The Company Approved Signature Form must be received by Consumer Affairs before we can accept affidavits from the Caregiver Company/License Holder or applicant. The notarized and signed affidavit will be accepted from the applicant along with their completed Caregiver ID Badge Application and required picture ID.
Home Caregiver ApplicationHome Caregiver Affidavit – Multiple Applicants
Home Caregiver Affidavit – Single Applicant The Affidavit may be provided to Consumer Affairs by the applicant when they apply for the Caregiver ID badge. The Caregiver Company/License Holder is no longer required to submit the affidavit to our office prior to receiving the Caregiver application.
Home Caregiver Brochure
Home Caregiver Company Approved Signature Form
Home Caregiver Company Roster Form
Home Caregiver Company Update Form
50 South Military TrailSuite 201 West Palm Beach, FL 33415West Palm Beach Area: Phone:
561-712-6600Boca/ Delray/ Glades: Toll Free