Care Recipient's Name
*
First Name
Last Name
Holidays You Would Like To Pay A Bonus For If Worked
*
Christmas Eve
Christmas Day
New Year's Eve
New Year's Day
Easter
Thanksgiving
4th of July
Memorial Day
I will not be paying bonuses OR I will be paying them directly to my caregivers
Please contact me after each holiday and I will make the decision at that time
If Paying Bonuses, Please Select Type Of Bonus
Time and Half (standard practice)
Double Pay
Custom Amount (TBD)
Notes
Submit
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