Service Agreement Template for Independent Support Worker

Service Agreement for Independent Support Worker

Document ID: TR-ISA-001 Effective Date: [____/____/2026]

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Instructions for Use:

• This agreement must be completed jointly by the Service Recipient and the Independent Support Worker before services commence.
• Retain a signed copy of this agreement and all attachments for a minimum of seven (7) years in a secure, confidential location.
• Mandatory attachments include: Proof of Worker's Professional Liability Insurance, Proof of Worker's General Liability Insurance, Worker's relevant certifications/licenses, and a copy of the Worker's recent background check results (if applicable).

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SERVICE AGREEMENT FOR INDEPENDENT SUPPORT WORKER

This Service Agreement ("Agreement") is entered into on the Effective Date specified above, by and between:

SERVICE RECIPIENT ("Client"):

Legal Name: [__________] Address: [__________] City, State, Zip: [__________] Email: [__________] Phone: [__________]

AND

INDEPENDENT SUPPORT WORKER ("Worker"):

Legal Name: [__________] Business Name (if any): [__________] Address: [__________] City, State, Zip: [__________] Email: [__________] Phone: [__________] Professional License/Certification (if applicable): [__________]

RECITALS

WHEREAS, Client desires to engage Worker to provide certain support services; and WHEREAS, Worker is an independent contractor with the necessary skills, qualifications, and resources to perform such services; NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

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1. SERVICES

The Worker shall provide the following services ("Services") to the Client:

Specific Instructions/Notes for Services: [__________]

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2. TERM OF AGREEMENT

This Agreement shall commence on the Effective Date and shall continue for a period of:

[ ] Fixed Term, ending on [____/____/2026] [ ] Ongoing, until terminated by either party with [__________] days' written notice.

Either party may terminate this Agreement immediately for cause, including but not limited to, breach of any material term of this Agreement, illegal activity, or serious misconduct.

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3. COMPENSATION AND PAYMENT

a. Rate: [ ] Hourly Rate: [__________] per hour [ ] Fixed Fee for Project/Period: [__________] for [__________] [ ] Other: [__________]

b. Payment Schedule: Invoices shall be submitted by Worker: [ ] Weekly [ ] Bi-Weekly [ ] Monthly [ ] Upon Completion Payment shall be made by Client within [__________] days of receipt of a valid invoice.

c. Expenses: Worker shall be reimbursed for pre-approved, reasonable, and necessary expenses directly related to the provision of Services, provided proper receipts are submitted. Pre-approval required for expenses exceeding [__________].

d. Taxes: Worker acknowledges and agrees that Worker is solely responsible for all federal, state, and local income taxes, social security taxes, unemployment taxes, and any other taxes or business license fees arising from the compensation received under this Agreement. Client will not withhold any taxes from payments to Worker.

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4. INDEPENDENT CONTRACTOR STATUS

The Worker is an independent contractor and is not an employee, partner, agent, or joint venturer of the Client. a. Worker shall have sole control over the manner and means of performing the Services. b. Worker is responsible for providing Worker's own tools, equipment, and supplies necessary to perform the Services, unless otherwise expressly agreed in writing. c. Worker is not eligible for any employee benefits, including but not limited to, health insurance, paid time off, retirement plans, or workers' compensation coverage, from the Client. d. Client will not control the hours or days Worker works, provided the Services are completed within agreed schedules and deadlines.

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5. WORKER'S RESPONSIBILITIES

a. Qualifications: Worker represents and warrants that Worker has the necessary skills, experience, and qualifications to perform the Services in a professional and competent manner. b. Compliance: Worker shall comply with all applicable federal, state, and local laws, regulations, and professional standards in performing the Services. c. Insurance: Worker shall maintain, at Worker's own expense, all necessary insurance, including but not limited to, professional liability insurance and general liability insurance, with minimum coverage limits of [__________]. Proof of insurance shall be provided to Client upon request and attached to this Agreement. d. Background Check: Worker confirms that a satisfactory background check has been completed within the last [__________] months and will provide a copy to Client upon request. e. Professional Conduct: Worker shall perform Services with integrity, professionalism, and respect for the Client.

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6. CLIENT'S RESPONSIBILITIES

a. Information: Client shall provide Worker with all necessary information, access, and cooperation required for Worker to perform the Services. b. Safe Environment: Client shall ensure a safe working environment for the Worker. c. Payment: Client shall make timely payments to Worker as per Section 3.

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7. CONFIDENTIALITY

Worker acknowledges that during the course of performing the Services, Worker may have access to confidential and proprietary information belonging to the Client, including but not limited to, personal health information, financial details, and private family matters ("Confidential Information"). Worker agrees: a. To keep all Confidential Information strictly confidential. b. Not to disclose, directly or indirectly, any Confidential Information to any third party without the Client's prior written consent. c. To use Confidential Information solely for the purpose of performing the Services under this Agreement. This obligation shall survive the termination of this Agreement.

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8. INDEMNIFICATION

Worker shall indemnify and hold harmless Client from and against any and all claims, damages, liabilities, costs, and expenses (including reasonable attorney's fees) arising out of or in connection with Worker's performance of the Services, including any negligence, willful misconduct, or breach of this Agreement by Worker. Client shall indemnify and hold harmless Worker from and against any and all claims, damages, liabilities, costs, and expenses (including reasonable attorney's fees) arising out of or in connection with Client's actions or omissions, including any negligence, willful misconduct, or breach of this Agreement by Client.

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9. DISPUTE RESOLUTION

Any dispute arising out of or relating to this Agreement shall first be resolved through good faith negotiation between the parties. If the dispute cannot be resolved through negotiation, the parties agree to engage in: [ ] Mediation, with a mutually agreed-upon mediator. [ ] Binding Arbitration, in accordance with the rules of [__________]. [ ] Litigation in the courts of [__________] County, [__________] State.

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10. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of [__________], without regard to its conflict of laws principles.

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11. ENTIRE AGREEMENT

This Agreement, including any attached schedules or addenda, constitutes the entire agreement between the parties and supersedes all prior discussions, negotiations, and agreements, whether oral or written, relating to the subject matter hereof.

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12. AMENDMENTS

No amendment or modification of this Agreement shall be valid unless made in writing and signed by both parties.

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13. SEVERABILITY

If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.

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14. NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses specified above, either personally, by certified mail (return receipt requested), or by reputable overnight courier. Notice shall be deemed effective upon receipt.

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15. BACKGROUND CHECK

Worker agrees to submit to and pass a criminal background check and/or other relevant screenings as requested by the Client, prior to commencing services and periodically thereafter as mutually agreed. Failure to pass such checks may result in termination of this Agreement.

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EXECUTION & SIGNATURE BLOCK

IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date first written above.

FOR THE SERVICE RECIPIENT:

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Authorized Signature

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Printed Name

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Title

Date: [____/____/2026]

FOR THE INDEPENDENT SUPPORT WORKER:

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Authorized Signature

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Printed Name

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Title (e.g., Independent Support Worker)

Date: [____/____/2026]

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Disclaimer: This document is provided as a standardized framework. Consult qualified legal counsel for jurisdiction-specific statutory compliance.