Service Agreement Template Support at Home

Service Agreement Template: In-Home Support Services

Document ID: TR-IHS-2024-001 Effective Date: [____/____/2026]

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Instructions for Use

• This Service Agreement ("Agreement") must be completed by both the Client (recipient of services) and the Service Provider (entity/individual providing services) prior to the commencement of any services.
• A fully executed copy of this Agreement, along with all mandatory attachments, must be retained by both parties for a minimum of seven (7) years in a secure location.
• Mandatory Attachments: A detailed "Scope of Work" (Exhibit A), "Care Plan" (Exhibit B, if applicable), and "Service Provider Background Check Disclosure" (Exhibit C) must be appended and referenced herein.

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1. Parties to the Agreement

This Service Agreement (the "Agreement") is made and entered into as of the Effective Date by and between:

1.1. Client:

• Full Legal Name: [____________________]
• Address: [____________________]
• City: [__________] State: [__] Zip: [_________]
• Phone: [____________________] Email: [____________________]
• Emergency Contact Name: [____________________]
• Emergency Contact Phone: [____________________]
• Relationship to Client: [____________________]

1.2. Service Provider:

• Legal Entity Name: [____________________]
• (Or Individual Name if Sole Proprietor): [____________________]
• Business Address: [____________________]
• City: [__________] State: [__] Zip: [_________]
• Phone: [____________________] Email: [____________________]
• Primary Contact Person: [____________________]
• Title: [____________________]

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2. Services Provided

2.1. Description of Services: The Service Provider agrees to provide in-home support services to the Client (the "Services") as specifically described in the attached Exhibit A: Scope of Work, and, if applicable, Exhibit B: Care Plan, both of which are incorporated herein by reference. Services may include, but are not limited to:

• Personal Care (e.g., bathing, dressing)
• Companionship
• Light Housekeeping
• Meal Preparation
• Errands/Transportation (e.g., medical appointments, grocery shopping)
• Medication Reminders
• Other (Specify): [____________________]

2.2. Service Schedule:

• Start Date of Services: [____/____/2026]
• End Date of Services (if fixed term): [____/____/2026]
• Typical Days of Service: [ ] Mon [ ] Tue [ ] Wed [ ] Thu [ ] Fri [ ] Sat [ ] Sun
• Typical Service Hours: From [_______] to [_______] [ ] AM [ ] PM
• Total Estimated Weekly Hours: [_______] hours
• Frequency: [ ] Daily [ ] Weekly [ ] Bi-weekly [ ] Monthly [ ] As needed
• Specific Scheduling Notes: [____________________]

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3. Fees and Payment

3.1. Service Rates:

• Hourly Rate: [__________] per hour
• Overtime Rate (if applicable, beyond [_______] hours/week): [__________] per hour
• Minimum Service Duration per Visit: [_______] hours
• Travel/Mileage Reimbursement: [ ] Yes [ ] No
  • If Yes, Rate: [__________] per mile (or) [__________] per trip.

3.2. Invoicing and Payment Terms:

• Invoicing Frequency: [ ] Weekly [ ] Bi-weekly [ ] Monthly
• Invoice Due Date: [_______] days from invoice date.
• Payment Method: [ ] Bank Transfer [ ] Check [ ] Credit Card [ ] Other: [__________]
• Late Payment Fee: [_______]% per [ ] Week [ ] Month on overdue balances.

3.3. Expenses: Client shall reimburse Service Provider for pre-approved, reasonable out-of-pocket expenses directly related to the provision of Services (e.g., groceries purchased for Client, transportation costs), provided Service Provider furnishes valid receipts.

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4. Term and Termination

4.1. Term: This Agreement shall commence on the Effective Date and continue for a period of [_______] ([ ] months [ ] years) unless terminated earlier as provided herein. If no end date is specified in Section 2.2, this Agreement shall be considered evergreen, continuing until terminated by either party.

4.2. Termination by Notice: Either party may terminate this Agreement without cause by providing [_______] ([ ] calendar days [ ] business days) written notice to the other party.

4.3. Termination for Cause: Either party may terminate this Agreement immediately upon written notice if the other party:

• Breaches any material term of this Agreement and fails to cure such breach within [_______] days of receiving written notice of the breach.
• Engages in any conduct that materially harms the reputation, safety, or well-being of the other party.

4.4. Effect of Termination: Upon termination, Client shall pay Service Provider for all Services rendered and approved expenses incurred up to the date of termination.

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5. Responsibilities of Parties

5.1. Client Responsibilities:

• Provide a safe and accessible environment for the Service Provider to perform the Services.
• Provide accurate and complete information regarding the Client's needs, health status, and any specific instructions.
• Communicate any changes in schedule or needs promptly.
• Ensure timely payment of all agreed-upon fees.

5.2. Service Provider Responsibilities:

• Perform Services with due care, skill, and professionalism.
• Adhere to the agreed-upon Scope of Work and Care Plan.
• Maintain confidentiality of Client information.
• Communicate regularly with the Client regarding the Services.
• Ensure all personnel performing services have undergone required background checks and are adequately trained.

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6. Confidentiality and Data Protection

The Service Provider agrees to maintain the strict confidentiality of all Client personal, medical, and financial information. No such information shall be disclosed to third parties without the Client's express written consent, except as required by law.

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7. Insurance and Liability

7.1. Service Provider Insurance: The Service Provider shall maintain, at its own expense, adequate general liability and, if applicable, professional liability insurance coverage.

• Insurance Carrier: [____________________]
• Policy Number: [____________________]
• Minimum Coverage: [____________________]

7.2. Limitation of Liability: The Service Provider's liability to the Client for any claim arising out of or related to this Agreement shall be limited to the total fees paid by the Client to the Service Provider under this Agreement for the [_______] ([ ] three [ ] six [ ] twelve) month period preceding the event giving rise to the claim. The Service Provider shall not be liable for any indirect, incidental, special, or consequential damages.

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8. Independent Contractor Status

The Service Provider is an independent contractor, and nothing in this Agreement shall be construed as creating an employer-employee, partnership, or joint venture relationship between the Client and the Service Provider. The Service Provider is solely responsible for all taxes, insurance, and other obligations associated with its business operations and its personnel.

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9. Background Checks and Screening

The Service Provider represents and warrants that all individuals assigned to perform Services have undergone and passed comprehensive background checks (including criminal history checks) and, where applicable, drug screenings, in compliance with all relevant laws and regulations. Documentation supporting these checks is available upon request and provided via Exhibit C: Service Provider Background Check Disclosure.

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10. Health and Safety

10.1. Emergency Procedures: In the event of an emergency involving the Client, the Service Provider shall immediately contact the Client's Emergency Contact(s) listed in Section 1.1 and/or emergency services (e.g., 911) as appropriate.

10.2. Safe Environment: Client agrees to inform the Service Provider of any known hazards or safety concerns within the service location. Service Provider reserves the right to suspend services if the environment is deemed unsafe.

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11. Force Majeure

Neither party shall be liable for any delay or failure to perform its obligations hereunder if such delay or failure is caused by an event of Force Majeure (e.g., acts of God, war, terrorism, natural disaster, pandemic, government order) beyond its reasonable control. The affected party shall promptly notify the other party of such event.

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12. Dispute Resolution

Any dispute arising out of or relating to this Agreement shall first be submitted to good-faith negotiation between the parties. If negotiation fails, the parties agree to engage in non-binding mediation with a mutually agreed-upon mediator. The costs of mediation shall be shared equally by both parties.

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13. 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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14. Entire Agreement

This Agreement, including all attached Exhibits, constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior discussions, negotiations, and agreements, whether oral or written.

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15. Amendments

Any amendment or modification to this Agreement must be in writing and signed by both the Client and the Service Provider to be effective.

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16. Severability

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

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17. Notices

All notices and communications required or permitted under this Agreement shall be in writing and sent to the addresses specified in Section 1.1 and 1.2, or to such other address as either party may designate in writing.

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18. Attachments

• Exhibit A: Scope of Work
• Exhibit B: Care Plan (if applicable)
• Exhibit C: Service Provider Background Check Disclosure

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Execution and Signature Block

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

Service Provider:

Authorized Signature: ______________________________ Printed Name: [____________________] Title: [____________________] Date: [____/____/2026]

Client:

Authorized Signature: ______________________________ Printed Name: [____________________] Date: [____/____/2026]

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