Hal_Al
Level 15

Get your taxes done using TurboTax

Grandparents are generally exempt from the "Nanny tax". You do NOT need to do withholding or  pay FICA tax or issue her a W-2. She will still need to report the income (unless he total income is under the filing threshold). Paying her by check and/or issuing pay statements may help her with that, but it is not mandatory. 

She will still declare the income as Household Employee Income but will not have to pay FICA  (social security and medicare tax). That can be a little tricky entering in TurboTax

Reference: https://www.irs.gov/taxtopics/tc756.html

See page 5 at https://www.irs.gov/pub/irs-pdf/p926.pdf for exceptions to the grandparent exemption.