Attachment C Payroll Calculation Employee Name: Pay Period: Program: Approved Pay Rate (per Agreement) Hourly: $ Monthly Salary: $ Overtime: $ Pay Period Salary: $ Personnel Hours Worked Rate of Pay TOTAL X = Not Applicable Not Applicable Salaried Employee $ X = Hourly Employee $ $ X = Overtime $ $ = Total Gross Salary $ Fringe Benefits Amount Paid (employer’s contribution) Pension % $ Health Insurance (less dependents) $ $ / month Total Fringe Benefits $ Social Security Amount Paid (employer’s contribution) F.I.C.A. % $ = Total Social Security Benefits $
Attachment C Payroll Calculation Employee Name: Pay Period: Program: Approved Pay Rate (per Agreement) Hourly: $ Monthly Salary: $ Overtime: $ Pay Period Salary: $ Personnel Hours Worked Rate of Pay TOTAL Salaried Employee Not Applicable X Not Applicable = $ Hourly Employee X $ = $ Overtime X $ = $ Total Gross Salary = $ Fringe Benefits (employer’s contribution) Amount Paid Pension % $ Health Insurance (less dependents) $ / month $ Total Fringe Benefits $ Social Security (employer’s contribution) Amount Paid F.I.C.A. = % $ Total Social Security Benefits $
BSPE%20600-c.docx