Caregiver Contract Agreement TemplateCaregiver Contract Agreement TemplateCaregiver Contract Agreement Template
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CAREGIVER AGREEMENT
I. The Parties. This Caregiver Agreement (“Agreement”) made ________________________,
20____ is by and between ________________________ [“Recipient”] and
________________________ [“Caregiver”].
II. Term of Agreement. This Agreement shall commence on ________________________,
20____ [“Effective Date”] and may be terminated by either party upon reasonable notice to the
other party.
III. Purpose. The purpose of this Agreement is to set forth the terms and conditions under which
Caregiver will assist Recipient with instrumental activities of daily living in order for Recipient to
continue to live at home and prevent Recipient from moving to a residential or nursing care
facility.
IV. Employment Status: The Caregiver shall be recognized as a: (check one)
☐ - W-9 Employee. This entitles the Caregiver to certain State and Federal rights in
addition to being bound to certain withholdings. Caregiver will complete Form I-9
(available at www.uscis.gov/forms) and provide the re