Pay Slip Form

					[   Company Name]
                                                                        [Company Logo]
                                                                          [Address ]
                                                                           Salary Slip

Employee Name: ____________________________
Employee ID:       ____________________________
Social Security #: ____________________________

Period Begin Date: ____________________________
Period End Date: ____________________________
Check Date:        ____________________________
Check #:           ____________________________
EARNINGS                                                 RATE     HOURS CURRENT YEAR TO DATE          TAXES/DEDUCTIONS CURRENT YEAR TO DATE
Regular Earnings                                          15.00     57.00   855.00         -          Federal Tax         185.33         -
Holiday                                                   25.00      8.00   200.00         -          Social Security Tax  75.00         -
Paid Time Off (PTO)                                       15.00      4.00    60.00         -          Medicare Tax         45.00         -
Sick Leave                                               15.00       0.00      -           -          State Tax            70.00         -
Overtime                                                   22.5      5.00   112.50         -          Medical              50.00         -
Performance Incentives                                                         -           -          Dental                5.00         -
Shared Rewards                                                                 -           -          Other                 -            -
Bonuses                                                                        -           -          Other                 -            -
Total Earnings                                                            1,227.50         -          Total Deductions    430.33         -

                                                                                                      NET PAY                         797.17

                               Paid Time Off Balance:    45.00                                        Federal Tax Exemption:   7
                                Sick Time Off Balance:   32.00                                        State Tax Exemption:     5

                              Signature of the Employee: _________________________       Director:_________________________
                                 STATEMENT OF EARNINGS AND DEDUCTIONS. PLEASE KEEP FOR YOUR RECORDS.
				
DOCUMENT INFO
Description: This document sets forth a template spreadsheet for a company's pay slip. The form includes the appropriate company information at the top as well as the employee's name, employee ID, and social security number. The form also includes relevant pay period information and earnings information, such as the pay rate, hours worked, taxes and deductions, and net pay. This form serves as a record of payments; companies can use this form each time salary checks are issued to employees.
This document is also part of a package Employee Policy Templates I 46 Documents Included