BubbieCare - Automated Payroll Enrollment Form

DBA
CareSearch, Inc. (DBA BubbieCare) is delighted to offer household payroll and tax services to you and your family!

Moving forward, you can expect to see debits from your bank account with the description: “BubbieCare.” Your employees (caregivers) can expect to see direct deposits under the same description.

In the event there are any issues with banking or tax payments, you can expect to hear directly from our team at BubbieCare to resolve such issues. If you have any questions, please do not hesitate to reach out.

We look forward to working with you!

Sincerely,

The BubbieCare Payroll
Please Provide the Following Information to Create Your Authorization Forms and Enrollment into the BubbieCare Automated Payroll System.
Care Recipient's Full Name*
Employer/Taxpayer's Full Legal Name *
This person MUST be listed on the bank account funding payroll OR have a POA for this person
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Mailing Address For Payroll Forms*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tax ID Number
Work Address (If Different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number of Taxpayer*
Previous EIN (If Any Exists)
Leave blank if no Employer Identification # Exists
Date of Birth*

MonthDayYear
Date
Filing Status for Previous Year's Taxes*

SingleMarried Filing JointlyMarried Filing SeparatelyQualifying Widower with Qualifying Child
If Filing End of Year Taxes Jointly This Year, Please Enter Spouse Name
Social Security Number of Spouse
Bank Account Information & Overtime Rules

Please review the following to enter your Bank Information for Payroll Funding and to determine if you would like to pay your caregivers Overtime.
You will need to designate a Bank Account for weekly debits to fund the Pay to Caregivers, BubbieCare Fees and Payroll Taxes. Please enter the Name of the Person on the Bank Account (Name must match Employer or have a POA for the Employer) below and upload a copy of a voided check. If you do not have a copy at this time, skip that section and you can email it at a later date.
Bank Name*
Type of Account*

Personal AccountBusiness Account
Name on Account*
Name must match employer's name OR person named here must have a POA or be Financial Executor
Routing Number*
Account Number*
Please Upload a photo of your Voided Check if available. If not, you can send at a later time.

Cancelof
Overtime Rules for Private In-Home Caregivers
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 overtime 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
Will You be Paying Overtime for Your Employees*

YESNO
Payroll Setup Fee

$50 Setup Fee for Payroll Enrollment*

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

Total

$0.00

Credit Card

Should be Empty:

Please Provide the Following Information to Create Your Authorization Forms and Enrollment into the BubbieCare Automated Payroll System.

Bank Account Information & Overtime Rules

Overtime Rules for Private In-Home Caregivers

Payroll Setup Fee

Credit Card