Social Security Form For Caregiver With Dependents In Ohio

State:
Multi-State
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

The maximum monthly SSI payment for 2025 is $967 for an individual and $1,450 for a couple. Your amount may be lower based on your income, certain family members' income, your living situation, and other factors.

Once you have submitted your application for disability benefits, it generally takes 6 to 8 months for an initial decision. You can log in or create a personal my Social Security account to check the status of your pending application.

1. You have little or no income (like wages and Social Security benefits) SSI is generally for individuals who don't earn more than $2,019 from work each month. The income limit increases for couples and when parents apply for children.

Call us. Available in most U.S. time zones Monday through Friday, 8 a.m. to 7 p.m., in English, Spanish, and other languages. Tell the representative you want to designate someone to manage your benefits if you become unable to manage them in the future. Call TTY +1 800-325-0778 if you're deaf or hard of hearing.

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Social Security Form For Caregiver With Dependents In Ohio