Elder Care Agreement Template printable pdf download

Elder Care Agreement Template

Elder Care Agreement

Employer

Employer’s name: ______________________________________________________________________

Address: _____________________________________________________________________________

_____________________________________________________________________________________

Phone number: _______________________________

Elder Care Provider

Elder Care Provider’s name: ______________________________________________________________

Address: _____________________________________________________________________________

_____________________________________________________________________________________

Phone number: _______________________________

Adult(s) to Be Cared For

Employer desires to contract with Elder Care Provider to provide elder care

for: _________________________________________________________________________________

_____________________________________ (names and birthdates of persons in need of elder care).

Location and Schedule of Care

Care will be provided at:

_____________________________________________________________________________________

_____________________________________ (your address or other location where care is to be given).

Days, hours, and responsibilities of elder care will be as follows:

_____________________________________________________________________________________

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Elder Care Agreement Template