PARENT TOOLKIT Sample Work Agreement for Nanny or Childcare Note: This is a sample template only and not a legal document. Abilitypath.org recommends all parents or guardians to seek legal advice before finalizing any agreement between them and a potential caregiver/childcare applicant. Review state and federal guidelines for hiring. Contact local agencies or regional centers for respite care reimbursement requirements. Talk to your accountant regarding tax filings and requirements. It is recommended applicants provide references of and a background check. Employer: _________________________________ Employee:_________________________________ Position: __________________________________ Effective Date of Agreement: _________________ Duration of Agreement:______________________ Work schedule: Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: to to to to to to to Job description: Primary Objective: <include short description of job’s functions, goals, responsibilities> Responsibilities include the following: Children Activities including <specific examples>, homework with child(ren), cooking <number of times> per week including <meals>, housekeeping duties including <i.e. laundry, dishes, pick up toys or clothes>, transportation <distance, routes, schedules>. Employee is required to pass a background check. <include any additional requirements for drug testing/smoking>. Compensation: Salary/wages will be paid <every week / every two weeks / on the 1st and the 15th of every month>. Employee will receive a <gross/net> salary/wage of per <week/bi-monthly>. The average hours. Overnight or weekend care will be compensated at the rate of $ <per workweek is overnight/ per hour / per 24 hour period>. Out of town duty is defined as the regular working responsibilities while traveling with a family and is at <per overnight/ per hour / per 24 hour period>. Expenses incurred while traveling the rate of $ are to be paid by the employer within 14 days if receipts and documentation provided. <Provide details on any additional benefits including housing or transportation. Require proof of driver’s license and insurance if applicable>. Expenses: Any work-related expenses incurred by the employee on behalf of the position will be reimbursed based upon request and receipts provided by the employee within 14 days. This may include <i.e. mobile phone, gasoline, insurance>. Vacation: The following holidays that fall on a work day will be paid and are not required to be worked by the employee <review federal holidays>: - Thanksgiving Day and day after - New Year’s Day - Christmas Eve - Christmas Day Employee will receive <number> days paid vacation per year. Total of <number> sick leave days will be provided and used for illness or family emergencies, not vacation. Sick leave may be used for s only. Personal appointments or days off need to be coordinated with employer including 14 days notice for scheduling. Vacation and sick leave days may not be accrued. Confidentiality: Employee is not permitted to take pictures, record or use of the likeness of any family/household member without the expressed written consent of employer. Information pertaining to the family member’s medical, educational or financial activities or other personal matters may not be shared or discussed with outside parties. All information pertaining to the position including verbal, written and electronic communications are considered confidential and a breach of contract is considered should they be forwarded without the express written consent of employer. Performance reviews: A formal review will be scheduled for the employee on the following time intervals <i.e. every 3 months, 6 months>. Employee will receive a revised job description and contract should the position change. Termination: This is an at-will contact. Employee may be released from this contract at anytime for no cause. Three week notice is required by employee should they wish to end contract and employment. This agreement may only be amended in writing and with the signature of both parties. No oral amendments or agreements may be made. This agreement is binding by the state of <insert state>. All disputes arising from this contract will be settled through arbitration <verify with your attorney additional legal requirements>. Each party has read and agreed to this agreement and after signing below will receive a copy of the agreement. Signed and agreed: Employee’s First and Last Name _______________________ Date ______________________ Employee’s signature ________________________________ Date ________________________ Mailing Address: _________________________________ City, State, Zip: _________________________________ Cell Phone: __________________________________ Email: __________________________________ SSN: __________________________________ Emergency Contact:_______________________________ Emergency Contact Phone: _________________________ Employer’s First and Last Name _______________________ Date ______________________ Employer’s signature ________________________________ Date ________________________ Additional resources and information available at www.AbilityPath.org
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