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Guide for Completion of Employment Contract Template
LIVE-IN CAREGIVER EMPLOYER/EMPLOYEE CONTRACT
(Form EMP5498)1
EMPLOYER # 1 Information
Name (Last name – Given name (s))
Provide your last name and given name(s), as per official documents (e.g., birth certificate, citizenship ID, driver’s
licence).
Relationship to the person(s) receiving care
Indicate your relationship with the person(s) receiving care (e.g., parent, son, daughter, spouse, myself)
Street Address (Number/street/P.O. box #)
Provide your complete street address.
City
Indicate the city or town where you reside.
Province/Territory
Indicate the province or territory where you reside.
Postal Code
Indicate the postal code for your residence.
Telephone (home)
Provide your telephone number at home.
Telephone (work)
Provide your telephone number at which you can be reached during business hours.
E-Mail
Provide the e-mail address where you can be reached, if applicable.

EMPLOYER # 2 Information
Provide same info