This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Use this form to apply for the Program of Comprehensive Assistance for Family Caregivers. To reach our office, call or text , or fill out the form on our Contact Us page.The VDC program provides veterans with opportunities to selfdirect their LTSS and continue living independently at home. Find out if you may be eligible and how to apply for the Program of Comprehensive Assistance for Family Caregivers (PCAFC). Senior Helpers of Hillsborough County is a strong advocate for seniors that served in the military and assists with finding home care benefits from the Veterans What is VA Form 10-10CG used for? To apply for VA's Comprehensive Assistance Family Caregivers Program. Get started now with a senior care career at Senior Helpers of Hillsborough. What is VA Form 10-10CG used for? This form is used to apply for VA's Program of Comprehensive Assistance for Family Caregivers (PCAFC).