Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part XV - Private Employment Services
Chapter 1 - General Provisions
Section XV-125 - Private Employee Service Contract for Sitters/Nurses

1. This agreement entered into this date ___________ between _________________ hereinafter referred to as REGISTER and _______________________ hereinafter referred to as the applicant. Should I accept employment with an employer to which ________________has referred me within 12 months from date of referral, I agree to pay a fee for professional services in accordance with the fee schedule listed in Paragraph 3.

2. This contract is valid for a period of one year from the above date or may be terminated by either party at any time by written notice, but not to the detriment of any legal rights or obligations incurred prior to such termination.

3. The applicant agrees to pay to ______________________ a fee of __________ percent of first year's gross earnings received for employment to which _____________________ has referred the applicant. Should case continue longer than one year, no additional fee will be charged.

4. Applicant hereby agrees to pay a penalty of 25 percent as attorney fees, plus court cost, on the earned fees due __________________________ should it become necessary to obtain counsel, a collection service, or resort to court action.

5. Applicant hereto acknowledges receipt of a copy of this contract; and understands the foregoing contract and agree to all of its terms and conditions.