Application Caregiver Form With Child In Franklin

State:
Multi-State
County:
Franklin
Control #:
US-00458BG
Format:
Word; 
Rich Text
Instant download

Description

The Application caregiver form with child in Franklin serves as a critical document for outlining the responsibilities and terms of employment between a client and a caregiver. This form ensures that caregivers provide necessary assistance with daily living activities, medication scheduling, mobility support, and more, according to a mutually agreed upon schedule. It also specifies that either party can terminate the agreement with a two-week written notice. The form emphasizes that caregivers are independent contractors, protecting the client from any liability for simple negligence. Legal practitioners, including attorneys and paralegals, can utilize this form to streamline caregiver-client arrangements, ensuring compliance with relevant state laws. It's essential for users to fill in personal details accurately, paying attention to the compensation and hours of service sections. Overall, the form facilitates clear communication of expectations, fostering a supportive relationship while safeguarding both parties' interests. This form is particularly relevant to those in caregiving professions, legal assistants, and families seeking structured support for children with special needs.
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  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent
  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent

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FAQ

Our Services Family SizeMaximum Monthly Income Limit for Initial Eligibility (145%)Maximum Monthly Income Limit for Special Need Eligibility (150%) 2 $2,470 $2,555 3 $3,120 $3,228 4 $3,770 $3,900 5 $4,421 $4,5733 more rows

Please find below a brief outline of the Income Eligibility Standards: Family Size2021 Federal Poverty Level (100%)Maximum Income Limit for Ongoing Eligibility (300%) 2 $1,452 $4,355 3 $1,830 $5,490 4 $2,209 $6,625 5 $2,587 $7,760

Phone: 1-844-640-OHIO (6446) If you have inquiries concerning your Child Care, Medicaid, Food Assistance or general status information, our Customer Access Center will be able to assist you.

State Fiscal Year 2024–25 Schedule of Income Ceilings FAMILY SIZE1-26 Family Yearly Income Ceiling (100% of SMI) $79,143 $137,998 Family Yearly Monthly Ceiling (100% of SMI) $6,595 $11,500

What are the income and eligibility guldelines? Assistance Group Size130% FPL Gross Monthly Income Standard 1 $1632 2 $2215 3 $2798 4 $33808 more rows

WIC Qualifications Economic UnitAnnualBiweekly 1 $27,861 $1,072 2 $37,814 $1,455 3 $47,767 $1,838 4 $57,720 $2,22012 more rows

What are the minimum qualifications to become a Family Child Care Provider? Have a high school diploma or GED. Be at least 18 years of age. Pass a home inspection. Pass local, FBI and BCII background checks. Pass a Franklin County Children Services request for Child Abuse and Neglect Report.

Please note: Anyone can provide care for no more than 6 children or no more than 3 children under the age of 2 years in their home without a license. However, in order to receive payment for serving families eligible for PFCC, the Type B home provider must be licensed by ODJFS.

These are the eligibility requirements: Children must be under the age of 13, or if they have special needs, under the age of 18. Your initial gross monthly household income for your family size must be equal to or less than 145% of the Federal Poverty Level (FPL).

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Application Caregiver Form With Child In Franklin