This Room and Board Agreement (the “Agreement”) is made as of [Effective Date] by and between:
Host/Provider: [Host Full Name], address: [Address] (“Host”).
Resident/Occupant: [Resident Full Name], address: [Address] (“Resident”).
1. Premises and Living Arrangement
1.1 Address: [Full Address] (the “Home”).
1.2 Room Provided: [Room description] (the “Room”).
1.3 Shared Areas: ☐ Kitchen ☐ Bathroom ☐ Living room ☐ Laundry ☐ Other: [List].
1.4 Furnishings (Optional): [Bed, desk, etc., or “None”].
1.5 Occupancy Limits: Only the Resident may occupy the Room unless approved in writing.
2. Term
2.1 Start Date: [Start Date].
2.2 Term Type (Select One): ☐ Month-to-month ☐ Fixed term until [End Date].
2.3 Trial Period (Optional): [__] days (if applicable).
3. Board (Meals/Food Support)
3.1 Meal Plan (Select One):
☐ Meals included: ☐ breakfast ☐ lunch ☐ dinner on [Days]
☐ Food allowance/grocery contribution: $[Amount] per ☐ week ☐ month
☐ Kitchen access only (no meals provided)
☐ Other: [Describe]
3.2 Dietary Restrictions (Optional): [List].
3.3 Meal Schedule (Optional): [Time windows].
4. Payment or Service Exchange
4.1 Monthly Payment: $[Amount], due on the [__] day of each month.
4.2 Payment Method: ☐ Bank transfer ☐ Cash ☐ Check ☐ Other: [Method].
4.3 Service-in-Exchange (Optional):
☐ No services required
☐ Resident will provide services instead of part/all payment:
-
Service type(s): [Childcare, cleaning, caregiving, tutoring, etc.]
-
Expected hours: [__] hours per ☐ week ☐ month
-
Value credited: $[Amount] per hour (or $[Monthly credit])
-
Tracking method: [Timesheet/weekly check-in]
Service type(s): [Childcare, cleaning, caregiving, tutoring, etc.]
Expected hours: [__] hours per ☐ week ☐ month
Value credited: $[Amount] per hour (or $[Monthly credit])
Tracking method: [Timesheet/weekly check-in]
4.4 Late Payment (Optional): Payment is late after [] days; late fee: $[] (if permitted).
5. Utilities and Expenses
5.1 Included: ☐ Electricity ☐ Gas ☐ Water ☐ Internet ☐ Trash ☐ Other: [List].
5.2 Not Included / Shared Costs: [List + split method].
6. House Rules
6.1 Quiet Hours (Optional): [Times].
6.2 Guests: Guests are ☐ allowed ☐ limited to [rules]. Overnight guests: [rules].
6.3 Smoking/Vaping: ☐ Not allowed ☐ Allowed only: [Where].
6.4 Pets: ☐ Not allowed ☐ Allowed with rules: [Rules].
6.5 Cleanliness: Resident will keep the Room clean and share chores: [Chore expectations].
6.6 Respect and Safety: No illegal activity; respect privacy and personal property.
7. Privacy and Access
7.1 Host will respect the Resident’s privacy and provide reasonable notice before entering the Room, except emergencies.
7.2 Resident agrees to follow household security procedures: [Keys, locks, alarm rules].
8. Property Condition and Damage
8.1 Resident will return the Room in good condition, normal wear and tear excepted.
8.2 Resident is responsible for damage caused by Resident or guests.
9. Termination and Move-Out
9.1 Either party may terminate by giving at least [__] days’ written notice, or the minimum required by law, whichever is greater.
9.2 Upon termination, Resident will move out by [Move-Out Date/Time] and return keys.
9.3 Final payment and expense settlement will occur within [__] days of move-out.
10. Dispute Resolution (Optional)
10.1 The Parties will try to resolve disputes in good faith. If needed, they may use: ☐ mediator ☐ written plan ☐ other: [Method].
11. Governing Law (Optional)
11.1 This Agreement is governed by the laws of [State/Country].
Signatures
By signing below, the Parties agree to this Room and Board Agreement.
Host/Provider: [Full Name]
Date: [Date]
Signature: ___________________________
Resident/Occupant: [Full Name]
Date: [Date]
Signature: ___________________________