Elder Care Agreement
1. Employer
Employer(s)' name(s): _______________________________
Address(es):	__________________________
__________________________
Home phone number(s): _______________________________
Work phone number(s): _______________________________
Other contact number(s) (cell phone, pager, email): _______________________________
2. Elder Care Provider
Elder Care Provider’s name: _______________________________
Address:	__________________________
__________________________
Home phone number: _______________________________
Other contact number(s) (cell phone, pager, email): _______________________________
3. Older Adult(s) to Be Cared For
Employer(s) desire(s) to contract with Elder Care Provider to provide elder care for: _______________________________ [names and birthdates of person(s) in need of elder care].
4. Location and Schedule of Care
Care will be provided at: _______________________________ [your address or other location where care is to be given].
Days and hours of elder care will be as follows: _______________________________
5. Beginning Date
Employment will begin on _______________ [date].
6. Training or Probation Period
There will be a training/probation period during the first _________ [length of training period] of employment.
7. Responsibilities
The care to be provided under this agreement consists of the following responsibilities [describe and provide details]: 
____________________________________________________________.
8. Wage or Salary 
Elder Care Provider will be paid as follows:
[    ] $______________ per hour
[    ] $______________ per month
[    ] other: ______________________
9. Payment Schedule
Elder Care Provider will be paid on the following intervals and dates:
[    ] once a week on every ______________________
[    ] twice a month on ______________________
[    ] once a month on ______________________
[    ] other: ______________________
10. Benefits
Employer(s) will provide Elder Care Provider with the following benefits: [describe and provide details]: 
____________________________________________________________
11. Termination Policy
Either Employer(s) or Elder Care Provider may terminate this agreement at any time, for any reason, without notice.
12. Additional Provisions
Employer(s) and Elder Care Provider agree to the following additional terms: ____________________________________________________________
13. Modifications in Writing
To be binding, any modifications to this contract must be in writing and signed by both parties to the agreement.
Signatures

______________________________________________	_________________
Employer(s)' signature(s)	Date

______________________________________________	_________________
Elder Care Provider’s signature	Date