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Payroll Enrollment Form2
Payroll Enrollment Form2
The information entered here on this secure form will be used to create your Authorization Forms for enrollment into the BubbieCare Automated Payroll & Tax Management System.
14Questions
Payroll Enrollment Form
  • 1
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  • 2
    This will be the person who is the official employer of caregivers and who we will be acquiring an EIN
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  • 3
    If the Employer has no past EIN on record with the IRS, please leave the 2nd field blank
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  • 4
    This will be used for all Payroll Correspondence
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  • 5
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 6
    This Bank Account will be used to fund the payment of Wages, Fees and Taxes on a weekly basis
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  • 7
    The following information will be used to ensure your End of Year Tax Documents are correct
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  • 8
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  • 9

    We will need to know if any of the caregivers qualify for overtime and whether or not you would like to pay your caregivers overtime. Please note that the Fair Labor Standards Act (FLSA) rules for mandated over- time pay does NOT apply to Privately Paid In-Home Companions. The qualifications for your caregiver being designated as a companion and the “companionship services exemption”, please see below.

    The companionship services exemption is narrow. You may use it only if:

    • Your home care worker spends no more than 20% of his or her total working time in a workweek assisting with personal care, such as bathing, dressing, toileting, grooming, cooking, cleaning, etc.;
    • The worker does not perform any medically related tasks, which are tasks that are usually done by a nurse or certified nursing assistant, such as tube feeding or catheter care; or
    • The worker does not perform any general household work that is mostly for members of the household other than the consumer, such as doing laundry or cooking meals for the entire household.

    The above is taken directly from the Department of Labor website at - 

    www.dol.gov/whd/homecare/homecare_guide.pdf

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  • 10
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  • 11
    If you do not have this available, you can send at a later time to payroll@bubbiecare.com, but no enrollment cannot be completed until we have a copy of a voided check.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 12

    The Employer listed in this submission will be designated as a Household Employer and will be filing a Schedule H on their end of year personal taxes (which will be provided to you). 

    HomeWork Solutions (partnered with BubbieCare) will file all State/Federal Tax obligations on your behalf. For as long as you are a BubbieCare client, you will not have to file any taxes with either the State or Federal entities for employment of caregivers you've hired through BubbieCare.

    Each week, your caregivers (designated as W2 employees) will be paid via Direct Deposit based on the number of hours they’ve reported working for your family. These funds, along with any Fees & Taxes, will be debited from the Bank Account on file you have set up via this submission.

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  • 13
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  • 14
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      ORDER SUMMARY
      Total costUSD
      • Administrative Setup Fee for Payroll EnrollmentAdministrative Fee covers complete enrollment into Automated Payroll & Tax Management System including EIN acquisition, State/Federal tax filing setup and Direct Deposit for your caregivers.
        $50.00+Edit
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        Total cost $0.00
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