Title: Description: Employee Compensation Record Form to keep track of compensation owed to employees, along with deductions Form 10.10 Employee Compensation Record Name Address Phone Full Time Part Time Soc. Sec. No. Date of Birth No. of Exemptions Hours Worked Pay Period Date Ending Paid Earnings Total Regular Overtime Regular S M T W T F S Hours Overtime Rate Rate Total Deductions Federal Social Income Security Medicare Tax State Income Tax Net Pay S M T W T F S . . QUARTERLY TOTALS . . . . $ . . $ . . $ . . $ . . $ . . $ . . .