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

Employer Enrollment Packet

Notice of Privacy Practices

Payment Schedule

Timesheet

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