Sample contract for a live-in caregiver

LIVE-IN CAREGIVER PROGRAM (EMPLOYER-EMPLOYEE CONTRACT)

1. EMPLOYER INFORMATION
First Name :
Last Name:
Address:
Postal Code :	City:
Province
Email:
Telephone :
Work Telephone:
2. EMPLOYEE INFORMATION
First Name :
Last Name:
Address:
Postal Code :	City:
Province
Email:
Telephone :
3. OFFER OF EMPLOYMENT
Job Title:
A. JOB DESCRIPTION
Child Care:	Yes: No:
Number of Children:
Ages of Children:
Elder Care:	Yes: No:
Disabled Care:	Yes: No:
Describe your care responsibilities and duties:
Housekeeping Responsibilities?:	Yes: No:
Describe your housekeeping responsibilities and duties:
Pet Care?:	Yes: No:
Describe the house and household (number of rooms, family members, etc.)
B. WAGES AND WORKING CONDITIONS Wages and working conditions must reflect provincial employment standards and prevailing wage rates.
Gross Wages/week:
Gross Wages/month:
Frequency of Pay:	Weekly Bi-Weekly Twice a month Monthly
Overtime Rate :	/hour
To be paid after:	hours
Hours of work :
Days off/week :
Which Days:
Schedule of Hours
The employer agrees to provide the employee with information regarding wages and types and appropriate amounts of deductions from pay.
Weeks of Vacation with Pay:
Paid Statutory Holidays:
Other Leave :
Days of Paid Sick Leave :
Cost of Room & board:
To be Paid:	Weekly Monthly
Medical Coverage :	Yes No
Other Benefits :
Airfare Paid :	Yes No
Income Tax will be taken at source:
Contributions will be made by employer to CPP and EI:
C. ACCOMODATION
Furnished Private Room :	Yes No
If no, please describe :
Lockable:	Yes No
Private Bathroom :	Yes No
4. TERMS OF SEPARATION The employer and employee agree to abide by provincial labour standards regarding written notice of termination of employment. (It is recommended that a copy of the relevant portions of provincial labour standards be attached as an appendix.) Amendments to this contract must be made in writing and agreed to by both parties.
I have read the terms of separation :	Yes No
5. SIGNATURE OF EMPLOYER I certify that the duties outlined above are accurate and correct. I will abide by provincial labour standards. I will provide a Record of Employments on termination of Employment. A paper document will eventually have to be manually signed by you. For now, please type in your name .

6. SIGNATURE OF EMPLOYEE I have read the undertaking and understand it. (A paper document will eventually have to be manually signed by you)


(erases all data inserted up to now )
Please insert the same letters and numbers you see in this image into the box to your right