Official GSCCCA Georgia apostille guidance

Personal Care Agreement - Georgia

Download Personal Care Agreement - Georgia PDF

Georgia · Fillable PDF · Free

A written, signed personal care agreement documents that a family member or friend is paid for providing care. It is often needed for Medicaid long-term care planning, so payments are not treated as gifts. Set out caregiving services, schedule and compensation in writing.

Serving Georgia. Our mobile notaries serving Georgia are commissioned in Georgia and travel to your home, office, hospital, or other convenient location.

Book a notary for Personal Care Agreement - Georgia

Using this document abroad?

You may need an apostille. We can help.

Check our apostille service pricing, see the destination countries we assist with, and learn how to get started.

View Apostille Pricing & Countries

Who this form is for

  • Set out caregiving services, schedule and compensation in writing.
  • A written, signed personal care agreement documents that a family member or friend is paid for providing care. It is often needed for Medicaid long-term care planning, so payments are not treated as gifts.

What you'll need

  • Read this packet and check the receiving agency's required form.
  • Gather the names, dates and supporting records requested in this document.
  • Bring acceptable identification and any witnesses required by the packet.

How to complete it

  1. Describe the care (Page 1) List the services, schedule, and a reasonable rate of pay.
  2. Both sign before a notary A notarized, dated agreement is strong proof of when it was made. Bring a current, government-issued photo ID.
  3. Keep the agreement and the care log with your records. Medicaid rules are complex; talk to an elder law attorney.

Related Georgia forms

Georgia · Fillable PDF · 3 pages · Free

Release of Liability - Georgia

A release of liability is an agreement in which one person gives up claims against another about a specific incident or matter, usually in exchange for a payment. It is used to settle minor property damage, accidents and private disputes. Releases involving injuries, insurance or large amounts can have serious consequences, so consider having an attorney review it before signing.

View Release of Liability - Georgia · Download Release of Liability - Georgia

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

Free legal forms by state · Book a mobile notary