Application Caregiver Form With Child In Suffolk

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

Description

The Application Caregiver Form with Child in Suffolk is designed to formalize the agreement between a caregiver and a client, facilitating the provision of essential services tailored to the client's needs. Key features include specifying the assistance provided by the caregiver, such as support with daily living activities, medication management, and companionship during errands. The form outlines the scheduling requirements, ensuring any changes require a 48-hour notice, which emphasizes the importance of clear communication. Termination of the agreement is possible with a two-week written notice from either party, providing flexibility. This document also encourages clients to consult legal counsel before signing, ensuring informed consent. Certain provisions protect both parties in cases of breach, including the recovery of legal fees. The caregiver operates as an independent contractor, clarifying employment status. With hourly compensation details customizable, the form accommodates various financial arrangements. Overall, this form serves as a vital tool for attorneys, partners, and other legal professionals in managing caregiver-client relationships effectively.
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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 Local Welfare Assistance Scheme (LWAS) helps those experiencing financial hardship. There are lots of reasons why you may be in hardship and if you are eligible, we can provide financial help. To receive help from LWAS you must: Be able to demonstrate you are in financial hardship.

Go there to ask for an application for Non-Public Assistance Food Stamps, or telephone the office at (516) 227-8523 and ask them to mail one to you. If you reside in Suffolk County, there are four Department of Social Services Centers where you can apply: Riverhead (893 E. Main St, 631-852-3560)

SWEP. The Suffolk Works Employment Program (SWEP) helps Temporary Assistance applicants and recipients obtain the skills they need to find employment. Once employed, families can receive help with childcare and other work-related expenses.

Children's Single Point of Access (C-SPOA) The program serves Suffolk County residents, ages 5 to 21 years, and their families. All C-SPOA programs are voluntary for both the youth and their family. This application is for accessing CSPOA in-home services and supports, including preventive and intensive services.

Who Can Apply for a Child Care Voucher? Your family may qualify for child care assistance if your family's income falls below 85% of the State Median Income and you have an approved reason for seeking child care ("reason for care"). This reason must be at least one of the following: You work 10+ hours per week.

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

Day Care Center AgeWeeklyDaily Under 1 ½ $406.00 $80.00 1 ½ – 2 $370.00 $75.00 3-5 $325.00 $67.00 6-12 $300.00 $60.00

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Application Caregiver Form With Child In Suffolk