Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Date and Parties
This Caregiver Agreement (hereinafter referred to as the 'Agreement') is made and entered into this {{date}} day of {{month}}, {{year}}, by and between:
Client: {{client_name}}, residing at {{client_address}} (hereinafter referred to as the 'Client'),
AND
Caregiver: {{caregiver_name}}, residing at {{caregiver_address}}, with National ID Number {{caregiver_id_number}} (hereinafter referred to as the 'Caregiver').
Services to be Provided
The Caregiver agrees to provide the following services to {{recipient_name}} (hereinafter referred to as the 'Recipient'), who resides at {{recipient_address}}:
a) Personal Care: Assistance with bathing, dressing, grooming, toileting, and mobility.
b) Companionship: Engaging in conversation, reading, and escorting to appointments or social activities.
c) Household Support: Light housekeeping, laundry, meal preparation, and grocery shopping.
d) Medication Reminders: Ensuring medication is taken as prescribed, but not administering.
e) Other services as mutually agreed upon: {{other_services_description}}.
Schedule and Hours
The Caregiver shall provide services on the following schedule:
Start Date: {{start_date}}
End Date: {{end_date}} (if applicable, otherwise 'Ongoing')
Days of the week: {{days_of_week}}
Hours per day: {{hours_per_day}}, from {{start_time}} to {{end_time}}.
Total weekly hours: {{total_weekly_hours}}.
Any changes to the schedule must be mutually agreed upon in writing by both the Client and the Caregiver.
Compensation
The Client agrees to pay the Caregiver a rate of {{currency}} {{hourly_rate}} per hour, or a weekly/monthly rate of {{currency}} {{weekly_monthly_rate}}.
Payment shall be made {{payment_frequency}} (e.g., weekly, bi-weekly, monthly) on {{payment_day_of_week_month}}.
Payment method: {{payment_method}} (e.g., bank transfer, cash).
Any agreed-upon expenses incurred by the Caregiver on behalf of the Client (e.g., groceries, transportation) shall be reimbursed upon presentation of valid receipts. Such expenses must be pre-approved by the Client if exceeding {{currency}} {{expense_limit}}.
Confidentiality
The Caregiver agrees to keep confidential all information pertaining to the Client, the Recipient, and their household, including but not limited to medical conditions, financial details, and personal affairs. This obligation of confidentiality shall survive the termination of this Agreement.
Termination Clause
This Agreement may be terminated by either party with {{notice_period}} days' written notice.
In the event of a breach of any material term of this Agreement, the non-breaching party may terminate this Agreement immediately upon written notice.
Upon termination, the Caregiver shall be paid for all services rendered up to the date of termination.
Governing Law
This Agreement shall be governed by and construed in accordance with the laws of {{country_name}}.
Dispute Resolution
Any dispute arising out of or in connection with this Agreement, including any question regarding its existence, validity or termination, shall be referred to and finally resolved by arbitration in accordance with the rules of {{arbitration_body}} for the time being in force, which rules are deemed to be incorporated by reference in this clause.
Entire Agreement
This Agreement constitutes the entire agreement between the Client and the Caregiver and supersedes all prior discussions, negotiations, and agreements, whether written or oral, relating to the subject matter hereof.
Signature Block
IN WITNESS WHEREOF, the parties have executed this Agreement on the date first above written.
_____________________________
Client Signature
{{client_name}}
_____________________________
Caregiver Signature
{{caregiver_name}}
_____________________________
Witness Signature
{{witness_name}}
Related templates
Tuition Reimbursement Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Employee Discount Program
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Disability Insurance Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Long Service Award Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.