Application Caregiver Form With Child In Bronx

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

Description

This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.



In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
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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

Legally exempt group child care means a program in a facility, other than a residence, in which child care is provided on a regular basis and is not required to be licensed or registered with the New York State Office of Children and Family Services (OCFS) or permitted by the City of New York, but which meets all ...

Need help? Please call the ACS Call Center at 212-835-7610, Mon-Fri am-pm. Alternatively, you may choose to apply by mail.

As a general rule, any child day care program planning to serve three or more children, for more than three hours a day on a regular basis, must obtain a license or registration.

Income Requirements Family SizeAnnual Income LimitMonthly Income Limit 2 $73,869.56 $6,155.80 3 $91,250.63 $7,604.22 4 $108,631.70 $9,052.64 5 $126,012.77 $10,501.062 more rows

To operate a Family Day Care, you must complete an online Orientation Session. Upon completion of the Orientation, you may request an application. After you submit an application, you must attend a 15 hour Health and Safety Training. Applicants must submit all documents and clearances within 90 days.

How Do I Become an Informal or Legally-Exempt Child Care Provider? To become an informal or legally-exempt provider, you must complete a legally-exempt child care enrollment form and have the parents or guardians of the children you care for complete and sign the "Parent Information Section" of the form.

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Application Caregiver Form With Child In Bronx