Live-In Caregiver Contract (Elderly)

for Your State

This Live-In Caregiver Contract is used when live-in care is necessary for an elderly person. This contract sets out the specific duties the caregiver will perform which may including housekeeping and cooking tasks. This form is for use in all states and is ready for immediate download.

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This Live-In Caregiver Contract is for use when live-in care is necessary for an elderly person. This contract could be used by a husband or wife, son or daughter, siblings or other kin to ensure that the duties of a live-in caregiver for an elderly person are specifically set out in writing. The contract sets out the specifics of the arrangement including the names and contact information of the employer and caregiver, the household where the services will be performed (names of members, number of bedrooms, etc.) and the caregiverís responsibilities, including any housekeeping, cooking or pet care tasks. It also sets out the caregiverís salary, hours of work, overtime, vacation and sick leave which will be paid and other benefits including medical coverage. It is important that this type of business transaction be memorialized in writing. A written Live-In Caregiver Contract for an Elderly Individual will prove invaluable if there are disagreements, misunderstanding or concerns about the individualís care.

This Live-In Caregiver Contract for Care of an Elderly Individual contains the following provisions:
  • Employer/Caregiver: Sets out the names, address and phone numbers of both the employer and caregiver;
  • Duties and Responsibilities: Sets out the address where the duties will be performed, household members and if any members have disabilities and the specific duties the caregiver will perform;
  • Duration, Wages and Benefits: Sets out the duration of the contract, salary, hours of work and rate of any overtime pay, vacation and sick leave hours and any medical or other benefits provided;
  • Accommodations: Sets out the accommodations provided for caregiver including the cost per week if applicable;
  • Signatures: The employer and caregiver must sign and date the contract.

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This attorney-prepared packet contains:
  1. General Instructions
  2. Information
  3. Live-In Caregiver Contract for Care of an Elderly Individual
State Law Compliance: This form complies with the laws of all states
Number of Pages5
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#29195

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