Caregiver timesheet template

Record home care visits: client, arrival and departure times, tasks done, travel and signatures.

Use it on screen
Caregiver timesheetEach visitBetween visitsWeek totalsSignatures🧓
How to use itThe caregiver records each visit as it happens and gets the client’s or family member’s signature. The agency checks the sheet against the schedule before payroll and billing.

When you need the caregiver timesheet

Home care agencies pay caregivers and bill clients from the same visit records, so accuracy matters twice.

Travel time between clients during the workday is generally work time for employees under federal rules. Domestic service rules and state laws also apply, so check how they affect your caregivers. Some programs require electronic visit verification.

15 items. Keep it on a tablet, or print a copy for the clipboard.

Each visit

Between visits

Week totals

Signatures

Putting the caregiver timesheet to work

  1. Record times at the visit, not later.
  2. Compare with the schedule.
  3. Pay travel time as required.
  4. Check weekly overtime.
  5. Keep records for payroll and billing.

The caregiver timesheet on an ordinary week

A caregiver visits three clients on Tuesday: 4 hours, 2 hours and 3 hours, with 50 minutes of travel between them. The agency pays 9 hours of visits plus the travel time, and bills each client for their visit hours.

Why it matters

Since the 2015 Department of Labor home care rule, most agency-employed caregivers are owed federal minimum wage and overtime, and travel between clients during the day is hours worked. Signed visit times also support Medicaid electronic visit verification and client billing.

Filled-in sample

Caregiver and week Grace, Comfort Home Care, Pittsburgh, week of May 5
Tuesday visit 1 Client Allen, 8:00 am to 12:00 pm, 4 h, bathing, meals
Travel 1 to 2 30 min, 9 miles
Tuesday visit 2 Client Brooks, 12:30 pm to 3:30 pm, 3 h, med reminders
Week totals 38 visit h + 4 travel h = 42 h
Overtime hours 2
Signatures Clients each visit; agency approved Monday

The 2 overtime hours come only from counting travel time, since visit hours alone are 38, which is the point most often missed when travel is left off.

What trips people up

Customizing the caregiver timesheet

Live-in caregiversAdd lines for sleep time and meal breaks, which follow special federal and state rules for live-in domestic workers.
Medicaid-funded clientsReconcile each visit with the electronic visit verification record before billing so mismatches are caught early.
From the fieldGive caregivers a pocket card with the clients’ addresses in visit order. Travel times become easier to record and check.

Caregiver timesheet: common questions

Is travel between clients paid?

For employees, usually yes under federal rules; check state law.

Do caregivers get overtime?

Many do; domestic service rules changed in 2015. Check your situation.

What is EVV?

Electronic visit verification, required for some Medicaid services.

Who signs?

The caregiver and the client or family member.

How do I record an overnight visit that crosses midnight?

Write the time in on the first date and the time out on the next date, then split the hours by date if payroll totals by day. The FLSA workweek is a fixed 168-hour period, so split hours must land in the right week too. Note sleep time only if your agency has a written agreement on it.

Should mileage and travel time be separate columns?

Yes. Travel time between clients is counted as hours worked, while mileage is usually reimbursed per mile under agency policy. Keeping them apart means 30 minutes and 9 miles do not get mixed into one confusing number.

Related resources

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Know who worked when

Use the caregiver timesheet for the record you need today. To see who clocked in, and when, book a demo of EZTime.

Disclaimer: This template is general information, not legal advice. Employment rules differ by state and city and change over time. Have a qualified employment attorney or HR professional review it before you use it.