Applications will be processed at Consumer Affairs Division Monday through Friday between the hours of 8:00am - 3:00PM by appointment only NO EXCEPTIONS. The process to obtain an appointment is found here.

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 Application Adobe PDF Document

Home Caregiver Company Affidavit Adobe PDF DocumentThe 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 Adobe PDF Document

Home Caregiver Company/License Holder forms.

Home Caregiver Company Approved Signature Form Adobe PDF Document

Home Caregiver Company Update Form Adobe PDF Document

Applications will be processed at Consumer Affairs Division Monday through Friday between the hours of 8:00AM - 3:00PM by appointment only NO EXCEPTIONS. You may make an appointment on our website here.

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.

Adobe PDF Document Home Caregiver Application

Adobe PDF Document Home Caregiver Company Affidavit
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.

Adobe PDF Document Home Caregiver Brochure

Home Caregiver Company/License Holder Forms

Adobe PDF Document Home Caregiver Company Approved Signature Form

Adobe PDF Document Home Caregiver Company Roster Form

Adobe PDF Document Home Caregiver Company Update Form 

Contact Us

50 South Military Trail
Suite 201
West Palm Beach, FL 33415
West Palm Beach Area:
 Phone 561-712-6600
Boca/ Delray/ Glades:
Toll Free 888-852-7362
Fax:  561-712-6610

         

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