Full Names Of Employers: __________________________________________
__________________________________________

Address: _______________________________________________________
_______________________________________________________

Full name of Nanny: _________________________________________________

Address: ______________________________________________________
 ______________________________________________________

Social Security Number: __________________________________________

Number of children to be cared for: ______
Names of children nanny will be responsible for: ______________________________________________
______________________________________________

Starting date:____________
Employers home address: ________________________________________________________

Pay  and Benefits:

Pay: $___________ per week/month/hour to be paid

Taxes: ____________________________________________________

Health insurance: Employer agrees to pay ______ of the nanny's health insurance, provided by ______________.

Paid vacation: _____week(s) per year. Nanny to provide employer with ____ weeks notice of planning to take a vacation.

Paid holidays will be: ______________________________________________________

Room and board?: yes/no

Extras: ___________________________________________

Schedule:

Nanny will work ____ hours a week. Employer will pay Nanny $____/hour for any extra hours worked.

Nanny's work hours are between ____a.m./p.m. and ____a.m./p.m. on these days ___________________________

Nanny's days off will be: list days ___________________________

Sick time for nanny: ___days a year
Personal days for nanny: ___days a year.
Nanny will give employer _____ days notice for personal days to be taken, and will phone employer by __ a.m. the first day of illness.

Nanny's duties are: ______________________________________________________

______________________________________________________

______________________________________________________

Transportation:

Use of car to transport child: yes/no

Logistics:______________________________________________________

This is employers Parenting Philosophy:

Nap time method: ________________________________________________

Discipline: _____________________________________________________

Television: yes/no If yes, how many hours a day? _____ hours

Meals: _______________________________________________________

Hygiene: _____________________________________________________

Safety: _______________________________________________________

Authorization to release child:

Emergencies:

If a medical emergency arises, the nanny should
_______________________________________________________________.

______________________  ____________________
Mother's Phone Number  Cell Phone Number
______________________  ____________________
Father's Phone Number  Cell Phone

Reviews, Raises, and Grievance Procedures:

The employer agrees to give the nanny written review every ____ months.

Cost-of-living raises will be given every (year/__ years/depending on review).

If nanny has a grievance, she can ___________________________________.

Changes and Amendments:

In the event of the birth of another child, a nanny
______________________________________________________________

Contract can be changed or amended if both parties agree: yes/no

Notice of Termination:

The nanny must give to employer __weeks'/months' notice of termination in writing.

The employer must give to nanny ___weeks/months notice in writing if her services will no longer be required.

Should the employer terminate the agreement, employer agrees to pay all wages up to and including nanny's last day of work. Yes/no

Signatures:

______________________  ____________________
 
Nanny  Date
______________________  ____________________
 
Parent  Date
 
______________________  ____________________
Parent  Date

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