Work Agreement

A. Introduction

Name of employer:

Name of Personal Assistant (worker):

B. Work Schedule

What days and hours do you want your worker to work?

If the worker is going to be late or cannot work a regularly scheduled time, how much in advance does she or he need to tell you? (How many hours or days?)

If you can't be there when your worker is scheduled to show up for work, when will you tell your him/her?

Do you want to include any of these provisions in your work agreement?

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 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 be responsible for making arrangements for emergency back-up workers.

What other provisions about scheduling do you want in your work agreement?

C. Payment

Are you going to give the worker a paycheck, or will an agency give the worker a paycheck?

I will give the worker a paycheck.

The agency will give the worker a paycheck.

How much are you going to pay your worker?

$ per hour week month

How often will your worker get paid?

every week

every two weeks

once a month

other (please describe):

How will you pay your worker?

in cash

by check

other:

What fringe benefits are you going to give to your worker?

paid vacation days     (how many days? )

paid holidays     (which holidays? )

unpaid time off     (how many days? )

paid sick days     (how many days? )

other benefits    

What other provisions about payment do you want to put in your work agreement?

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.

Other

Will you provide any of the following things for your worker?

Room

Meals

Utilities

Will you let your worker use any of the following things? Under what conditions? (for example "worker must pay for all his own long-distance calls" or "can use washer and dryer for her own laundry")

Laundry
Conditions:

Phone
Conditions:

Household products
Conditions:

Computer
Conditions:

Household items (stereo, TV, etc.)
Conditions:

Employer's vehicle
Conditions:

Keys to employer's house
Conditions:

Other
Conditions:

What are the rules about guests going to be?

Daytime guests are not allowed.

Daytime guests are allowed under the following conditions:

---

Evening guests are not allowed.

Evening guests are allowed under the following conditions:

---

Overnight guests are not allowed.

Overnight guests are allowed under the following conditions:

What other provisions about your worker do you want your work agreement to include?

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

Other:

D. Job Duties and Responsibilities

Do you want to include any of these provisions in your work agreement?

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.

E. Termination and Quitting

How much notice will you give your worker if you don't need or don't want him/her to keep working for you?

day(s) week(s)

Other:

How much notice do you want your worker to give you before he/she quits?

day(s) week(s)

Other:

Which of the following will be grounds for firing the worker 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.

Other grounds for firing with notice:

How many times will you warn the worker before firing him/her?

times.

Do you want your work agreement to include the following provisions?

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

The employer will fire the worker immediately for any of the following: theft, endangering the employer's health or safety, sexual or physical abuse, intentional damage to employer's property or pets, verbally or physically threatening the employer or the employer's guests.

Other grounds for immediate firing:

F. Duration of Work Agreement

How long do you want this work agreement to last?

month(s). year(s).

When do you want to review this work agreement?

In months.