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.
Care Caregiver Form For Child In Fairfax
Category:
State:
Multi-State
County:
Fairfax
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
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FAQ
Call the Enterprise Call Center at 1-833-5CALLVA. Get an application mailed to you. Call 703-324-7500. Download an application for SNAP, TANF, General Relief and more (English, Spanish).
If you would like personal assistance in finding child care, contact Child Care Aware of Virginia at 866-543-7852.
Medicaid for children Household sizeYearlyMonthly 2 $31,302 $2,609 3 $39,442 $3,287 4 $47,582 $3,966 5 $55,722 $4,6445 more rows
You must be a VA employee for at least 60 days. Your adjusted gross household income must not exceed $149,000 (based on Federal Tax 1040 Form). Use a childcare provider that is licensed and regulated by state and or local authorities. A provider can be center-based care, home care, and or before/after care.
Two ways to apply for the Child Care Subsidy Program Apply online, or screen for eligibility through CommonHelp, a self-service portal available 24 hours a day, 7 days a week. Submit a Child Care Service Application and Redetermination Form to your local department of social services.
If the custodial parent needs to put the children in daycare or has other childcare costs due to his/her employment, the costs will be usually added to the basic child support obligation. The childcare costs cannot be more than an amount the court believes is “required” to provide quality care from a licensed provider.
To be eligible for the Child Care Subsidy Program, you must: Be a Virginia resident who is either. Provide documentation of child's citizenship or legal residence in the United States. Provide documentation of child's immunization requirements as outlined by the State Board of Health.