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Free template

Free caregiver timesheet template

A weekly home care timesheet with a row for each day, clock times, shift type, a services checklist and the client’s signed attestation. Letter size, ready to print.

How to use this timesheet

  1. Fill in the caregiver, the client and the week at the top. Add the client’s policy or claim number if long-term-care insurance pays for the visits.
  2. For each visit, write the time in and time out as they happen, not at the end of the week.
  3. Record any unpaid meal or sleep time separately, and only when you have an agreement that allows it. Our guide to live-in and 24-hour shifts explains when that applies.
  4. Tick the services provided, or attach a daily log for each visit.
  5. At the end of the week, have the client or their representative sign the attestation, and the caregiver sign beside it.

The attestation clause

The client signs a short statement confirming the hours. This template uses the same wording AideBook shows on the phone:

I certify that the total hours submitted in this time sheet were correct and that the job was performed satisfactorily.

A signed attestation is the simplest proof a visit happened for private-pay and insurance clients, and it settles most billing questions before they start.

Overtime: add up every sheet

Because this sheet covers one client, it can’t tell you about overtime on its own. When your agency employs the caregiver, the U.S. Department of Labor counts all the hours the agency arranges for them in the workweek. A caregiver with 20 hours at one client and 25 at another has 5 hours of overtime. See caregiver overtime rules for agencies.

Common timesheet mistakes

  • Filling it in on Friday from memory. Times written after the fact are the first thing a family or insurer questions.
  • Rounding every visit to the hour. Record actual minutes, then apply your agency’s rounding policy consistently.
  • Leaving out travel between clients. Time driving from one client to the next in the same day is generally hours worked.
  • A missing signature with no explanation. If the client couldn’t sign, write down why and when.

Questions

Frequently asked questions

The caregiver and client, the week it covers, the time in and time out for each visit, any unpaid meal or sleep time, the hours worked, the shift type, and a signature from the client or their representative confirming the hours. Long-term-care insurers usually also want the policy or claim number.

One per client per week is the common layout, because families and insurers want a sheet for their visits only. Overtime, though, is figured per caregiver across all of their clients in the workweek, so add up every sheet for the caregiver before paying.

The client, or a representative such as a family member, confirms the hours, and the caregiver certifies them too. If the client can’t sign, note why on the sheet so the office can follow up.

Yes. Download or print as many copies as you need for your agency, and change it to fit your forms.

Early access for private-pay home care agencies

Never collect a paper timesheet again.

In AideBook the timesheet builds itself from each clocked, signed visit, with overtime across every client already worked out.