064

FORM 64.

Contract for Housekeeping Services

This Contract for Housekeeping Services, is made by and between (Name of Individual or business "Employer", located at: _____ ) and (Name of Individual or business "Employee", located at: _____ ) on (specify date). WHEREAS, the parties desire that Employee provide housekeeping services for the following family (or individual) located at (specify name and address); and WHEREAS, Employee accepts such responsibilities and agrees to perform such duties as specified herein; NOW, THEREFORE, FOR VALUABLE CONSIDERATION SET FORTH HEREIN, THE PARTIES AGREE AS FOLLOWS: 1. This Agreement will commence on (specify date). 2. The Employee agrees to render the following duties: (specify in detail, such as housecleaning, ironing and laundry duties, shopping, cooking, gardening work, bathing the children, errands for the family, assisting in transportation duties, baby-sitting, tending bar at parties, special cleaning instructions, etc.). 3. Set forth other pertinent conditions, such as term of the contract, whether it can be extended after the initial term, living arrangements for the Employee, reporting hours, and what tools or supplies will be supplied by Employer or Employee. (For example, Employer will provide all housecleaning supplies and equipment, with the exception of: specify.) 4. Specify payment. This should include the hourly or weekly rate, and what taxes will be deducted from the Employee's regular paycheck. (For example: The Employee will be paid a weekly salary of $X. The following deductions will be taken to comply with appropriate law including Social Security; federal, state, and local employment taxes; workers' compensation and unemployment insurance; charges for personal telephone calls; and other deductions discussed and mutually approved by the Employee in advance. Said payment will be made each Monday by 5:00 p.m. (Author's Note: Consult your local or state law regarding overtime and maximum weekly working hour requirements.) 5. The Employee will receive the following benefits: (specify, such as room and board, meals, sick leave, vacation days, personal days, holidays, health insurance, life insurance, transportation, or use of an auto). 6. Termination. The Employee is hired AT WILL. Either party can terminate this Agreement at any time with or without warning, notice, or cause. 7. Severance Pay. At the termination of this Agreement, Employee shall receive X week's severance pay plus all accrued wages and benefits earned up to the termination date. 8. This Agreement supersedes all prior agreements and understandings and may only be modified in writing and signed by both parties. This Agreement is in force when signed below. 9. This Agreement cannot be assigned without the prior consent of Employer. 10. This Agreement shall be governed by the law of the state of (specify). ____________________________ Name of Employer Dated: _________________

____________________________ Name of Employee