTooltip": "Choose a file to add to upload queue",
							"uploadIcon": "fa-upload",
							"uploadSuccessful": "\"~~fileName~~\" successfully uploaded.",
							"virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.",
							"waitMessage": "Please wait"
						}
					},
					"workplacerehabilitationexperience": {
						"htmlLabel": "Workplace rehabilitation experience",
						"label": "Workplace rehabilitation experience",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"years": {
						"htmlLabel": "Years of workplace rehabilitation experience",
						"label": "Years of workplace rehabilitation experience",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"yesnoRadioButtons": {
						"htmlLabel": "Does this organisation have a parent organisation?",
						"label": "Does this organisation have a parent organisation?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Yes",
									"value": "Yes"
								},
								{
									"label": "No",
									"value": "No"
								}
							],
							"underHelpText": ""
						}
					},
					"yesnoRadioButtons_1": {
						"htmlLabel": "Has an Australian workers compensation jurisdiction refused or withdrawn approval of the organisation, owner/s and/or management, and/or any persons employed or engaged to deliver workplace rehabilitation services?",
						"label": "Has an Australian workers compensation jurisdiction refused or withdrawn approval of the organisation, owner/s and/or management, and/or any persons employed or engaged to deliver workplace rehabilitation services?",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Yes",
									"value": "Yes"
								},
								{
									"label": "No",
									"value": "No"
								}
							],
							"underHelpText": ""
						}
					},
					"yourEmailAddress": {
						"htmlLabel": "Your email address",
						"label": "Your email address",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
						}
					},
					"yourSubmissionHasBeenSuccessful": {
						"htmlLabel": "Your submission has been successful. Please keep a copy of this receipt for your records.",
						"label": "Your submission has been successful. Please keep a copy of this receipt for your records.",
						"mandatoryMsg": ""
					}
				},
				"label": "English"
			}
		]
	},
	"type": "form"
}