Sample Care Provider Contract

Feel free to copy/paste the template below

Family:

Name(s) of family members:

Child's DOB:

Home Address: 

Phone:

Email:

Care provider:

Name: 

Phone:

Email:

Contract start date: 

Contract end Date:

Schedule (please list arrival and departure times each day):

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday: 

Total weekly hours: 

Hourly rate:

Additional pay (overtime) per hour:

Compensation:

The family will issue payment using ___ via __ on ___(frequency)

*We recommend using a payroll service such as Poppins Payroll and issue payments weekly or bi-weekly. 

Additional details:

The Care provider [will or will not] use their own vehicle to transport the  family’s children. The family will compensate at ___ per mile. The Care provider must track and report mileage to the family on a ___ basis. 

The Care provider will receive ___ sick days per pay period. 

The Care provider will receive ___ days of paid vacation. *Please note how the Care provider should request vacation time, as well as how much notice should be given.

The Care provider will receive the following paid days off (review public holiday closures and coordinate around work schedules):

The Family [will or will not] provide a health insurance stipend. If a health insurance stipend is offered, the family will pay the Care provider a stipend of ___________ to purchase health insurance through the marketplace. 

Responsibilities, Tasks & Expectations:

Please list all responsibilities and expectations as clearly as possible, including childcare tasks, pet care, transportation needs, meal preparation, etc.. If it’s expected, it should be clearly outlined to prevent any confusion. Be sure to include any house rules that your provider should be aware of, such as screen time limitations. 

We highly recommend both the family and care provider initial each responsibility, expectation, and house rule listed here to ensure everyone is on the same page. 

By signing this agreement, the care provider agrees to the terms and conditions as outlined in this agreement. 

Name: ________________________________________

Signature: _____________________________________

Date: _________________________________________

By signing this agreement, the family agrees to the terms and conditions as outlined in this agreement. 

Name: ________________________________________

Signature: _____________________________________

Date: _________________________________________