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pusaform.txt
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1991-03-23
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PAYROLL USA - DATA COLLECTION FORM
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(Employee Information may be entered directly on the screen, however this
form may be helpful as a worksheet to collect that information)
SSN EMPL NUM PREV EMPL NUM
SURNAME FIRST NAME
STREET PHONE
TOWN
STATE ZIP CODE
SEX MARRIED YR BORN MO BORN DAY BORN AGE
OCCUPATION EMPLOYEE TYPE EMPLOYEE STATUS
YR LAST REVIEW MO LAST REVIEW DAY LAST REVIEW
YR NEXT REVIEW MO NEXT REVIEW DAY NEXT REVIEW
PAY METHOD SALARY TERRITORY SALARY LEVEL SALARY PERFORMANCE
ANNUAL SALARY HOURLY RATE PAY FREQ
OVERTIME PERMITTED
VACATION ACCRUAL P'CENT VACATION ALLOW VACATION TAKEN
SICK ACCRUAL P'CENT SICK ALLOW SICK TAKEN
START YEAR START MO START DAY
END YEAR END MO END DAY REASON TERMINATED
Bank A/c Info. only needed if pay is to be deposited directly into Bank A/c
instead of cash or instead of issuing a pay check. See MICR coding on personal
check. Routing code normally 9 digits, account number normally 7 digits.
EMPLOYEE'S BANK ROUTING CODE BANK ACCOUNT NUMBER
EXEMPT FED TAX VOL FED ADDTNL WHOLDG
NUM OF FED EXEMPTIONS
EIC W5 FILED EIC W5 SPOUSE FILED
EXEMPT SOCIAL SECURITY AND EXEMPT MEDICARE
FEDERAL OR STATE EMPLOYEE PAYING MEDICARE ONLY
EXEMPT FUTA
EXEMPT STATE TAX VOL STATE ADDTNL WHOLDG
NUM OF REG. STATE EXEMPTIONS NUM OF ADDL. STATE EXEMPTIONS
EXEMPT SUTA
EXEMPT LOCAL TAX
NUM OF LOCAL EXEMPTIONS NON RESIDENT FOR LOCAL