MSV GOLF- Frindge BenefitI FEDERAL EMERGENCY MANAGEMENT AGENCY
APPLICANT'S BENEFITS CALCULATION WORKSHEET
Leave
Leave
• Social Security
• Medicare
• Unemployment
• Worker's Comp
•• Retirement
Health Benefits
Life Insurance Benefits
10
$ 17,510.45
$ 32,280.96
$ 56,433.16
Total
ENTER TOTAL ANNUAL PAYROLL
$2,159,482.83
REGULAR TIME %
3.85%
0.81%
1.49%
2.61%
in
OVERTIME %
ti the benefit i8
applied to the
overtime fringe
rate, select the
proper box
(FIGURES IN BLUE AUTOMATICALLY'GO'TO THE FORCE ACCOUNT LABOR SHEETSJ
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 baneftis.
Only an overtkne fringe benefit when suppo