PROGRAM REGISTRATION 2025/26 Council Name*Risk Contact Name* First Last Email* Phone*PROGRAM SELECTIONPlease choose which Tier Risk Initiative you would like to register forTier 1Tier 2Please select your preferred Tier 1 Risk Initiative for 2025/26 Service 1: Risk Maturity Review Service 2: Business Continuity Scenario-based Exercise Service 3: Climate Change Risk assessment Service 4: Climate Change Adaption Planning Service 5: Fraud & Corruption Awareness Training Service 6: Other RegionHunter / MetroNorthern Rivers / Mid North CoastOrana / Central NSWRiverinaNorthern InlandSouth Coast / Canberra*Choose month and consultant will negotiate a date of service. *There is a chance that your selected month may not be available, service is provided on a first registered first served basis. *Change of date following agreement with service provider may lead to forfeit of service. For Hunter / Metro please select your preferred month for delivery of the Initiative December 2025 February 2026 March 2026 For Northern Rivers / Mid North Coast please select your preferred month for delivery of the Initiative August 2025 May 2026 For Orana / Central NSW please select your preferred month for delivery of the Initiative July 2025 April 2026 For Riverina please select your preferred month for delivery of the Initiative October 2025 April 2026 For Northern Inland please select your preferred month for delivery of the Initiative November 2025 May 2026 For South Coast / Canberra please select your preferred month for delivery of the Initiative September 2025 March 2026 Please list the names of those personnel from Council who should participate Any additional comments *Registration for Tier 2 will not proceed until you have discussed this option with your RRM Please select your preferred Tier 2 Risk Initiative for 2025/26 Fraud Control Framework Review Cyber Incident Tabletop Exercise ERM (Training And Reporting) For Executives Waste Management Facility Assessment EXECUTIVE MANAGER APPROVALExecutive Manager Name First Last Council's Executive Manager has approved the application to Statewide Mutual for the delivery of the above Risk Initiative* Agree