Elder Care and Caregiver Affidavit Draft

What a good one includes

• Full legal names, dates of birth, and contact information for both the caregiver and the care recipient to establish identity.
• A detailed description of the caregiving duties, including personal care, medical management, transport, and household assistance.
• The specific start date of the caregiving arrangement and whether the care is provided on a full-time, part-time, or co-living basis.
• Clear statements regarding any financial compensation, expense reimbursement, or free room and board provided in exchange for care.
• A formal affirmation statement certifying that all information provided in the document is true and accurate under penalty of perjury.
• A designated signature and date block alongside a standardized notary public acknowledgment section for official execution.

Common mistakes to avoid

• Omitting the exact dates of the caregiving agreement, which can lead to Medicaid or insurance claims being rejected for lack of specificity.
• Using vague descriptions like 'helping out' instead of outlining concrete, measurable daily caregiving tasks.
• Forgetting to include the required notary block, which invalidates the document's status as a sworn legal affidavit.
• Failing to align the affidavit's financial terms with existing personal care contracts or bank records, creating inconsistencies that raise red flags during audits.

Frequently asked questions