FRINGE BENEFIT Sanitation FY2017FEDERAL EMERGENCY MANAGEMENT AGENCY
APPLICANT'S BENEFITS CALCULATION WORKSHEET
APPLICANT
Sanitation
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
80195.12
0
119587.14
Total (in % of annual salary)
PW REF NO.
0
ENTER TOTAL ANNUAL PAYROLL
820830.32
REGULAR TIME %
4.23076923076923E-02
4.61538461538462E-02
4.61538461538462E-02
0.062
0.0145
0
9.76999972418173E-02
0
0.145690451590531
0
0
0.454505833447733
CATEGORY
0
True
True
False
False
False
False
DISASTER
DR4337
OVERTIME %
0.062
0.0145
0.0765