TRANSPORTATION LIABILITY WAIVER


I,  request and authorize  Compassionate  Homecare of  South Florida, LLC to transport ("Client") in the Client’s    vehicle or in another vehicle provided by or for the Client.

  • I understand that all Home Care Workers, who are employed by Compassionate Homecare of South Florida, LLC who are assigned transporting duties, are required to have valid drivers’ licenses and carry relevant vehicle insurance including Personal Injury Protection.
  • I understand that Compassionate Homecare of South Florida, LLC checks their employees’ driving records to ensure they are free from infractions.
  • I understand that Compassionate Homecare of South Florida, LLC reviews the currency of employees' driver’s licenses and motor vehicle insurance coverage but does not perform safety inspections or monitor maintenance on employee-provided or employee-owned vehicles.
  • I understand that Compassionate Homecare of South Florida, LLC does not provide vehicle insurance for employee-owned vehicles.
  • I acknowledge that driving is risky and can result in serious injury or death.
  • I assume the risk of riding in motor vehicles of Compassionate Homecare of South Florida, LLC or its employees and I forever discharge and release the Agency and its employees from any and all claims, which may arise out of the operation of motor vehicles in which I am riding.
  • I acknowledge that I am responsible for my own vehicle insurance during all times while being transported by an employee of Compassionate Homecare of South Florida, LLC and acknowledge all the above by signing this Transportation Liability Waiver.

Date 

 
Printed name of Client/Client’s Representative  


  


Printed name of Witness    

 
Signature of Client/Client’s Representative 

 

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Signature Certificate
Document name: TRANSPORTATION LIABILITY WAIVER
lock iconUnique Document ID: 980043605ae785c06140b2b76620370f1200ba4b
Timestamp Audit
December 18, 2023 2:39 pm GMTTRANSPORTATION LIABILITY WAIVER Uploaded by John Smith - smitch@chsfl.co IP 202.47.33.79