SAMPLE CONTRACT FOR HOUSEHOLD EMPLOYMENT

Name of employee: _______________________________________________________

Name of employer: _______________________________________________________
Starting Date: ____________________ Weekly Hours: ___________________________
Weekly salary: __________________ Overtime rate: ____________________________
References:
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________

EMPLOYEE RESPONSIBILITIES:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Weeks of termination notice required_____________________________.

EMPLOYER-PROVIDED BENEFITS
Sick days: ___________________________
Vacation: ___________________________ Holidays: _____________________
Social Security: __________________________________________________________
Unemployment compensation: ______________________________________________
Workers’ compensation: ___________________________________________________
Disability insurance: ______________________________________________________
Weeks of termination notice required: _________________________________________

Employee’s Signature Date

Employer’s Signature Date

March 25, 1999