Nevada Lifespan Respite Voucher Program
This program is funded by the state Aging and Disability Services Division and provides temporary relief for caregivers. Individuals who do not take time off while caring for a loved one may compromise their physical and mental well-being. Utilizing respite services is one way to reduce stress, allowing individuals to be more effective caregivers and my delay early institutionalized of a senior loved one. To be eligible for the Lifespan Respite Voucher Program, the recipient must be age 60 or over, and be a Nevada resident.
Participant/Employer Forms
Authorized User Designation
Change of Information
Designation of Surrogate Employer
Enrollment Packet
Notice of Privacy Practices
Payment Schedule
Worker Forms
Change of Information
Direct Deposit Authorization Agreement
IRS W-4 Federal Withholding
Notice of Privacy Practices
Payment Schedule
Payroll Information Worksheet
Worker Employment Packet
Vendor Forms
IRS W-9
Payment Schedule
Request for Vendor Payment
Vendor Engagement Packet