Document 6539261

LIVE.INCAREGIVERPROGRAM- (SAMPLECONTRACT}
EmploverlEmoloveeGeneral lnformation
Employer:
Mme
Address
Telephone- home (_)
__.- work (___)
RevenueCanadaEmoloverNo.
Ernployee:
Name
Address
Telephone- home(_)_
Job llescription
ChildCare
E ves Eno
I Numberof Children
I Aqesof Children
ElderlyCare Eyes
DisabledCare ,f lves
Eno
Eno
Care/Responsibilities/Duties Describe:
HousekeepingResponsibilities
Describe:
Eyes
Eno
Will6mployeebe'requiredtoprovidepetere?
Eyes nno AdditionalResponsibilities? fl yes n no
Description'ofthe house and household (nurnberof ,morTrs,housefiold members, etc.)
Wages and UUorkinqGonditions
Wagesand working conditionsnrusf rafiecf prwincial employrnentstandardsand prevailing wage rafes
Gross Wage of $_______weekly
_monthly
Hours of work_A,vk
Frequencyof pay _ weekly
Day(alofi
lwk
_ biweekly
(which days off)
_ monthly
Overtimerate
/hr
To be paid after
hours
Scheduleof hours
The employeragreesto'providethe employeewith informationregardingwagesrrd types and approximate
amountsof deductionsfrom'payWeeksof vacation with pay
lyr
Paid general
Other leave
Days of paid sick leave
/yr
Cost of roornand boar.d$
To be paid
weekly
monthly
Accornmodation:
FumishedPrivateRoom lyes
Locked ,Eyes Eno
PrivateBath I yes flno
Elno
MedicalCoverage
Other Benefits
AirfareIndudedflyes fino
Details:
E [ncometax deductionswill be taken at source
EContributionswill be made by employerto CanadaQuebecFensionPlanand to Employmentlnsurance
Durationof emphryment
Terms of Separation:
The Employerand Employeeagreeto abide by provinciallabourstandardsregardingwrittennoticeof
terminationof employrnent.(lt is recommendedthat a copy of the relevantportionsof provinciallabourstandards
be attachedas an appendix)Amendmentsto this contractmust be made in writinqand aqreedto by both oarties.
Signature of Employer:
Signature of Employee:
I certify that the duties outlined above are aecurateand I have readthe undertakingand understandit.
conect.
I will abideby provinciallabourstandardsI will provide a Record of Employmenton termination
of employmenl
Signature
Date
Signature
Date