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Caregiver Agreement (New Zealand)

Caregiver Agreement (New Zealand)

CAREGIVER AGREEMENT

CAREGIVER AGREEMENT

Date: [Agreement Date]

Services commence: [Service Start Date]

Parties

This Agreement is between:

[Principal Name] ([Principal Relationship] of [Recipient Name]), of [Principal Address] (the "Principal"); and

[Caregiver Name] ([Caregiver Type], NZBN: [Caregiver NZBN]), of [Caregiver Address] (the "Caregiver").

The person receiving care services is [Recipient Name], born [Recipient DOB], of [Recipient Address] (the "Care Recipient").

Background

A. The Care Recipient requires [Care Type] at [Services Location].

B. The Care Recipient's relevant condition and care needs are: [Recipient Condition].

C. The Principal has engaged the Caregiver to provide care services to the Care Recipient on the terms of this Agreement.

D. This Agreement is governed by New Zealand law, including the Health and Disability Services (Safety) Act 2001 (HDSS Act), the Health and Safety at Work Act 2015 (HSWA), the Employment Relations Act 2000 (where the Caregiver is an employee), and the Health and Disability Commissioner's Code of Health and Disability Services Consumers' Rights.

1. Care Services

1.1 The Caregiver will provide the following care services to the Care Recipient: [Care Services].

1.2 The services will be provided on the following schedule: [Services Schedule].

1.3 Services will be provided at [Services Location], or as otherwise agreed between the Parties in writing.

1.4 The Caregiver holds the following relevant qualifications: [Caregiver Qualifications].

1.5 The Caregiver must maintain all required certifications and training throughout the term of this Agreement, including current first aid certification.

2. Caregiver's Obligations

2.1 The Caregiver must:

a) provide care services with reasonable care and skill consistent with the standard expected of a competent caregiver;

b) comply with the Health and Disability Commissioner's Code of Health and Disability Services Consumers' Rights at all times;

c) respect the Care Recipient's rights to dignity, privacy, and self-determination;

d) maintain the confidentiality of all health and personal information about the Care Recipient, in compliance with the Privacy Act 2020;

e) not administer any medications to the Care Recipient without the express written authority of the Care Recipient's general practitioner or the Principal;

f) immediately report any injury, incident, deterioration in condition, or safeguarding concern to the Principal and, where required, to the relevant authorities; and

g) comply with all applicable obligations under the Health and Safety at Work Act 2015.

3. Principal's Obligations

3.1 The Principal must:

a) provide the Caregiver with accurate and up-to-date information about the Care Recipient's health condition, care needs, and any risks relevant to the provision of care;

b) ensure the care environment is safe and suitable for the provision of care services, consistent with the Health and Safety at Work Act 2015;

c) pay the Caregiver in accordance with clause 4; and

d) inform the Caregiver promptly of any changes in the Care Recipient's condition or care needs.

4. Remuneration

4.1 The Principal will pay the Caregiver at the rate of [Hourly Rate] for all care services provided under this Agreement.

4.2 Payment will be made [Payment Frequency] by [Payment Method].

4.3 The Caregiver must maintain accurate time records and submit timesheets to the Principal within 3 business days of the end of each payment period.

4.4 New Zealand public holidays will be remunerated in accordance with the Holidays Act 2003, unless the Caregiver is employed by an agency that provides alternative arrangements consistent with the Act.

5. Health, Safety and Emergency

5.1 [Health Safety Obligations].

5.2 In an emergency, the Caregiver must immediately contact emergency services (111) and then notify the Principal or the Emergency Contact: [Emergency Contact].

5.3 The Caregiver must report any safeguarding concerns about the Care Recipient (including suspected abuse, neglect, or exploitation) to the Principal immediately and, if necessary, to the appropriate authority including the Police or the Needs Assessment and Service Coordination (NASC) service.

6. Confidentiality and Privacy

6.1 The Caregiver must keep confidential all health, financial, and personal information about the Care Recipient and the Care Recipient's family that is obtained in the course of providing care services.

6.2 The Caregiver must handle all personal information in accordance with the Privacy Act 2020 and the Health Information Privacy Code.

6.3 The Caregiver must not photograph or record the Care Recipient or share any images or information about the Care Recipient on social media or otherwise without the express written consent of the Principal.

6.4 This obligation of confidentiality continues after the termination of this Agreement.

7. Term and Termination

7.1 This Agreement commences on [Service Start Date] and continues for [Term Type], ending on [Term End Date] (if fixed term), unless earlier terminated.

7.2 Either Party may terminate this Agreement by giving [Notice Period] written notice to the other Party.

7.3 Either Party may terminate this Agreement immediately if the other Party commits a serious breach of the Agreement, including any breach that endangers the safety, health, or wellbeing of the Care Recipient.

7.4 On termination, the Caregiver must return all keys, access cards, and personal property belonging to the Care Recipient or the Principal.

8. General Provisions

8.1 Governing Law: This Agreement is governed by the laws of New Zealand, including the Health and Disability Services (Safety) Act 2001, the Health and Safety at Work Act 2015, and the Privacy Act 2020.

8.2 Entire Agreement: This Agreement is the entire agreement between the Parties regarding the provision of care services and replaces all prior discussions and agreements.

8.3 Variation: This Agreement may only be varied in writing signed by both Parties.

8.4 Contact: Notices and communications under this Agreement should be directed to the Principal at [Principal Email] or [Principal Phone].

Execution

SIGNED by the Principal: [Principal Name]

Signature: ______________________________

Date: [Agreement Date]

SIGNED by the Caregiver: [Caregiver Name]

Signature: ______________________________

Date: [Agreement Date]

Principal

________________

Signature

Caregiver

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Caregiver Agreement (New Zealand)?

A Caregiver Agreement in New Zealand records the caregiving to be provided, the fees, the service standards, and each party's obligations between the provider and the client under the Contract and Commercial Law Act 2017.

New Zealand's care services sector is regulated by a thorough framework of legislation and standards. The Health and Disability Services (Safety) Act 2001 (HDSS Act) is the primary statute governing the safety and quality of health and disability support services. It establishes a certification system administered by HealthCERT (part of Te Whatu Ora Health New Zealand) for organisations providing residential care and certain community support services. The HDSS Act requires certified service providers to comply with the New Zealand Health and Disability Services Standards (NZS 8134), which set out detailed quality and safety standards for the delivery of health and disability services.

The Health and Disability Commissioner's Code of Health and Disability Services Consumers' Rights (the Code) applies to all providers of health and disability services in New Zealand, including individual caregivers providing in-home care. The Code gives all care recipients ten fundamental rights, including the right to dignity and independence, the right to services of an appropriate standard, the right to be fully informed, and the right to make an informed choice. Caregivers must comply with the Code in all aspects of their work.

The Health and Safety at Work Act 2015 (HSWA 2015) imposes duties on persons conducting a business or undertaking (PCBUs) — which may include families and organisations engaging caregivers — to confirm the health and safety of workers and others. In the in-home caregiving context, this means that the home where care is provided must be assessed for hazards, and appropriate measures must be taken to eliminate or minimise risks to the caregiver's health and safety.

Where the caregiver is an employee (rather than an independent contractor), the Employment Relations Act 2000 and the Holidays Act 2003 apply, giving the caregiver rights to the minimum wage, annual leave, sick leave, and bereavement leave. The Privacy Act 2020 governs the collection, use, and disclosure of personal and health information about care recipients.

A well-drafted caregiver agreement provides clarity and protection for all parties — it defines the scope of services, sets out the caregiver's qualifications and obligations, specifies remuneration and payment terms, addresses health and safety and safeguarding obligations, and establishes a clear process for terminating the arrangement if required.

When Do You Need a Caregiver Agreement (New Zealand)?

A Caregiver Agreement is needed in New Zealand whenever a family, guardian, or organisation engages a caregiver to provide care services to an elderly, disabled, or otherwise vulnerable person, or to provide in-home childcare. Common situations include:

Elderly care: An adult child engaging a caregiver to provide in-home personal care, companionship, and domestic support for an elderly parent who wishes to remain living independently at home rather than moving into a residential care facility. A formal agreement is important to protect both the family and the caregiver and to set clear expectations.

Disability support: A person with a physical or intellectual disability, or their family or support coordinator, engaging an individual support worker to provide personal care, community access support, and daily living assistance. Government-funded disability support services may be provided through Te Whatu Ora or ACC (Accident Compensation Corporation), and private top-up arrangements should also be documented.

Respite care: A family caregiver who provides primary care for a disabled or elderly family member engaging a relief caregiver to provide respite care — temporary care that allows the primary caregiver to take a break. Respite care may be provided in the home or in a residential setting.

In-home childcare: Parents engaging an in-home nanny, au pair, or babysitter to provide regular childcare for their children. The Vulnerable Children Act 2014 requires police vetting of paid childcare workers, and a formal agreement is essential to document the caregiver's responsibilities and remuneration.

Live-in care: Engaging a live-in caregiver to provide around-the-clock care for a person who needs significant ongoing support. Live-in arrangements require particularly detailed agreements covering accommodation arrangements, working hours, on-call obligations, and remuneration.

Government-funded care coordination: When government-funded care services are being organised through a Needs Assessment and Service Coordination (NASC) service, a formal agreement may be required to document the delivery of funded services in addition to any private top-up services.

What to Include in Your Caregiver Agreement (New Zealand)

A thorough New Zealand Caregiver Agreement should include the following key elements to provide clarity and legal protection for all parties.

Parties: The full legal names and addresses of the Principal (family member, guardian, or organisation), the Caregiver (individual or agency), and the Care Recipient. Where the Principal is acting under an Enduring Power of Attorney, this should be clearly identified.

Care recipient details: A description of the care recipient's relevant health conditions and care needs that define the context for the services being provided. This information is important for defining the appropriate scope of care and the qualifications required.

Care services: A specific and thorough list of the services the Caregiver is engaged to provide. The services clause should be detailed enough to avoid scope disputes — listing each task (personal hygiene assistance, meal preparation, medication prompting, mobility assistance, housekeeping, companionship, etc.) rather than using vague language.

Schedule: The days and hours during which services will be provided, including any on-call or overnight requirements. The schedule should be sufficiently specific to allow time records and invoices to be verified.

Qualifications and certification: The caregiver's relevant qualifications, training, and registration, and an obligation on the caregiver to maintain those qualifications throughout the agreement. Where the HDSS Act requires specific certifications, these should be identified.

Remuneration: The hourly rate (which must meet or exceed the New Zealand minimum wage), payment frequency, payment method, and GST treatment. Provisions for overtime, weekend rates, and public holiday rates consistent with the Holidays Act 2003 should also be included.

Code of Rights compliance: An explicit acknowledgment of the caregiver's obligations under the Code of Health and Disability Services Consumers' Rights, including the care recipient's rights to dignity, privacy, informed consent, and complaint resolution.

Confidentiality and privacy: Obligations on the caregiver to keep confidential all health and personal information about the care recipient, consistent with the Privacy Act 2020 and the Health Information Privacy Code.

Health and safety: The respective health and safety obligations of the Principal and the Caregiver under the Health and Safety at Work Act 2015, including incident reporting, hazard identification, and emergency procedures.

Safeguarding: The caregiver's obligation to report suspected abuse, neglect, or exploitation of the care recipient to the Principal and, where appropriate, to the New Zealand Police or other authorities.

Term and termination: The duration of the agreement and the notice period required for termination by either party. Grounds for immediate termination (such as gross misconduct or a serious safety incident) should also be specified.

Emergency contact: The name and contact details of the person the caregiver should contact in an emergency involving the care recipient. The forms-legal.com Caregiver Agreement (New Zealand) provides a ready-to-use template that meets New Zealand legal requirements.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Caregiver Agreement (New Zealand) (New Zealand) [Legal document template]. Forms Legal. https://forms-legal.com/new-zealand/personal/family/caregiver-agreement-new-zealand

MLA

"Caregiver Agreement (New Zealand) (New Zealand)." Forms Legal, 2026, https://forms-legal.com/new-zealand/personal/family/caregiver-agreement-new-zealand.

BibTeX
@misc{formslegal-caregiver-agreement-new-zealand,
  author       = {{Forms Legal}},
  title        = {Caregiver Agreement (New Zealand) (New Zealand)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/new-zealand/personal/family/caregiver-agreement-new-zealand}},
  note         = {Free legal document template. Based on Contract and Commercial Law Act 2017}
}

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Frequently Asked Questions

Based on Contract and Commercial Law Act 2017 — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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