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Description
Pay Equity document sample
Document Sample
A B C D E F H I J K L M N O P
Job Category numbers to use:
1 - Officers and Managers
2 - Professionals
Total
Emp. ID Job Total 3 - Technicians
Gender Full/Part Annual 4 - Sales Workers
(Name or Category Annual
(m or f) (ft or pt) Compen- 5 - Office and Admin. Support
Number) Number Hours
sation ($) 6 - Craft Workers (Skilled)
7 - Operatives (Semi-Skilled)
1 8 - Laborers (Unskilled)
41 9 - Service Workers
42
43 Employer to enter data here:
44 Company Name:
45 Mailing address line 1:
46 Mailing address line 2:
47 City, state, zip code:
48 Phone:
49 E-mail address:
50 FEIN number:
51 EAN number:
52 SHARE vendor number:
53 Reporting calendar year:
54
55
56 After data entry is complete, SAVE YOUR FILE.
57 Excel 2007 users: in menu bar click on "Data" then click "Refresh All"; RESAVE YOUR FILE
58 For earlier versions of Excel (1997-2003) refer to "PE10-249 Employee Data Entry Form Instructions" (pdf)
59
1 73e77497-477f-434b-b5cc-64490fe71d1a.xls
Data
Sum of Total Sum of
Number of
Job Category Gender Annual Total
Full/Part (ft or pt) Employee
Number (m or f) Compen- Annual
s
sation ($) Hours
1f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
1 Total 0 0 0
2f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
2 Total 0 0 0
3f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
3 Total 0 0 0
4f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
4 Total 0 0 0
5f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
5 Total 0 0 0
6f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
6 Total 0 0 0
7f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
7m pt 0 0 0
m Total 0 0 0
7 Total 0 0 0
8f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
8 Total 0 0 0
9f ft 0 0 0
pt 0 0 0
f Total 0 0 0
m ft 0 0 0
pt 0 0 0
m Total 0 0 0
9 Total 0 0 0
Grand Total 0 0 0
Pay Equity Report PE10-249 Worksheet
Company name: 0
Mailing address line 1: 0
Mailing address line 2: 0
City, state, zip code: 0
Phone: 0
E-mail address: 0
FEIN number: 0
EAN number: 0
SHARE vendor number: 0
Reporting calendar year: 0
Female Female Male Male
Grand Grand Grand Grand Gap Gap
No. Total Total Female No. Total Total (Absolute (Absolute
Job Category Females Comp. Hours Avg Males Comp. Hours Male Avg $) %)
1 - Officers and Managers 0 0 0 N/A 0 0 0 N/A N/A N/A
2 - Professionals 0 0 0 N/A 0 0 0 N/A N/A N/A
3 - Technicians 0 0 0 N/A 0 0 0 N/A N/A N/A
4 - Sales Workers 0 0 0 N/A 0 0 0 N/A N/A N/A
5 - Office and Admin. Support 0 0 0 N/A 0 0 0 N/A N/A N/A
6 - Craft Workers (Skilled) 0 0 0 N/A 0 0 0 N/A N/A N/A
7 - Operatives (Semi-Skilled) 0 0 0 N/A 0 0 0 N/A N/A N/A
8 - Laborers (Unskilled) 0 0 0 N/A 0 0 0 N/A N/A N/A
9 - Service Workers 0 0 0 N/A 0 0 0 N/A N/A N/A
Total # Job Categories With No Employees 9
Total # Female Only Job Categories 0
Total # Male Only Job Categories 0
Total # Females (all categories) 0
Total # Full Time Females 0
Total # Part Time Females 0
Total # Males (all categories) 0
Total # Full Time Males 0
Total # Part Time Males 0
Total # Employees 0
% of Total for Females
% of Total for Males
Pay Equity Reporting Form PE10-249
Company name: 0
Mailing address line 1: 0
Mailing address line 2: 0
City, state, zip code: 0
Phone: 0
E-mail address: 0
FEIN number: 0
EAN number: 0
SHARE vendor number 0
Reporting calendar year: 0
Job Category No. Females No. Males Gap (Absolute %)
1 - Officers and Managers 0 0 N/A
2 - Professionals 0 0 N/A
3 - Technicians 0 0 N/A
4 - Sales Workers 0 0 N/A
5 - Office and Admin. Support 0 0 N/A
6 - Craft Workers (Skilled) 0 0 N/A
7 - Operatives (Semi-Skilled) 0 0 N/A
8 - Laborers (Unskilled) 0 0 N/A
9 - Service Workers 0 0 N/A
Total # Job Categories With No Employees 9
Total # Female Only Job Categories 0
Total # Male Only Job Categories 0
Total # Females (all categories) 0
Total # Full Time Females 0
Total # Part Time Females 0
Total # Males (all categories) 0
Total # Full Time Males 0
Total # Part Time Males 0
Total # Employees 0
Female % Workforce
Male % Workforce
Document must be signed by the principal executive of the company:
ITB #:_________________RFP#__________________ PO# __________
Name and title, printed Signature Date
