FRINGE BENEFIT Building FY2017FEDERAL EMERGENCY MANAGEMENT AGENCY
APPLICANT'S BENEFITS CALCULATION WORKSHEET
APPLICANT
Building
Holidays
Vacation Leave
Sick Leave
* Social Security
* Medicare
* Unemployment
* Worker's Comp
** Retirement
Health Benefits
Life Insurance Benefits
Other (Describe here)
(FIGURES IN BLUE AUTOMATICALLY "GO" TO THE FORCE ACCOUNT LABOR SHEETS)
COMMENTS:
I CERTIFY THAT THE INFORMATION ABOVE WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER DOCUMENTS WHICH ARE AVAILABLE FOR AUDIT.
CERTIFIED:
DATE:
* Only categories for overtime fringe benefits.
** Only an overtime fringe benefit when supported by employee contract
________________
0
11
12
12
12188.66
0
36991.43
Total (in % of annual salary)
PW REF NO.
0
ENTER TOTAL ANNUAL PAYROLL
463447.36
REGULAR TIME %
4.23076923076923E-02
4.61538461538462E-02
4.61538461538462E-02
0.062
0.0145
0
2.62999879856905E-02
0
7.98179754438562E-02
0
0
0.317233348044931
CATEGORY
0
True
True
False
False
False
False
DISASTER
DR4337
OVERTIME %
0.062
0.0145
0.0765