Individual Resource Information Form Personnel Resources Name Mailing Address Phone Number Cell Phone Number Email Agency or Locality You Represent Emergency Contact Emergency Contact Relation Emergency Contact Number C) D) E) F) A) B) Total Cost Overtime Overtime Total Cost Regular Fringe Estimate for Salary Fringe Estimate Salary Benefit Hourly Hourly Benefit for Name: Hourly Hourly Rate Rate Hourly Overtime Rate Rate (A# +B#) Rate Rate (D# +E#) EXAMPLE $22.00 $4.00 $26.84 $33.00 $6.00 $39.00 John A. Doe Please keep this for your individual records. It does not need to be provided to anyone unless requested.
Individual Resource Information Form Personnel Resources Name Mailing Address Phone Number Cell Phone Number Email Agency or Locality You Represent Emergency Contact Emergency Contact Relation Emergency Contact Number Name: A) Regular Salary Hourly Rate B) Fringe Benefit Hourly Rate C) Total Cost Estimate for Hourly Rate (A# +B#) D) Overtime Salary Hourly Rate E) Overtime Fringe Benefit Hourly Rate F) Total Cost Estimate for Overtime Rate (D# +E#) EXAMPLE John A. Doe $22.00 $4.00 $26.84 $33.00 $6.00 $39.00 Please keep this for your individual records. It does not need to be provided to anyone unless requested.
Individual%20Resource%20Information%20Form%20for%20Personnel_1.docx