The 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	Care for disability yes no

Care responsibilities/duties (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

Gross wages of $_______	______	weekly	Hours of work	_____ /wk
	______	monthly	Day(s) off	_____ /wk
			(which days off?)	______________

Frequency of pay	______	weekly	Overtime rate	_____ /hr
	______	biweekly	To be paid after	_____ hours
	______	monthly	Schedule of hours	______________

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

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 provinicial 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

Signature:_____________________

Date:_________________________

I have read the undertaking and understand it.

Signature:_____________________

Date:_________________________