Sample of short draft

 

Contract for CHW telephone

Between:

 

Name and 'NAME OF NGO"

______________________________ _______________________________________

Telephone ID Telephone number

______________________________ _______________________________________

 

'NAME OF NGO" (further 'NAME OF NGO") provides you with a telephone (Phone model), charger, sim-card and telephone software to use for your work as a 'Community Health Volunteers' (further CHW).

The telephone comes with responsibilities; this contract will describe the ownership, usage and maintenance of the telephone.

 

1) Ownership:

        The phone will be property of 'NAME OF NGO"

        All telephones have a unique identification number and a 'NAME OF NGO" inscription and are registered by 'NAME OF NGO"

        All phones will come with a sim-card. 'Name of NGO" will register all sim-card according to the Tanzanian Law

The phone can become property of the CHW after a period of (2) year when the phone has be maintained and used correctly.

2) Usage:

        The phone will be used as a job aid for Home Based Care work for 'NAME OF NGO"

        The phone will be used solely by the assigned CHW

        The phone will be used during all HBC visits following the instructions from the trainings and the CHW telephone guideline (attached)

        The data will be sent after every visit in case of no/limited connectivity the data will be send as soon as the connectivity is back

        The phone may be used for private use as long as it does not interfere with the HBC work. Private use credit will be reduced from the CHW's monthly incentives

3) Maintenance and credit

        The CHW is responsible for the maintenance of the phone

        The CHW will assure sufficient battery while visiting the clients

        The CHW will assure there is sufficient credit for sending the data

        'NAME OF NGO" will provide the CHW with credit for data sending

        'NAME OF NGO" will check the number of data sets send against the credit spend, the difference for private use will be reduced from the

4) Lost, stolen and/or broken

        The phone will be protected against stealing, losing and breaking by the CHW

        In case the telephone breaks, 'NAME OF NGO" will check the cause of the problem and solves the problem if possible. If the problem is not related to mis-use of the phone, the telephone will be replaced

        Where the telephone is stolen, lost or broken due to negligence of the CHW Then the CHW SHALL be responsible for the replacement of the phone.  This will be done by deducting 'AMOUNT', from your monthly allowance till the total amount is recovered.

 

 

Please read this contract carefully, or have it read to you, and sign the contract. When you sign the contract you agree with the telephone rules and regulations

 

I agree with the rules and regulations and as stated above.

Name .................................................................................

Signature ...........................................................................