Can I hire a foreign caregiver directly without a placement agency in Israel?

Under the government-to-government bilateral track (Philippines, Nepal, Sri Lanka, India), caregivers are placed through government channels with no private agency involved. Under the standard track, Israeli law does not require a licensed placement agency, but in practice most families use one. If you hire independently, you remain fully responsible for the employment permit application, the work contract, insurance, and all labor law obligations under the Foreign Workers Law 5751-1991.