SCROLL TO SEE ALL THE FORMS I USE FOR WORK (in that order)
NANNY SCHEDULED INTERVIEWS
Website or app _____________________
Family Name: ______________________________________________ Interview date: __________ time: __________
Phone number: ____________________ Address: ______________________________________________________
Job description: _________________________________________________________________________________
Number of children :_______
Other notes:
NANNY CHECKLIST
Nanny employment documentation
- Resume _____
- Proof of childcare related education _____
- credentials or related affiliations _____
- Copy of letters of recommendation _____
- Names and contact information of at least two non-child care related references _____
- Copy of CPR and First-Aid cards _____
- Copy of driver's license _____
- Proof of car insurance _____
- Filled IRS w-4 form _____available to download free
- Form I-9 Employment eligibility verification form available to download free online ___
- A voided check when paying the nanny through direct deposits only _____
- Emergency name and contact information _____
- A copy of a properly filled and signed nanny employment agreement contract _____
A thank you note for the agency
Dear Agency,
This note is to thank you so much for connecting me with (family name) to be interviewed for the nanny position. I am truly positive that (name of parents) and I will develop a healthy employment relationship and that the baby (name of child) will love it that they chose me to be his nanny.
I appreciate you so much for all the help!
Sincerely,
Your name, Your signature, date it!
EMERGENCY NUMBERS
Emergency Number 1
Relationship _________________________________________________________________________
Name: _________________________________________________________________________
Telephone number 1: _______________________, telephone number 2: ________________________
Emergency Number 2
Relationship _________________________________________________________________________
Name: _________________________________________________________________________
Telephone number 1: _______________________, telephone number 2: ________________________
Emergency Number 3
Relationship _________________________________________________________________________
Name: _________________________________________________________________________
Telephone number 1: _______________________, telephone number 2: ________________________
Emergency Number 4
Relationship _________________________________________________________________________
Name: _________________________________________________________________________
Telephone number 1: _______________________, telephone number 2: ________________________
Relationship _________________________________________________________________________
Name: _________________________________________________________________________
Telephone number 1: _______________________, telephone number 2: ________________________
TRANSPORTATION AUTHORIZATION
I, ______________________________________________________________________________ the parent or legal guardian of _________________________________________________________, and _______________________________________________________________________________ , and the children named bellow:
Child three ________________________________________________________________________
Child four ________________________________________________________________________
Child five ________________________________________________________________________, do hereby authorize and direct our nanny, whose legal name is: _______________________________, to transport our child or our children, to and from the frequent pick-up points and/or any other designated destination as specified to the nanny agreement.
This authorization is effective from _______________ to ________________.
Name (please print) ________________________________________________________________
Signature of Parent or Legal Guardian: _________________________________________________ Witness Signature Witness: _____________________________ _____________________________
CONCENT TO TREAT MINOR CHILD
(Please fill one form for each child)
I, ________________________________, parent or legal guardian of___________________________, do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child is under the care of our care giver whose legal name is: ________________________________, and only in an emergency event that I am NOT reasonably available by telephone to give consent.
This authorization is effective from _______________ to ________________.
Name (please print) ________________________________________________________________
Signature of Parent or Legal Guardian: _________________________________________________ Witness Signature Witness: _____________________________ _____________________________
This consent form should be taken with the child to the hospital or physician’s office when the child is taken for treatment. This additional information will assist in treatment if it can be furnished with the consent but is not required.
Family address: ________________________________________________________________
Telephone numbers:
Father _______________________ home ________________________ work
Mother _______________________ home ________________________ work
Child's Birthdate __________________
Last Tetanus immunization date: __________________
Allergies to drugs or foods ________________________________________________________ ______________________________________________________________________________
Special Medications, Blood Type or Pertinent Information ______________________________________________________________________________ ______________________________________________________________________________
Child's Physician: _____________________________________ Phone number: _____________
Insurance name: _____________________________________ Policy number: _____________
Preferred Hospital _______________________________________________________________
BABY DAILY LOG Date: __________
[Milk/Formula time Amount in Oz.][ Temp. and taken time ][ Vitamin time and amount ][ Medication time and amount ][ Diapers Dry Wet BM] OTHER NOTES:
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
_________________________ ][ ________________ ][ ____________________][ ______________________ ][ _______________]
Observations: ________________________________________________________________________________________________
Milestones: ________________________________________________________________________________________________
Updates: ________________________________________________________________________________________________
Nursery Items needed: ________________________________________________________________________________________________
Food needed: ________________________________________________________________________________________________
Notes for nanny: ________________________________________________________________________________________________
Notes for parents: ________________________________________________________________________________________________