Free Caregiver Agreement Generator

Care Recipient Name

Care Location Address

Client Name (Person Hiring)

Relationship to Care Recipient

Client Address

Client Phone

Caregiver Name

Caregiver Address

Caregiver Phone

Personal Care Duties (select all that apply)

Bathing/Showering Dressing Grooming/Hygiene Toileting Assistance Mobility Assistance Transfers (Bed/Chair)

Household Duties (select all that apply)

Meal Preparation Light Housekeeping Laundry Grocery Shopping Errands

Health-Related Duties (select all that apply)

Medication Reminders Doctor Appointments Health Monitoring Exercise Assistance

Companionship Duties (select all that apply)

Conversation/Companionship Recreational Activities Social Outings

Weekly Schedule

Expected Hours Per Week

Pay Rate Type

Pay Rate Amount ($)

Payment Schedule

Overtime Rate

Additional Benefits (select all that apply)

Meals Provided Mileage Reimbursement Paid Time Off Paid Holidays

Employment Classification

Notice Period for Termination

Governing State

Special Instructions or Notes