Risk Initiatives - Registration

Council Name*

Risk Contact Name*

First Last

Email*

Phone*

PROGRAM SELECTION

Please choose which Tier Risk Initiative you would like to register for

Please 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

Region

*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 APPROVAL

Executive Manager Name

First Last

Council's Executive Manager has approved the application to Statewide Mutual for the delivery of the above Risk Initiative*

Agree

PROGRAM REGISTRATION 2025/26

PROGRAM SELECTION

EXECUTIVE MANAGER APPROVAL

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