EMPLOYEE EARNINGS RECORD - Free Forms Online
[Pages:1]EMPLOYEE EARNINGS RECORD
NAME (LAST) ADDRESS
FIRST
MIDDLE
EMP ID# CITY
# EXEMPTIONS STATE
SOCIAL SECURITY # ZIP
QUARTER
RATE
REGULAR
O.T.
REGULAR
EARNINGS O.T.
HOURS WORKED
PAY PERIOD REGULAR
O.T.
REGULAR
EARNINGS O.T.
FICA
TOTAL
FICA
TAXES W.H.
TAXES W.H.
DEDUCTIONS
DATE EMPLOYED
DEDUCTIONS
NET PAY
QUARTER
TOTAL
................
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