[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-169440-en":3,"doc-seo-169440-105":30,"detail-sidebar-cat-1-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},169440,1099523885336,"Taylor Morgan","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",1,17,"Forms","RESIDENCY AGREEMENT - ADULT FOSTER HOME","Residency Agreement for an Adult Foster Home defining the legal relationship between the PROVIDER and the RESIDENT. The agreement sets the rental commencement date and the unit location, establishes room and board payment terms with pro-ration for partial occupancy, and includes two income verification options. It covers rate increases and required agreement updates, outlines provider policies and house rules, and specifies eviction notice, appeal protections, and resident rights under cited federal regulations, including how rights may be limited for health and safety.","RESIDENCY AGREEMENT\nADULT FOSTER HOME\nThis Residency Agreement (the “Agreement”) shall evidence the complete terms under which the parties whose signature appear below have agreed. The Adult Foster Home shall be referred to as “PROVIDER” and the Tenant, _____________________________ shall be referred to as “RESIDENT”.  As consideration for this agreement, PROVIDER agrees to rent to RESIDENT and RESIDENT agrees to rent from PROVIDER a unit located at _______________________________________ in the city of ___________________________ to commence on ________________, ________.\n1. INCOME and ROOM AND BOARD: Income must be verified in order to determine the room and board rate for each resident. At times income verification is not possible prior to move in due to the time necessary to restart social security benefits post hospitalization.\na. Option #1. If income has been verified by the move in date use this option.\nA. Payment. The RESIDENT agrees to pay the PROVIDER the monthly room and board rate of __________, according to the terms of this Agreement, no later than the ____ of each month.  Payment shall be made payable to ________________________. The rate will be pro-rated for partial month occupancy. You will be responsible for all rent owed from commencement date.\nb. Option #2. If income has not been verified by the move in date use this option.\nA. Where the RESIDENTS social security or other funding is not active at the time of commencement to the program, the program must prepare the Agreement based upon the estimated benefit to be received by the resident.\nB. If, when funding is later activated, actual income of the resident varies from the estimated income noted on the Agreement, the Agreement must be updated and re-signed by all the applicable parties.\nC. After funding activation, the RESIDENT may be responsible for back payment of room and board fees accrued prior to funding activation.\nD. Anticipated date of final income verification: _____________________\nE. Payment. The RESIDENT agrees to pay the PROVIDER the estimated monthly room and board rate of $____________, according to the terms of this Agreement, no later than the ____ of each month.  Payment shall be made payable to __________________________. The rate will be pro-rated for partial month occupancy.  The RESIDENT will be responsible for all rent owed from move in date.\n2.  RATE INCREASES, UPDATES TO AGREEMENTS and WEAR AND TEAR: The PROVIDER must give written notice to the RESIDENT, or the resident’s representative (as applicable), at least 30 calendar days prior to any general rate increases, additions, or other modifications of the rates. The PROVIDER must update the Agreement at least annually and also when social security rates change the RESIDENT’S finances change such that the amount paid for room and board changes. The RESIDENT is not liable for damages considered normal wear and tear.\n3. PROVIDER POLICIES AND HOUSE RULES: The following list of items must be reviewed with the RESIDENT, and given to the RESIDENT upon request, prior to signing the Agreement.\nBy initialing, I, the RESIDENT, have reviewed and understand the PROVIDER’S policies and house rules relating to each of the following items:\n_____ A list of available services and supports to be provided in exchange for payment of the room and board rate.\n_____ The conditions under which the PROVIDER may change the rates.\n_____ The PROVIDER’S refund policies in instances of RESIDENT’S hospitalization, death, transfer to a nursing facility or other care facility, and voluntary or involuntary move from the program.\n_____ The PROVIDER’S policies on voluntary moves and whether written notification of a non-Medicaid resident’s intent to not return is required.\n_____ The PROVIDER’S policies concerning potential reasons for involuntary termination of residency in compliance with 309-035-0150 and individual’s rights regarding the eviction and appeal process as described in OAR 309-035-0157.\n_____ Any polici","cbCailUEaH19cBMb","https://ap.wps.com/l/cbCailUEaH19cBMb","docx",35691,4,"English","en",105,"# INCOME and ROOM AND BOARD\n## Option #1: Income verified by move-in\n## Option #2: Income not verified by move-in\n# RATE INCREASES, UPDATES TO AGREEMENTS and WEAR AND TEAR\n# PROVIDER POLICIES AND HOUSE RULES\n## Services and supports\n## Refund policies and moves\n## Involuntary termination and eviction/appeal\n## Substance, tobacco, pets, marijuana, meals\n# NOTICE OF EVICTION and APPEAL PROCESS\n# RESIDENT RIGHTS","[{\"question\":\"What does the agreement specify about rent timing and monthly payments?\",\"answer\":\"The RESIDENT pays the monthly room and board rate no later than the ____ of each month, payable to the named provider. Rates are pro-rated for partial month occupancy, and responsibility for rent owed starts from the commencement or move-in date as stated.\"},{\"question\":\"How does the agreement handle situations when income is not verified by the move-in date?\",\"answer\":\"It provides an estimated room and board rate option based on estimated benefits. When funding later activates, the agreement must be updated and re-signed, and the RESIDENT may be responsible for back payment of accrued fees prior to activation.\"},{\"question\":\"What protections and rights relate to eviction and appeals?\",\"answer\":\"The RESIDENT has, at a minimum, the same eviction responsibilities and protections as an Oregon tenant under landlord-tenant law and other applicable laws. Resident rights are described under cited federal regulations, and limitations for health and safety require specific assessed need and informed written consent.\"}]","RESIDENCY AGREEMENT - ADULT FOSTER HOME | DOCX",1788254964,2,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"residency-agreement-adult-foster-home","",{"@graph":36,"@context":84},[37,52,67],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":29},"https://docshare.wps.com/template/","Template",{"item":48,"name":13,"@type":43,"position":49},"https://docshare.wps.com/template/forms/",3,{"item":51,"name":14,"@type":43,"position":21},"https://docshare.wps.com/template/residency-agreement-adult-foster-home/169440/",{"url":51,"name":14,"@type":53,"author":54,"headline":14,"publisher":56,"fileFormat":59,"inLanguage":23,"description":15,"dateModified":60,"datePublished":61,"encodingFormat":59,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":55},"Person",{"url":41,"name":57,"@type":58},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-04","2026-09-01",true,{"@type":64,"interactionType":65,"userInteractionCount":49},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What does the agreement specify about rent timing and monthly payments?","Question",{"text":74,"@type":75},"The RESIDENT pays the monthly room and board rate no later than the ____ of each month, payable to the named provider. Rates are pro-rated for partial month occupancy, and responsibility for rent owed starts from the commencement or move-in date as stated.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"How does the agreement handle situations when income is not verified by the move-in date?",{"text":79,"@type":75},"It provides an estimated room and board rate option based on estimated benefits. When funding later activates, the agreement must be updated and re-signed, and the RESIDENT may be responsible for back payment of accrued fees prior to activation.",{"name":81,"@type":72,"acceptedAnswer":82},"What protections and rights relate to eviction and appeals?",{"text":83,"@type":75},"The RESIDENT has, at a minimum, the same eviction responsibilities and protections as an Oregon tenant under landlord-tenant law and other applicable laws. Resident rights are described under cited federal regulations, and limitations for health and safety require specific assessed need and informed written consent.","https://schema.org",{"og:url":51,"og:type":86,"og:title":14,"og:site_name":57,"og:description":15},"article",{"robots":88,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":91},[92,97,102,107,112,117,120,125,130],{"id":93,"doc_module":11,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},11,"Presentations",90,"presentations",{"id":98,"doc_module":11,"doc_module_name":46,"category_name":99,"show_sort_weight":100,"slug":101},12,"Resumes",80,"resumes",{"id":103,"doc_module":11,"doc_module_name":46,"category_name":104,"show_sort_weight":105,"slug":106},14,"Invoices",70,"invoices",{"id":108,"doc_module":11,"doc_module_name":46,"category_name":109,"show_sort_weight":110,"slug":111},15,"Posters",60,"posters",{"id":113,"doc_module":11,"doc_module_name":46,"category_name":114,"show_sort_weight":115,"slug":116},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":118,"slug":119},40,"forms",{"id":121,"doc_module":11,"doc_module_name":46,"category_name":122,"show_sort_weight":123,"slug":124},18,"Letters",30,"letters",{"id":126,"doc_module":11,"doc_module_name":46,"category_name":127,"show_sort_weight":128,"slug":129},21,"Paper Templates",5,"papers-templates",{"id":131,"doc_module":11,"doc_module_name":46,"category_name":132,"show_sort_weight":4,"slug":133},158,"General","general-158"]