Payroll Estimate Form 2023

Live-in Caregiver Payroll Estimate

Find out how much a private-hire live-in will cost in payroll dollars for your location and situation. Grandma Joan has been staffing professional live-ins for 10 years with discerning families and have a good feel for what you will need to spend to secure and retain someone of quality, while paying them according to state and federal labor laws.
Does the care-recipient have a spare, furnished guestroom for the live-in to move into?*

YesNo (Stop here! Sorry but we can't help. Live-ins need a private bedroom.)
Point of Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Contact's time zone*
Relation to care recipient*
E-mail*
Desired location*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Service is needed for:*

Single person who lives aloneSingle person who lives with someone else who does not need any services.Couple who both need some services, either hands-on, or hands-off help.Other
Care Recipient

First NameAge
Care recipient's name
First Name
Care recipient age
Age
Current living situation*
Mobility*
Approx height
Approx weight
Bathing assistance needed*
Toileting assistance needed*
Taking medications*
Memory issues*
Memory diagnosis
Combative or wandering?
COVID 19 Status*
Care Recipient 2 (if applicable)

First NameAge
Care Recipient 2 (if applicable)
First name
Age
Age
Current living situation
Mobility
Approx height
Approx weight
Bathing assistance needed
Toileting assistance needed
Taking medications
Memory issues
Memory diagnosis
Combative or wandering?
COVID 19 Status
Caregiver gender preference*

FemaleMaleEitherNot sure
Driving Preference*

No driving requiredDriver's license requiredDriver's license + car required ($)Not sure
Candidate COVID 19 Status (choose one or many)*

Must have proof of vaccinationMust be willing to get vaccinated if hiredWe have no preferenceI don't know
Does anyone smoke in the home?*

No , non-smokers onlyYesNot sure
Are there any pets in the home?*

NoDog(s)Cat(s)Both
Housing Situation*

HouseCondo / ApartmentOther
Who is currently caring for them? (choose one)*

No oneFamily / FriendsPaid caregiver / Home Care AgencyHospital / rehab / care facility
Tentative start date *

MonthDayYear
Date
Brief description of your situation / tell us about your concerns and needs.
How did you hear about us?*
How did you hear about us..other
Are you interested in using a Geriatric Care Manager local to the care recipient to help assess and monitor the situation?

NoMaybe. Tell me more.YesWe already are using one.
We will contact you within 1 business day, or call 888-250-2631 (9am-9pm EST M-F)
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Live-in Caregiver Payroll Estimate