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.
Application Caregiver Form With Two Points In Nassau
Category:
State:
Multi-State
County:
Nassau
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
New fare prices are: Full fare single-ride: $2.90. Senior fare single-ride: $1.45. Disabled fare single-ride: $1.45.
For assistance and/or questions about the application or the eligibility​ process please call Able-Ride at 516-228-4021. We require original documents only; no copies will be accepted. Please submit recent passport style headshots with a solid background. We cannot accept any modified household photos.
AAR service is available within NYC's five boroughs. This includes an area three-quarters of a mile beyond fixed-route service across the NYC border to parts of Nassau and Westchester counties.
Apply Online The State Office of Temporary and Disability Assistance recently announced that Nassau and Suffolk County residents can now apply directly for food stamps online through the State's website, .mybenefits.ny.
Specifically, the Department is responsible for: Providing aid to eligible recipients through the Family Assistance, Safety Net, Day Care, Employment, Supplemental Nutrition Assistance Program (formerly called food stamps), Medicaid,and Home Energy Assistance Programs.
The following bus routes are operated in Nassau County, New York. Most of these routes are operated under Nassau Inter-County Express (NICE), formerly MTA Long Island Bus, except in Greater Long Beach, where that city operates its own bus service through Long Beach Bus.