Initial each item, then sign — Form CC-HR-02.
As an employee, I am responsible for providing assistance to the client in his/her home, following a plan and working within the hours authorized. Bella Mente is the Employer & Fiscal Intermediary; the Responsible Party has daily supervision and scheduling responsibility. To be paid, I must be physically present and working with the Client or providing a service according to the plan.
By my signature below, I acknowledge, understand, accept, and agree to comply with this agreement. No oral statements can change any provision. This document supersedes all prior agreements. If I violate these or other Bella Mente policies, my employment may be terminated.