Application Caregiver Form With 2 Points In Hennepin
Category:
State:
Multi-State
County:
Hennepin
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
The Application Caregiver Form is a critical document used in Hennepin for formalizing the caregiving arrangement between a client and a caregiver. It outlines the terms of employment, detailing the types of assistance the caregiver will provide, such as help with daily living activities, medication management, and transportation to appointments. The form emphasizes the importance of a mutually agreed-upon schedule, which requires advance notice for any alterations. Clients have the right to terminate the agreement with two weeks' notice and are encouraged to consult with legal counsel prior to signing. It also specifies that the caregiver is classified as an independent contractor, which means they are not an employee of the client. Additionally, there's a clause regarding the liability of the caregiver, where the client holds the caregiver harmless for minor negligence. This form serves as a vital tool for attorneys, partners, owners, associates, paralegals, and legal assistants in ensuring that caregiving relationships are documented clearly, protecting the rights of both parties involved.
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FAQ
Who do I report a change to? If someone in your household gets MA, report a change to your county or tribal agency. If no one in your household gets MA, but someone in your household does get MinnesotaCare, report a change to DHS Health Care Consumer Support at 800-657-3672 or 651-297-3862.
Call 612-348-3000, Monday through Friday, 8 a.m. to p.m.
How to submit forms and documents and update your information Update information and upload documents to InfoKeep. Upload to MNbenefits. Fax to 612-288-2981. Mail to: Hennepin County Human Services Department. P.O. Box 107. Minneapolis, MN 55440.
Apply for benefits Apply for economic benefits whenever, wherever. Apply online or call 612-596-1300 Monday through Friday, 9 a.m. to 4 p.m.
