Live-in Caregiver Program (Sample Contract)

1. Employer:

2. Employee:

Name _____________________
Address
_____________________

Telephone
home________________
work ________________
Business No.
____________________

Name
________________________
Address
________________________

3. Offer of Employment

Job Title: Live-in Caregiver

A) Job Description

Child Care   yes no

number of children
_______

ages of children
______

Elderly Care   yes no

Disabled Care   yes no

Care Responsibilities/Duties Describe
________________________________________________________
________________________________________________________

Housekeeping Responsibilities   yes no
Describe ________________________________________________________
________________________________________________________________

Will employee be required to provide pet care?   yes no
Additional Responsibilities   yes no
Description of the house and household (number of rooms, household members, etc.) ___________________________________________________
________________________________________________________________
________________________________________________________________

B) Wages and Working Conditions

Wages and working conditions must reflect provincial employment standards and prevailing wage rates.

Gross wages of $_____ ___ weekly
___ monthly

Hours of work _____ /wk
Day(s) off _____ /wk
(which days off?) _____

Frequency of pay ________ weekly
_______ biweekly
_______ monthly

Overtime rate _____ / hr
To be paid after _____ hours
Schedule of hours ______________

The employer agrees to provide the employee with information regarding wages and types and approximate amounts of deductions from pay.

Weeks of vacation with pay _____/yr Paid general holidays _______________

Other leave ___________________________ Days of paid sick leave _____/yr

Cost of room and board $_________

To be paid _____ weekly _____ monthly

Accommodation Furnished Private Room   yes no
Locked   yes no
Private Bath   yes no

Medical Coverage _______________

Other Benefits __________________

Airfare included   yes no Details _____________________

Income tax deductions will be taken at source
Contributions will be made by employer to Canada/Quebec Pension Plan and to Employment Insurance
Duration of employment _________________________________

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.

5. Signature of Employer:

6. Signature of Employee

I certify that the duties outlined above are accurate and correct.
I will abide by provincial labour standards.
I will provide a Record of Employment on termination of employment

I have read the undertaking and understand it.

Signature:_____________________

Signature:_________________________

Date:_________________________

Date:_____________________________
   
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Stewarts Caregivers - Live-In Care for Canadian Families
Vancouver, BC - Victoria, BC - Toronto, Ont - Canada