Application Caregiver Form With Decimals In Hennepin

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

Description

The Application Caregiver Form with decimals in Hennepin is a legal document designed to outline the terms of employment between a client and a caregiver. This form is crucial for establishing the scope of assistance that caregivers will provide, including help with daily living activities and scheduling. Key features include a defined schedule for caregiver services, provisions for advance notice of changes, and termination clauses requiring two weeks written notice. Specific provisions protect both parties, including acknowledgment of independent contractor status and liability waivers for simple negligence. This form serves various stakeholders, such as attorneys, paralegals, and legal assistants, by providing a clear, structured agreement to facilitate caregiver-client relationships. Additionally, it ensures compliance with state laws and protects both parties' interests. Users are encouraged to review the agreement and consult a lawyer if necessary before signature, promoting informed consent and negotiation of terms.
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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

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.

Call 612-348-3000, Monday through Friday, 8 a.m. to p.m.

Disability HUB MN offers assistance for people under 65 with disabilities. Call 1-866-333-2466. Hennepin County Front Door allows you to talk to a county staff member about your options, including referrals and information.

Apply for health care assistance Most people can apply online at MNsure or call 1-855-366-7873. People 65+ and people with a disability: Download and complete an application and submit to Hennepin County.

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.

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.

Medicaid. A state and federal program (called Medical Assistance in Minnesota) that provides health insurance that covers a broad array of health services for people, including families and children with low-incomes, older adults and people with disabilities.

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Application Caregiver Form With Decimals In Hennepin