Finance Payroll Allocation Form
Finance Payroll Allocation Form
|
Employee Name |
[Your Name] |
|
Employee ID |
[EMP12345] |
|
Department |
[Production] |
|
Position |
[Senior Engineer] |
|
Payroll Period |
[January 2051] |
Earnings Allocation
|
Earnings Component |
Amount ($) |
|
Regular Salary |
[$5,000] |
|
Overtime Pay |
|
|
Bonuses |
|
|
Commissions |
|
|
Other Earnings |
|
|
Total Earnings |
Deductions Allocation
|
Deduction Component |
Amount ($) |
|
Federal Tax |
[$1,200] |
|
State Tax |
|
|
Social Security |
|
|
Medicare |
|
|
Health Insurance |
|
|
Retirement Plan |
|
|
Other Deductions |
|
|
Total Deductions |
Net Pay: [$4,650]
Bank Account Information
-
Bank Name: [XYZ Bank]
-
Bank Account Number: [1234567890]
-
Routing Number: [987654321]
Acknowledgment
I hereby acknowledge that the above information is accurate to the best of my knowledge and that I have reviewed this Payroll Allocation Form.
Employee's Signature:
___________________________
Date: [Month Day, Year]
Supervisor's Approval
I certify that the earnings and deductions listed above are accurate and have been reviewed and approved.
Supervisor's Signature:
____________________________
[Your Name]
Date: [Month Day, Year]
HR Department Use Only
-
Processed By: [Your Name]
-
Date Processed: [Month Day, Year]
