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Work Agreement

The purpose of this document is to set forth our agreement about the terms and conditions of __________'s employment as a Personal Assistant (worker) for __________ , the employer.

Work Schedule

The worker will work hours on the following days, at the following hours:

Monday, from __________ to __________

Tuesday, from __________ to __________

Wednesday, from __________ to __________

Thursday, from __________ to __________

Friday, from __________ to __________

Saturday, from __________ to __________

Sunday, from __________ to __________

If the worker is going to be late or cannot work a regularly scheduled time, s/he will inform the employer at least _______ before the regularly scheduled time, and ________ before emergency situations. If the worker misses hours of work because of lateness or absence at the scheduled times, the worker will make up the missed hours of work later.

The employer will not require the worker to work extra unpaid hours.

The employer will not ask the worker to perform paid tasks outside the hours noted above, except in emergencies.

The employer will be present when the worker shows up for work.

If the employer cannot be present when the worker is scheduled to arrive for work, s/he will inform the worker at least __________ before the regularly scheduled time.

The employer will be responsible for making arrangements for emergency back-up personal assistance services.

Payment

The employer or agency will pay the worker at the rate of $ ___________ per hour. The worker will be paid by check / in cash every ______ weeks.

The employer will promptly complete and submit all paperwork needed to the agency that pays the worker.

The employer will pay the worker on time.

The employer will provide the following fringe benefits to the worker:

Paid vacation days: __________
Paid holidays: __________
Unpaid time off: __________
Paid sick days: __________
Other benefits: ________________________________________

The employer will provide the following in-kind payment to the worker (check all that apply):

_____ room
_____ utilities
_____ meals

In addition to the payment noted above, the employer permits the worker the use of the following personal property, under the following conditions:

Laundry: ______________________________
Phone: ______________________________
Household products: ______________________________
Computer: ______________________________
Household items: ______________________________
Employer's vehicle: ______________________________
Keys to employer's house: ______________________________
Other: ______________________________

The following rules about the worker's guests apply:

Daytime guests are / are not allowed under the following conditions:
Evening guests are / are not allowed under the following conditions:
Overnight guests are / are not allowed under the following conditions:

If the worker accidentally breaks or damages the employer's personal property, the worker must replace that property.

Job Duties and Responsibilities

The worker will complete all duties described in the job description and task checklist (attached).

The worker will complete all duties by the agreed-upon time.

The employer will perform all tasks within his/her ability.

Termination

The worker will give the employer __________ weeks notice before quitting.

Before the worker's employment ends, the worker will, if requested by the employer, help train the next person hired as a worker.

The employer will give _________ weeks notice before terminating the worker, unless immediate termination is warranted. Unless immediate termination is warranted as described below, the employer will warn the worker _____ times about any unacceptable actions before terminating the worker.

The following actions are unacceptable and are grounds of termination with notice:

not showing up for work without telling the employer far enough in advance
being repeatedly late for work
not satisfactorily performing the tasks in the job description or task checklist despite repeated warnings.
talking to others about the employer's personal life, finances, or medical condition.

Termination will be effective immediately if the worker does any of the following:

theft
endangering the employer's health or safety
sexual or physical abuse of the employer
intentional damage to employer's property or pets
verbally or physically threatening the employer or the employer's guests

Duration of Work Agreement

The work agreement will be effective until _____ months after the agreement is signed, unless the employer and worker agree to sign a new work agreement before that time. This employer and worker will review this work agreement _____ months after the agreement is signed.



Employer's Signature	Worker's Signature


Date	Date

Tools > Work Agreement

This tool is part of InfoUse's Working Together, a website for consumers of personal assistance services. http://www.infouse.com/pas/.