Caregiver Agreement Template – US

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Updated: 2026


Disclaimer

The content provided is intended solely as a general example for informational purposes related to formal agreements between caregivers and families. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney specializing in employment, legal, or contractual law. Laws and regulations may vary depending on the jurisdiction, and adjustments may be required to ensure compliance with local requirements. The use of this example is the sole responsibility of the user, and we assume no liability for any errors, omissions, or consequences arising from its use without professional review.


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Sample

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Please note: This is a sample Caregiver Agreement template for the United States, provided solely for illustrative purposes. Actual terms may vary based on specific arrangements and applicable laws.

Caregiver Service Agreement Sample

Parties Involved:

Caregiver: Jane Doe
Address: 123 Maple Avenue, Springfield, USA

Client: John Smith
Address: 456 Oak Street, Springfield, USA

Service Description:

The caregiver agrees to provide in-home assistance, including personal care, companionship, and daily activity support for the client at the agreed residence, as detailed in this agreement.

Compensation Terms:

The caregiver shall be compensated at a rate of $20 per hour, payable weekly or biweekly, as mutually agreed, for services rendered.

Caregiver Responsibilities:

The caregiver commits to providing reliable, compassionate care, adhering to all care plans, and reporting any concerns to the client or their authorized representative.

Governing Law:

This agreement shall be governed by the laws of the State of California. Disputes shall be resolved in the courts of Los Angeles County.

Additional Provisions:

  • The caregiver agrees to maintain confidentiality regarding all client information.
  • This agreement may only be modified in writing signed by both parties.
  • Either party may terminate this agreement with prior written notice of at least two weeks.

Springfield, ______________________

________________________
Jane Doe (Caregiver)
________________________
John Smith (Client)