Upload
ngongoc
View
216
Download
1
Embed Size (px)
Citation preview
General tasks required to calculate the worker’s wage at injury: 1. Determine whether there has been a change in the wage earning agreement (WEA)
a. Change in position, duties, full-time/part-time, etc
2. Determine if wages paid are regular, irregular, or both
3. If any irregular wages are paid
a. Determine if there are extended gaps in excess of 14 days
b. Determine whether there has been an wage increase/decrease
The average of ‘regular’ and ‘irregular’ wages are to be combined for the total average of the
worker’s weekly wage.
Calculating “regular” wages - Apply current rule 436-060-0025(5)
Calculation can result in different weekly wage depending on formula used. It may be helpful if
it was clear which formula needs to be used.
Example:
$3,000 ÷ 4.35 = $689.66
$36,000 ÷ 12 ÷ 4.35 = $689.66
$36,000 ÷ 52 = $692.31
Calculating ‘irregular’ wages - under the proposed options
Current Rule: Total gross earnings ÷ # of weeks in current WEA = weekly irregular wage
Pros: Less staff time to calculate (insurer/audit). Less opportunity for error.
Averages wages over seasonal changes.
Cons: If there has been an increase in wage rate – the worker’s benefits are based on a
lesser wage than the wage at time of injury. For minimum wage earners – this
would mean that the wage used to calculate benefits would be less than the
minimum wage.
If there has been a decrease in wage rate – the worker’s benefits are based on a
higher wage than the wage at time of injury.
Option 1: Average wages or Average hours
If no change in pay rate – (same as current rule)
Formula: Total gross earnings ÷ # of weeks in current WEA = weekly irregular wage
If change in pay rate
Formula: Average weekly hours (for each pay category) x current rate(s) of pay, plus the average of
irregular wages not calculated at an hourly rate = weekly irregular wage
Pros: Reflective of the worker’s wage at time of injury
Averages hours over seasonal changes
All workers (minimum wage or higher) treated equally
Cons: Will take more time to calculate
OIW January 23, 2018
2
May be difficult to obtain documentation from employers
Option 2: Gross wages (since pay change) ÷ # of weeks in WEA = worker’s weekly wage
Pros: Less staff time to calculate (insurer/audit). Less opportunity for error.
Cons: Does not reflect seasonal changes. Weekly wage will be over/under.
Option 3: Use the higher rate of A or B
A. Total gross earnings ÷ # of weeks in current WEA
B. Gross wages (since pay change) ÷ # of weeks in WEA
Pros: ?
Cons: Does not reflect seasonal changes. Weekly wage will be over/under
Option 4: Makes “probationary status change” and “minimum wage increase” a new WEA.
Gross wages ÷ # of weeks in new WEA = worker’s weekly wage
Pros: ?
Cons: Benefits based on a lesser wage for worker’s earning higher than minimum wage.
Does not reflect seasonal changes. Weekly wage will be over/under.
Option 5
Formula – numerous variables
Pros: ?
Cons: Many variables create higher chance of error
Benefits based on a lesser wage for worker’s not included in carve out
With exception of min wage worker – may not reflect seasonal changes
Option 6
Formula – require employer to calculate using an adjustment factor
Pros:?
Cons: complicated to calculate, high chance of error, high chance of litigation
EMPLOYEE EARNINGS RECORD Page 2of 4 (Requested Check Dates 06/10116- D6/09/17)
HOURS, EARNINGS, AND REIMBURSEMENTS & OTHER PAYMENTS WITHHOLDINGS I. I NET
REfMB&
CHECK DESCR REGULAR OVERTIME REGULAR OVERTIME TOTAL OTHER socssc FEDERAL STATE LOCAL I OTHER I PAY
DATE HO.!JttS HOURS AMOUNT AMOUNT EARNINGS PAYMENTS +MED TAX TAX TAX
06/24 Hourly 14.9 156.6l 156.6 11.9 8.1
021 I 136.30
07/08 !Hourly 62.8 659.61 70$.B 54.0 35.D 36.9 1.0 0 (L t)f j:_,li';},.J : , I 579.65 Holiday 3.0 47.2
07/25 I Hourly 786.3 786.3 60.1 43.01 1.2 639.96
08/10 I Hourly 77.4,
41j
813.6 I 813.6 62.2 45.7
~.] ::l (!µ/!. c.J''·vef
I
660.67
08/25 I Hourly
78.Sl ~50j 68.1~ ~.~ 48.5 719.11
Overtime 65.5
);}o ! ~/a /1::;-1 09/09 I Hourly 54.9 576.6 576.6 44.1 22.0 28.7 0.91 .. 480.81 ~
09/23 I Hourly 60.6 637.0 48.7 28.0 32.5 1.0 I 526.65
10/07 !Hourly 78.1 820.7S, 878.5 67.2 52.2
47.Bl I 1.2~ I 710.02
Sick SS~ 57.7~ 10/25 I Hourly 66.5 699.2 699.2 53.5 34.3 36.S 1.1Ci 573.80
11/10 !Hourly 83.1 872.S 872.5 66.7 47.4 1.371 I 705.39
11/25 !Hourly 764.211 764.21 58.4 40.6 1.121 I 623.23
12/09 I Hourly
747.~ 873.9J 66.8 47.5J
I 1.2J
I 706.53
Holiday 7.5
12/23 !Hourly 780.8 789.3 60.3 42.1 1.1 642.29 Overtime 0.5 8.
01/10 rourly 751. 882.621 67.5~ 52.22 48.0!?J 1.04l I 713.76 Holiday 7.7
01/25 Hourly 58.7 661.0 676.58l 51.7$ 31.621 35.0d I 0.84l 557.36 Hotiday
77.3J
0.9 0211 O I Hourly I 869.9El I 869.8£:1 66.sa 50.9$ 47.1S I 1.oa 704.19
02124 I Hourly 1a.sa I 241.541, 598.6i1 I 45.80 23.8~ 30.0Si 0.471 498.48 Hourly Sick Sick
03110 lsick
I 15.51
I 202.4J I 202.4J
I 15.4J
I 9.2J
I o.J I 177.66
04125 IHourly 24.1q 314.0 314.0 24.0 14.8 l 274.86
05/10 Hourly 391 M15~ I 971.381 I 74.311 61.11) 53.99 1.121 I 780.86 Hourly 39.9 519.8 Overtime 0.51 9.9
05125 I Hourly 332 432.2 I 739.711 56.5~ 37.931 38.9Ei a.es 605.36 Hourly
06/09 Hourly
I 24.0~
7.SJ 270.0~
126.5J
604.So
I 46.21 24.411 30.4€1 0.671 I 502.77
Hourly 16.0 208.0
I Holiday I
Term Date: Pay Frequency: Semi-monthly Standard Hrs: Rate 11 Salary: 11.25/Hour Rate 2: 13.00/Hour
L I Last Raise Date: I 11115/2016
J SSN:
Department:
Marital Status
Gross Pay 9-16 10-16 11-16
2.2% SPED STIPEND LICENSED 116.51 116.51 116 51 Hours 0.00 0.00 ·o.oo
LICENSED - SPECIAL ED 5296.08 5296.08 5296.08 Hours 184.00 160.00 152.00
X-10.04 2016-410108 2110 SPED 0.00 0.00 12.50 Hours 0.00 0.00 0.50
X-10.10.2016-410108 2110 SPED 0 00 0.00 12.50 Hours 0.00 0.00 0.50
X-10.11.2016-410108 2110 SPED 0.00 0.00 12.50 Hours 0.00 0.00 0.50
X-10.12.2016-410108 2110 SPED 0.00 0.00 12.50 Hours 0.00 0.00 0.50
X-1 D 17.2016-410108 2110 SPED 0.00 0.00 1250 Hours 0.00 0.00 0.50
X-10.25.2016-410108 2110 SPED 0.00 0.00 12.50 Hours 0.00 0.00 0.50
X-10.28 2016-4101 OB 2110 SPED 0.00 0.00 37.50 Hours 0.00 0.00 1.50
X-10.31.2016-410113 2110 SPED 0.00 0.00 61.25 Hours 0.00 0.00 1.75
X-11.02.2016-410108 2110 SPED 0.00 0.00 0.00 Hours 0.00 0.00 0.00
X-11.04.2016-410108 2110 SPED 0 00 0.00 0.00 Hours 0.00 0.00 0.00
X-11.07.2016-410108 2110 SPED 0.00 0.00 0,00 Hours 000 0,00 0.00
X-11.08.2016-410113 2110 SPED 0.00 0.00 0.00 Hours 0.00 0.00 0.00
X-11.14 2016-410108 2110 SPED 0.00 0.00 0.00
Hours 0.00 0.00 0.00 X-11.16.2016-410108 2110 SPED 0.00 0.00 0.00
Hours 0.00 0 00 0.00 X-11.22.2016-410113 2110 SPED 0.00 0.00 0.00
Hours 0.00 0.00 0.00 X-11.28.2016-410108 2110 SPED 0.00 0.00 0.00
Hours 0.00 0.00 0.00 X-11.29.2016-410108 2110 SPED 0.00 0.00 0.00
Hours 0.00 0.00 0.00 X-11.30.2016-410108 2110 SPED 0.00 0.00 0.00
Hours 0.00 o_oo 0,00
TOTAL GROSS: 5412.59 5412.59 5586.34
Printed: 10/05/2017 11:40:50 AM Report rptEarningsReport
12-16
116.51 0.00
5296.08 96.00
0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 o.oo 0.00 0.00 0.00 0.00 0.00 0 DO 0.00
56.25 2.25
56.25 2.25
56.25 2.25
78.75 2.25
37.50 1.50
12.50 0.50
87.50 2.50
12.50 0.50
50.00 2.00
150.00 6.00
6010 .. 09
Earnings Report
From Date: 09/01/2016
To Date: 12/31/2016
Term Date:
{)cu rt.- -hotJ ,' :s~ It:. e I ti~cL
0-n I I/;;~ /:;;c 17-
....
2017.3.07 Page:
Total
466.04 0.00
21184.32 592.00 12 50
0.50 12.50
0.50 12.50
0.50 12.50
0 50 12.50 0.50
12.50 0.50
37.50 1 50
61.25 1.75
56.25 2 25
56.25 225
56.25 2.25
78.75 2.25
37.50 1.50
12.50 D.50
87.50 2.50
12.50 0.50
50.00 2.00
150 DO 6.00
22421.61
i
Gross Pay 2.2% SPED STIPEND LICENSED
Hours COST OF SUB DOCKING
Hours LICENSED - SPECIAL ED
Hours OUTDOOR SCHOOL
Hours X-01.03.2017-410108 2110 SPED
Hours X-01.05.2017-410108 2110 SPED
Hours X-01.18.2017-410113 2110 SPED
Hours X-01.19.2017-410113 2110 SPED
Hours X-01.20.2017-410113 2110 SPED
Hours X-01.23.2017-410113 2110 SPED
Hours X-01.24.2017-410113 2110 SPED
Hours X-01.262017-410108 2110 SPED
Hours X-01.27.2017-410108 2110 SPED
Hours X-01.30.2017-410108 2110 SPED
Hours X-01.31.2017-410108 2110 SPED
Hours X-01.31.2017-410113 2110 SPED
Hours X-03.02.2017-410108 2110 SPED
Hours X-03.06.2017-410108 2110 SPED
Hours X-03.07.2017-410113 2110 SPED
Hours X-03.13.2017-410108 2110 SPED
Hours X-03.15.2017-410108 211 O SPED
Hours
Printed: 10/05/2017 11:42:04 AM
SSN:
Department:
Marital Status.
1-17 2-17
116.51 0.00 0.00 0.00
5296.08 160.00
0.00 0 00 0.00 0.00 0.00 0.00 0.00 D.00 0 OD 0.00 0 00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00
116.51 0.00 0.00 0.00
5296.08 152 00
0.00 0.00
48.00 1.92
62.50 2.50
105.00 3.00
105.00 3.00
78.75 2.25
87.50 250
116.55 3.33
75.00 3.00
50.00 2.00
12.50 0.50
117.50 4.70
70.00 200 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3-17
116 51 0.00 000 0.00
5296.08 144.00
0.00 0.00 0 00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00
Report: rptEarningsReport
4-17
116.51 0 00 0.00 0.00
5296.08 160 00
0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o_oo 0.00 0.00 0.00 0.00 0.00 0.00 0.00
65.50 3.42
50.00 2.00
119.70 3.42
37.50 1.50
75.00 3.00
Earnings Report
From Date:
To Date:
5-17
116.51 0.00 000 0.00
5296.08 176.00
0,00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 000 0.00 0 00 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01/01/2017
09/30/2017
6-17
349.58 0.00
-350.88 16.00
15888.28 104.00
000 0 00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00
7-17
0.00 0,00 0.00 0.00 0.00 0.00
487.63 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 000 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0,00 0.00 0.00 0.00 0.00 0.00
. 0.00 0.00
2017.3.07
Term Date:
8-17
0.00 0.00 0.00 0.00 0.00 0.00 0 .. 00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9-17
117-47 0.00 0.00 0.00
5339.42 184.00
0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Page:
Total
1049.60 0.00
-350.88 16.00
4770810 1080.00
487.63 0.00
48 00 1.92
6250 2.5.0
105 00 3.00
105.00 3.00
78.75 2.25
87.50 2.50
116.55 3.33
75.00 3 00
50 00 2.00
12.50 0.50
117.50 4.70
70.00 2.00
85.50 3.42
50.00 2.00
119.70 3.42
37.50 1.50
75.00 3.00
X-03 16.2017-410108 2110 SPED Hours
X-03.17.2017-410108 2110 SPED Hours
X-03.20.2017-410108 2110 SPED Hours
X-03.21.2017-410108 211 0 SPED Hours
X-03.23-2017-410108 2110 SPED Hours
X-03.24.2017-410108 2110 SPED Hours
X-05.01.2017-410108 211 O SPED Hours
X-05.02.2017-410108 2110 SPED Hours
X-05.03.2017-410113 2110 SPED Hours
X-05.04.2017-410108 2110 SPED Hours
X-05.05.2017-410108 2110 SPED
Hours X-05.08.2017-410108 2110 SPED
Hours X-05.09.2017-410113 2110 SPED
Hours X-05.10.2017-410108 2110 SPED
Hours X-05.11.2017-410108 2110 SPED
Hours X-05.12.2017-410108 2110 SPED
Hours X-05.172017-410108 2110 SPED
Hours X-05.18.2017-410108 2110 SPED
Hours X-05.22.2017-410108 2110 SPED
Hours X-05.23.2017-410108 2110 SPED
Hours X-05.24.2017-410108 2110 SPED
Hours X-05.25.2017-410108 2110 SPED
Hours X-05.26.2017-410108 2110 SPED
Hours X-05.30.2017-410108 2110 SPED
Hours X-05.31.2017-410108 2110 SPED
Hours X-06.01.2017-410108 211 o SPED
Printed: 10/05/2017 11:42:04 AM
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 o.oo 0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00
0.00 0.00 o.oo 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 .. 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0 .. 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0 00 0.00 0 .. 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo 0.00 0.00 0.00 0.00
Report: rptEarningsReport
75.00 3.00
43.75 1.75
37.50 1.50
4375 1.75
43.75 1.75
117.50 4.70 000 0.00 0.00 0.00 0.00 0.00 0.00 o .. oo 0.00 0.00 0.00 0.00 0 .. 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 .. 00 0.00 0.00 0.00
Earnings Report
From Date:
To Date:
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 0.00 El.OD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01/01/2017
09/30/2017
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
12.50 0.50
50 00 2.00
70.00 2.00
50.00 2.00
42.50 1.70
50.00 2.00
105.00 3.00
12.50 0.50
12.50 0.50
58.75 2.35
12.50 0 .. 50
75.00 3.00
62.50 2.50
12.50 0.50
12.50 0.50
50.00 2.00
12.50 0,50
43.75 1.75
91.75 3.67
50.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 o.oo 0.00 0.00 0.00 0.00 0.00 0 .. 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2017.3.07
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0,00 0.00
0.00 .0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 .. 00
0.00 0,00 000 0.00 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00
0.00 Q.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo 0,00 0.00 0.00 0.00 0.00 0.00
Page:
75.00 3.00
43.75 1.75
37.50 1.50
43.75 1.75
43.75 1.75
117 50 4.70
12.50 0.50
50.00 2.00
70.00 2.00
50,00 2.00
42.50 1.70
50.00 2.00
105.00 3.00
12.50 0.50
12.50 0.50
58.75 2.35
12.50 0.50
75.00 3.00
62.50 2.50
12.50 0.50
12.50 0.50
50.00 2.00
12.50 0.50
43.75 1 75
91.75 3.67
50.00
2
Hours X-06.02.2017-410108 2110 SPED
Hours X-06.05.2017-410106 2110 SPED
Hours X-Oo.06 2017-410108 2110 SPED
Hours X-06.09.2017-410108 2110 SPED
Hours X-06. 12.2017-410108 2110 SPED
Hours X-06.13.2017-410108 211 O SPED
Hours X-06 14.2017-410108 2110 SPED
Hours X-0619.2017-410108 2110 SPED
Hours X-06.20.2017-410108 2110 SPED
Hours X-12 02.2016-410108 2110 SPED
Hours
X-12.052016-410108 2110 SPED Hours
X-12.062016-410113 2110 SPED Hours
X-12.12.2016-410108 2110 SPED Hours
X-12.13.2016-410113 2110 SPED Hours
X-2.06.2017-410108 2110 SPED Tutoring Hours
X-2.13.2017-410108 2110 SPED Tutoring Hours
X-2.14.2017-410108 2110 SPED Tutoring
Hours X-2.17.2017-410113 2110 SPED Tutoring
Hours X-2.21.2017-410108 2110 SPED Tutoring
Hours X-2.27.2017-410108 2110 SPED Tutoring
Hours X-2.27.2017-410113 2110 SPED Tutoring
Hours X-2.28.2017-410108 2110 SPED Tutoring
Hours X-2.28.2017-410113 2110 SPED Tutoring
Hours X-4 10.2017-410108 211D SPED Tutoring
Hours X-4.11.2017-410108 2110 SPED Tutoring
Hours
Printed: 10/05/2017 11:42:04 AM
0.00 D.OD 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0 00 D.OD D.DO D.00 O.DO 0.00 0.00 0.00 0.00 O.OD
50.00 2.00
62.50 2.5D
87.50 2.50
12.50 0.50
87.50 2.50 O.DO 0.00 0.00 0.00
D.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 O.DO 0.00
000 O.DD 0.00 0.00 0.00 0.00 0.00 0 OD
0.00 0.00 0.00 0.00 0 00
0.00 0.00
0.00 0 00 0.00 O.DO 0 00 0.00 0.00 O.DO 0.00 0.00
0.00 O.DO 0.00
0.00
DOD 0.00 0.00 D.00 O.DO 0,00
0 DD O.OD 0.00 D.00 D.00 0 00
0.0D
O.DO 0 DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Q_QO D.00 0.00 0.00 0.00 0.00 O.DO 0.00
0 00 0.00 0 00 0.DO
D.DO D.OD
0.00 0.00 D.DO 0.00 O.DO 0.00 0.00 0.00 0.00 D.00
0.00 O.DO 0.00 0.00 0.00
0.00 0.00 O.OD 0 00 0.00 0.00 O.OD 0.00
50.00 2.DD
50.00
2.00 62.50
2.50 70.00
2.00
12.50 0.50
50.00 2.00
35.00 1.00
125.00 5.DO
35.00 1.0D 0.00 0.00 0.00
D.OD
Report: rptEarningsReport
O.OD 0.00 0.00 0.00 0.00
0.00 O.DO 0 00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0 00 0.00
0.00 D.DO 0.00 0.00 D.00 0.00 0.00 0.00 D.00.
0.00
D.00 O.OD
0.00
0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00
0.00 D.OD 0.00 0.00 0.00 0.00 0.00 O.OD
Earnings Report
From Date:
To Date:
0.00 0.00 0.00 0.00 0.00
0.00 0 00 0.00 D.00 0.00 0 00 000 0.00 0.00 0.00 0.00 0.00 a.DO 0.00 0.00 D.00
0.00 0 00 0.00 0.00 D.00 0.00 0.00 0.00
0.00 O.OD 0.00 0.00 0 00 0 00 000 0.00 0.00 D.OD 0.00 0.00 O.OD 0 DO 0.00 0.00 0 DO 0.00
12.50 0.50
12.50 0.50
01/01/2017
09/30/2017
2 00 SO.DO
2.00 50 OD
2.00
62.50 2.50
12.50 0.50
37.50 1.5D
62 50 2.SD
50.00 2.00
158.25 6.33 0 00 0.00 0.00 O.DD 0.00 0.00 D.00 O.OD D.00 O.OD 0.00 O.DO 0.00 O.OD
D.OD 0,00
0.00 0.00 0.00 O,OD O.DO 0.00 0.00 O,OD 0.00 0.00 0.00 O.DO D.00 0.00 0.00 O.DO 0 OD
0.00
0.00 D.00 0.00 0.00 D 00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 D.00
62.50 2.50 0.00 0.00 0 00 0.00 D.00 0.00 0.00 0.00 0 00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 O.OD
0.00 O.DO 0.00 0.00 0.00 a.OD
000 D.00 0.00 0.00 0.00 0.00 O.DO 0.00
2017.3.07
0.00 O.DD 0.00 0.00 0 DO 0 00 0.00 000 O.OD 0.00 0.00 0.00 0 00 0.00 0.00 0.00 D.00 D.OD 0 00 0.00 D.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 O.DO 0.00 0.00 0.00 0 OD 0.00 0.00 0.00 0.00 O.OD 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0 OD
0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00
0 00 O.DO 0.00 O.DO
0.00 0.00 0 00 0.00
0 00 0 00 0.00 0.00 0.00 0.00 D.OD 0,00 0.00 0,00
D.00 D.00 0.00 O.OD 0.00 0.00 0 00 D.DO 0.00 0.00 0.00 0,00 O.DO 0.00 0.00 D.00
D.00
Page:
2.00 50.00
2.00 50.00
2.DO 62.50
2.50 12.5D
0.50 37 50
1.50 62.50
2.50 50.00
2.00 158.25
6.33 62.50
2.SD 50.00 200
62.50 2.50
87.50 2.50
12.50 0.50
87 50 2.50
50.00 200
50.00 2.00
62.SD 2 50
70 00 2.00
12.50 0.50
50.00 2.00
35.00 1.00
125.00 5.00
35.00 1.00
12.50 0.50
12.50 o so
3
Earnings Report
From Date: 01/01/2017
To Date: 09/30/2017
X-4.13.2017-410108 2110 SPED Tutonng D.00 0.00 0.00 0.00 50,00 0.00 0.00 0.00 0.00 50.00 Hours 0.00 0.00 0.00 0.00 2.00 0.00 0.00 0.00 000 2.00
X-4 17.2017-410108 2110 SPED Tutoring 0.00 0.00 0 .. 00 0.00 50.00 0.00 0.00 0.00 0.00 50 00 Hours 000 0.00 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00
X-4.18.2017-410108 2110 SPED Tutoring 0.00 0.00 0.00 0.00 75.00 0 00 0.00 0.00 0.00 75.00 Hours 0.00 0.00 0.00 0.00 3.00 0.00 0.00 0.00 0.00 3.00
X-4.20.2017-410108 2110 SPED Tutoring 0.00 0.00 0 00 0.00 75.00 0.00 0.00 0.00 0.00 75 00
Hours 0.00 0.00 0.00 000 3.00 0.00 0.00 0.00 0.00 3.00
X-4.21.2017-410108 2110 SPED Tutoring 0.00 0.00 0.00 0.00 50.00 0.00 0.00 0.00 0.00 50.00 Hours 0 00 0.00 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00
X-4.24.2017-410113 2110 SPED Tutoring 0.00 0.00 0.00 0.00 105,00 000 0.00 0,00 0,00 105.00 Hours 000 0.00 0.00 0.00 3.00 0.00 0.00 0.00 0.00 3.00
X-4 25.2017-410108 2110 SPED Tutoring 0.00 0.00 0.00 0.00 75.00 0.00 0,00 0.00 0.00 75 DO
Hours 0.00 0.00 0.00 0.00 3.00 0.00 0,00 D,00 0.00 3.00
X-4.26.2017-410108 2110 SPED Tutoring 0.00 0.00 0.00 0.00 62.50 0 .. 00 0.00 0.00 000 62.50 Hours 0.00 0.00 0.00 0,00 2.50 0.00 0.00 0.00 0.00 2.50
X-4.28.2017-410108 2110 SPED Tutoring 0.00 0.00 o oo 0.00 42.50 0.00 0.00 0.00 0.00 42 50
Hours 0.00 0.00 0.00 0,00 1.70 0,00 0.00 0.00 0.00 1.70
X-8.22.2017-410280 Title Ill Tribes Tmg 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 163.86 163.86
Hours 0.00 0,00 0.00 000 0.00 0.00 0.00 0.00 6.00 6.00
X-8.23.2017-410280 Title Ill Tribes Trng 0.00 0,00 0,00 0.00 0.00 0.00 000 0.00 163.86 163.86
Hours 0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 6.00 6.00
X-8.24.2017-410280 Title Ill Tribes Tmg 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 163.86 163 86
Hours 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
X-8.25.2017-410280 Title Ill Tribes Tmg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.86 163.86
Hours 0.00 0.00 0.00 0.00 o.oo 0.00 0,00 0.00 6.00 6.00
TOTAL GROSS: 5712.59 6340.69 5902.59 6141.54 6022.59 17256.98 550.13 0 00 6112 33 54039.64
TOTAL HOURS: 170.00 182.70 162.00 187.79 199.20 172.80 2.50 0.00 208.00 1284.99
F-
OLLu f ,::....~DN' ~\
Pay bate Period End Date Grpss Amount Net Pay
I ?.6/24/2016 . O~L15/20~6 -· - E~~~~- .g~ ~ - -- _$~~4~-~ :
l~;:;~~~:·····'. ~~~;~~1~--: '.. __ :-£'.!~::~Y ~~--~m;, I
08/19/2016 08/10/2016 $1,482.25 $961.15 ' t ... - -- -- -- ---- ,_ __ .. ____________ . _______ .. _____ ·-'
09/02/2016 ~8f_2~/~~~6 _ .,_$1,6~·?5_ ··---!~085~1 i . 09/16/2016 09/07/2016 $1,419.25 : $917.27 ! i 09;3012016 -o9/ 2-1/2oi·6·-- " - ·$1,7ci2.25 __ '. ____ $1,212.09j
!- 10/14120-16 · 1010512016 ,--$i -511.5a :--$98Ls4 i I"--· -- - ... --·- . ... - --- i ________ .,_, __ --------·--·-··-"! i 10/28/2016 I 10/19/2016 $1,038.24 $652.05 . - --· - -- - : ---- . -- - - -t- .. -- --·+ .... --· ·---·--·-1 . 11/10/2016 11/02/2016 1 $1,824.37 I $1,185.46 :
·- ----- ..... -··-------··- - ··--··· - - -·--·· ·- --__ ,, --·---· l 11/10/2016 I 11/02/2016 $338.70 I $288.20
ll/25f2016 -l llfl6f2-016 - - $t,l 40.00 --· --$l~2G.72 : ---- -- --- r------- --- ·- . ·r --- _., __ ,_., -----------------1 ! 12/09/2016 J 11/30/2016 [ $1,582,50 ' $1,017.07 i I -- - ·- · ----4 -----· -----.. ·-·-· - .. · ------- ------•----- j
· ~~~6~~~~6 _· ~2/081201~--- ______ $~_n.3o J ____ ~~~oo I ' .!_2j23/!~~~- ! .. 1Y~4~~-~~6. __ - I ... $~,~~~:6_~ ; -- -- _$879.~~ J
01/06/2017 12/28/2016 $1,267.50 ) $799.03 ! '-- - ..... --- --· r--- .. __ ,, ___ t
. oy2012o_E _; 01/11f!~17 _ 1 ___ _$~,ogs.o~ 1 -·- .. _ ~28.~1_ !
02/03/2017 I 01/25/2017 ! $1,218.75 : $764.53 i - - .... .. - ·---· .--------r----: 02/17/2017 I 02/08/2017 $1,130,62 I $703.17
031031201_? _- • o-2-i2~~~17 - ;~ _ ~1~a4.37-~; ==- $8102~~! 03/17/2017 . 03/08/2017 I $1,175.63 i $734.71 I
~-~f~Zl~H~~l~i~~--:~-~~ 1::¥£~~~: -- - :~:~~i .~ asi1212011-: a~1o~~o~7_.- - ; __ $_1~412.~~---~$~?9-14~~
05/26/2017 . 05/17/2017 , $1,430.00 ; $911.68 I ... . --·----- _., ____ ---~------------ .. ----·
06/09/2017 ' 05/31/2017 $1,280.00 $808.21
. Summary $23,572.0~ -' -
Employee Earnings I Earnings Hours Cumulative I
l. ~~~rti~~- _ .. _ __ ________ ~ ·----~~~?.s_o_o_.L ___ ____ $5,381.24 : 1 PTO Hrly i 135.5000 j $2,104.00 I !-R~~ul;-P;~--. ------ . -· ... ... . . ---( ---·--· ---- --- l,9-12.~4lo0f . --·-----·----$28,on.991
,- Retro-Overt~;-----· -----1-- - -- 11.1600 l $251.10 l r---·--------------- ----------------·~ ---· --- ---·-- __________ j_ .. ___ .. ___ - ·-·--------1 ! Retro Reg Hours j 5.8400 '. $87.60 ; r--- --- --- -·-· I --------~--~-------'------- ----··-·-- -· . -- ·-- -- - :
: Year End Bonus I 0.0000 ! $471.30 '
Summary
[
Jun 19, 2017 1
$36,373.23
I
I _I \ ! ~
2:07:20 PM
0 LC- .J rt-. .(-.o A.J ( tJ~tz~
4f J 1 c;-/z o /:f-52 w~~k Wage Audit Dn t \
Period Start Period End Hourly Regular Regular OT OT lips/Grats/ Incentives Date Date Rate Hours Earnings Earnings Commissions
09/08/2016 09/21/2016 $9.75 45.17 $440.41 0.00 ' $0.00 $252.94 $0.00
$9.75 14.07 $137.18 0.00 $0.00
09/22/2016 10/05/2016 $9.75 16.68
$9.75 11.56 $112.71 0.00
10/06/2016 10/19/2016 $9.75 27.97
10/20/2016 11/02/2016 $10.00 12.67
$9.75 26.58
11/03/2016 11/16/2016 $10.00 4.00
$9.75 22.72
11/17/2016 11/30/2016 $9.75 4.12
$10.00 7.78
$9.75 28.09 $273.88 4.10 $59.96
$9.67 0.00 $0.00 0.02 $0.29
12/01/2016 12/14/2016 $9.75 3.92 $38.22 0.00 $0.00
$10.00 3.85 $0.00 $0.00
$9.75. 17.15 $167.21 0.00 $0.00 $140.35
12/15/2016 12/28/2016 $9.75 7.05 $68.74 I 0.00 $0.00 $0.00
$10.00 7.27
$9.75 24.25
12/29/2016 . 01/11/2017 $9.76
$9.75
01/12/2017 01/25/2017 I $10.00
01/26/2017 02/08/2017
02/09/2017 02/22/2017
$322.63
02/23/2017 03/08/2017 1.13 $11.02
$9.75 19.37 $188.86 0.00 $0.00 $160.09
$9.75 2.83 $27.59 0.00 $0.00 $79.80
03/09/2017 03/22/2017 $9.75 9.25 $90.19 0.00 $0.00 $110.65 $0.00
Sep 18, 2017 1 2:39:51 PM
52 w~~k Wag~ Audit
Period Start Period End Hourly Regular Regular OT OT Tlps/Grats/ Incentives Date Date Rate Hours Earnings Earnings Commissions
03/09/2017 03/22/2017 $9.75 8.88 $86.58 o.oo $0.00 $121.35 $0.00
$9.75 16.96 $165.36 0.00 $0.00 $175.35 $0.00
03/23/2017 04/05/2017 $9.75 7.12 $69.42 0.00 $0.00 $105.75 $0.00
$9.75 31.65 $308.59 0.00 $0.00 $496.75 $0.00
04/06/2017 04/19/2017 $9.75 10.90 $106.28 0.00 $0.00 $107.70 $0.00
$9.75 29.22 $284.89 0.00 $0.00 $268.38 $0.00
04/20/2017 05/03/2017 $9.75 22.18 $216.26 0.00 $0.00 $183.75 $0.00
$9.75 25.78 $251.35 0.00 $0.00 $361.00 $0.00
05/04/2017 05/17/2017 $9.75 5.73 $55.87 0.00 $0.00 $75.50 $0.00
$9.75 14.07 $137.18 0.00 $0.00 $83.50 $0.00
05/18/2017 05/31/2017 $9.75 9.48 $92.43 0.00 $0.00 $0.00 $0.00
$9.75 34.10 $332.48 0.00 $0.00 $283.20 $0.00
$9.75 23.59 $230.00 0.00 $0.00 $316.25 $0.00
06/01/2017 06/14/2017 $9.75 15.43 $150.44 0.00 $0.00 $79.45 $0.00
$9.75 17.05 $166.24 0.00 $0.00 $136.65 $0.00
06/15/2017 06/28/2017 $9.75 27.75 $270.57 0.00 $0.00 $256.30 $0.00
$9.75 19.95 $194.52 0.00 $0.00 $210.15 $0.00
06/29/2017 07/12/2017 $10.25 32.23 $330.35 0.00 $0.00 $312.88 $0.00
$10.25 24.78 $254.00 0.00 $0.00 $280.17 $0.00
07/13/2017 07/26/2017 $10.25 39.85 $408.46 0.00 $0.00 $362.27 $0.00
$10.25 17.90 $183.48 0.00 $0.00 $181.80 $0.00
07/27/2017 08/09/2017 $10.25 26.99 $276.65 0.00 $0.00 $229.90 $0.00
$10.25 29.07 $297.97 0.00 $0.00 $321.60 $0.00
08/10/2017 08/23/2017 $10.25 4.45 $45.61 o.oo $0.00 $18.33 $0.00
$10.25 36.04 $369.41 0.00 $0.00 $531.44 $0.00
08/24/2017 09/06/2017 $10.25 18.59 $190.55 0.00 $0.00 $143.90 $0.00
$10.25 36.92 $378.43 0.00 $0.00 $475.81 $0.00
Totals 1,078.88 $10,661.67 4.12 $60.25 $9,332.70 $0.00
Sep 18, 2017 2 2:39:51 PM
· ()lt_ u ( 1--·fz'&A:
Dot ~
r ~ frs t£,.,.. e-JJ A ..1 r<;,e.
z) ?>/ r1-
Employee Earnirn! From Pay Period End Date 2/1/2016 To 2/15/2017
Employee :mployee Nam1 Depaiiment Nurr Number:
Pay Period Earning Pav Code Pav Code Description Hour Pay Rate Amount End Date 27672016 ___ GTL Taxable Life Insurance 0.00 5.20 5.20
2/6/2016 SH4 Shift 4 Differential LOO 51.98 7.80 21612016 SH3 Shift 3 Differential 11.00 51.98 28.59 2/6/2016 SH2 Shift 2 Differential 5.00 51.98 26.00 2/6/2016 RWN Regular Weekend Night 1.00 51.98 51.98 2/6/2016 RWD Regular Weekend Day 11.00 51.98 571.78 2/6/2016 RN Regular Night 5.00 51.98 259.90 2/6/2016 RD Regular Day 55.00 51.98 2,858.90
Pay Period Totals= 89.00 $3,810.15
2/20/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 2/20/2016 SH4 Shift 4 Differential 2.00 51.98 15.60 2/20/2016 SH3 Shift 3 Differential 22.00 51.98 57.18 2/20/2016 SH2 Shift 2 Differential 5.00 51.98 26.00 2/20/2016 RWN Regular Weekend Night 2.00 51.98 103.96 2/20/2016 RWD Regular Weekend Day 22.00 51.98 1,143.56 2/20/2016 RN Regular Night 2.00 51.98 103.96 2/20/2016 RD Regular Day 22.00 51.98 1, 143.56 2/20/2016 PN PTO Night 2.00 51.98 103.96 2/20/2016 PD PTO Day 14.53 51.98 755.27 2/20/2016 OLN Oregon Paid Leave Night 1.00 51.98 51.98 2/20/2016 OLD Oregon Paid Leave Day 6.46 51.98 335.79 2/20/2016 05 Non-productive Non-paid 0.01 0.00 0.00
Pay Period Totals= 101.00 $3,846.02
3/5/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 3/5/2016 SH2 Shift 2 Differential 7.00 51.98 36.40 3/5/2016 PN PTO Night 0.00 51.98 0.00 3/5/2016 PD PTO Day 0.00 51.98 0.00 31512016 OLN Oregon Paid Leave Night 0.00 51.98 0.00 3/5/2016 OLD Oregon Paid Leave Day 0.00 51.98 0.00 31512016 EIN Extended Illness Bank Night 7.00 51.98 363.86 3/5/2016 EID Extended Illness Bank Day 65.00 51.98 3,378.70
Pay Period Totals= 79.00 $3,784.16
3/19/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 3/19/2016 SH2 Shift 2 Differential 6.00 51.98 31.20 3/19/2016 RN Regular Night 5.00 51.98 259.90 3/19/2016 RD Regular Day 55.00 51.98 2,858.90 3/19/2016 EIN Extended Illness Bank Night 1.00 51.98 51.98 3/19/2016 EID Extended Illness Bank Day 11.00 51.98 571.78
Pay Period Totals= 78.00 $3,778.96
41212016 GTL Taxable Life Insurance 0.00 5.20 5.20 41212016 SH4 Shift 4 Differential 2.00 51.98 15.60 4/2/2016 SH3 Shift 3 Differential 22.00 51.98 57.18 4/2/2016 SH2 Shift 2 Differential 4.00 51.98 20.80 4/2/2016 RWN Regular Weekend Night 2.00 51.98 103.96 4/2/2016 RWD Regular Weekend Day 22.00 51.98 1,143.56 4/2/2016 RN Regular Night 4.00 51.98 207.92 4/2/2016 RD Regular Day 44.00 51.98 2,287.12
Pay Period Totals= 100.00 $3,841.34
411612016 GTL Taxable Life Insurance 0.00 5.20 5.20
2
~
Employee Earning From Pay Period End Date 2/1/2016 To 2/15/2017
Employee lployee Nm Department Number: Number:
Pay Period Earning Pav Code Pav Code Description Hour Pay Rate Amount End Date
4/1612016 SH4 Shift 4 Differential 1.00 51.98 7.80 4/16/2016 SH3 Shift 3 Differential 11.00 51.98 28.59 4/16/2016 SH2 Shift 2 Differential 5.00 51.98 26.00 4/16/2016 RWN Regular Weekend Night 1.00 51.98 51.98 4/16/2016 RWD Regular Weekend Day 11.00 51.98 571.78 4/16/2016 RN Regular Night 5.00 51.98 259.90 411612016 RD Regular Day 55.00 51.98 2,858.90 411612016 MD Meeting Day 1.75 51.98 90.97
Pay Period Totals= 90.75 $3,901.12
4/30/2016 WWN Work Sched Day Off Weekend N,e 1.00 51.98 77.97 4/30/2016 WWD Work Sched Day Off Weekend Di: 11.00 51.98 857.67 4/30/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 4/30/2016 FLS Statutory Overtime 8.00 51.98 628.08 4/30/2016 SH4 Shift 4 Differential 2.00 51.98 15.60 4/30/2016 SH3 Shift 3 Differential 22.00 51.98 57.18 4/30/2016 SH2 Shift 2 Differential 5.00 51.98 26.00 4/30/2016 RWN Regular Weekend Night 1.00 51.98 51.98 4/30/2016 RWD Regular Weekend Day 11.00 51.98 571.78 4/30/2016 RN Regular Night 5.00 51.98 259.90 4/30/2016 RD Regular Day 47.00 51.98 2,443.06
Pay Period Totals= 113.00 $4,994.42
5/14/2016 WSN Worked Sched Day OffNight 3.50 54.06 283.82 5/14/2016 WSD Worked Sched Day Off Day 1 L50 54.06 932.54 5/14/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 5/14/2016 SH4 Shift 4 Differential LOO 54.06 8.11 5/14/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 5/14/2016 SH2 Shift 2 Differential 7.50 54.06 40.56 5/14/2016 RWN Regular Weekend Night 1.00 54.06 54.06 5114/2016 RWD Regular Weekend Day 11.00 54.06 594.66 5/1412016 RN Regular Night 4.00 54.06 216.24 5/14/2016 RD Regular Day 44.00 54.06 2,378.64
Pay Period TotaJs= 94.50 $4,543.56
5/28/2016 GTL Taxable Life Insurance 0.00 5.20 5.20 5/28/2016 SH4 Shift 4 Differential 1.00 54.06 8.11 5/28/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 5/28/2016 SH2 Shift 2 Differential 5.00 54.06 27.05 5/28/2016 RWN Regular Weekend Night 1.00 54.06 54.06 5/28/2016 RWD Regular Weekend Day 11.00 54.06 594.66 5/28/2016 RN Regular Night 5.00 54.06 270.30 5/28/2016 RD Regular Day 55.00 54.06 2,973.30
Pay Period TotaJs= 89.00 $3,962.41
6/11/2016 WSN Worked Sched Day OffNight 4.00 54.06 324.36 6/11/2016 WSD Worked Sched Day Off Day 16.00 54.06 1,297.45 6/11/2016 GTL Taxable Life Insurance 0.00 5.53 5.53 6/11/2016 FLS Statutory Overtime 1.50 54.06 122.03 6/11/2016 SH4 Shift 4 Differential 1.00 54.06 8.11 6/11/2016 SH3 Shift 3 Differential 11.25 54.06 30.41 6/11/2016 SH2 Shift 2 Differential 8.00 54.06 43.27 6/11/2016 RWN Regular Weekend Night 1.00 54.06 54.06
3
Employee Earning From Pay Period End Date 2/1/2016 To 2/15/2017
Employee :ployee N Department Numb~ Number:
Pav Period Earning Pav Code Pav Code Description Hour Pav Rate Amount End Date
6iii12016 RWD Regular Weekend Day 11.25 54.06 608.18 6/11/2016 RN Regular Night 4.00 54.06 216.24 6/l 1/2016 RD Regular Day 42.50 54.06 2,297.55 6/11/2016 HBD Holiday Day 8.00 54.06 432.48
Pay Period Totals= 108.50 $5,439.67
6/25/2016 WSD Worked Sched Day Off Day 6.00 54.06 486.54 6/25/2016 WWN Work Sched Day Off Weekend N~ 1.00 54.06 81.09 6/25/2016 WWD Work Sched Day Off Weekend D<: I LOO 54.06 891.99 6/25/2016 GTL Taxable Life Insurance 0.00 5.63 5.63 6/25/2016 FLS Statutory Overtime 14.00 54.06 1,146.46 6/25/2016 SH4 Shift 4 Differential 3.00 54.06 24.33 6/25/2016 SH3 Shift 3 Differential 33.00 54.06 89.19 6/25/2016 SH2 Shift 2 Differential 4.00 54.06 21.64 6/25/2016 RWN Regular Weekend Night 2.00 54.06 108.12 612512016 RWD Regular Weekend Day 22.00 54.06 1,189.32 612512016 RN Regular Night 2.00 54.06 108.12 6/25/2016 RD Regular Day 20.00 54.06 1,081.20 6/25/2016 PN PTO Night 1.00 54.06 54.06 612512016 PD PTO Day 11.00 54.06 594.66
"'ii' 'if. Pay Period Totals= 130.00 $5,882.35
71912016 WSN Worked Sched Day OffNight 1.00 54.06 81.09 719/2016 WSD Worked Sched Day Off Day 7.50 54.06 608. 18 71912016 GTL Taxable Life Insurance 0.00 5.63 5.63 7/9/2016 FLS Stah1tory Overtime 4.50 54.06 529.59 7/9/2016 SH4 Shift 4 Differential 1.00 54.06 8.11 7/9/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 7/9/2016 SH2 Shift 2 Differential 6.00 54.06 32.46 71912016 RWN Regular Weekend Night 1.00 54.06 54.06 7/9/2016 RWD Regular Weekend Day 11.00 54.06 594.66 71912016 RN Regular Night 4.00 54.06 216.24 71912016 RD Regular Day 44.00 54.06 2,378.64 7/9/2016 HWD Holiday Worked Day 7.50 54.06 608.18 71912016 HBD Holiday Day 8.00 54.06 432.48 7/9/2016 30 APEX 0.00 3,000.00 3,000.00
Pay Period Totals= 106.50 $8,579.05
7/23/20 I 6 WSN Worked Sched Day Off Night 5.25 54.06 425.73 7/23/2016 WSD Worked Sched Day Off Day 26.25 54.06 2, 128.63 7/23/2016 SH4 Shift 4 Differential 1.00 54.06 8.11 7/23/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 7/23/2016 SH2 Shift 2 Differential 8.25 54.06 44.61 7/23/2016 RWN Regular Weekend Night 1.00 54.06 54.06 7/23/2016 RWD Regular Weekend Day 11.00 54.06 594.66 712312016 RN Regular Night 1.00 54.06 54.06 7/23/2016 RD Regular Day 11.00 54.06 594.66 7/23/2016 PN PTO Night 2.00 54.06 108.12 7/23/2016 PD PTO Day 16.75 54.06 905.51
Pay Period Totals= 94.50 $4,947.88
8/6/2016 WSN Worked Sched Day OffNight 1.00 54.06 81.09 8/6/2016 WSD Worked Sched Day Off Day 11.00 54.06 891.99
4
Employee Earning From Pay Period End Date 2/1/2016 To 2/15/2017
Employee 1.ployee Name Depaiiment Number: Number:
Pav Period Earning Pav Code Pav Code Description Hour Pav Rate Amount End P~J~
8/6/2016 GTL Taxable Life Insurance 0.00 5.67 5.67 8/6/2016 FLS Statutory Overtin1e 8.00 54.06 653.24 8/6/2016 SH4 Shift 4 Differential 2.00 54.06 16.22 8/6/2016 SH3 Shift 3 Differential 22.00 54.06 59.46 8/6/2016 SH2 Shift 2 Differential 5.00 54.06 27.05 8/6/2016 RWN Regular Weekend Night 2.00 54.06 108.12 8/6/2016 RWD Regular Weekend Day 22.00 54.06 1,189.32 8/6/2016 RN Regular Night 3.00 54.06 162.18 8/6/2016 RD Regular Day 25.00 54.06 1,351.50 8/6/2016 PN PTO Night 1.00 54.06 54.06 8/6/2016 PD PTO Day 11.00 54.06 594.66
Pay Period Totals= 113.00 $5,194.56
8/20/2016 WSN Worked Sched Day Off Night 1.00 54.06 ~. 81.09 8/20/2016 WSD Worked Sched Day Off Day 11.00 54.06 891.99 8/20/2016 WWN Work Sched Day Off Weekend N§ 1.00 54.06 81.09 8/20/2016 WWD Work Sched Day Off Weekend Di: 11.00 54.06 891.99 8/20/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 8/20/2016 FLS Statutory Overtime '20.25 54.06 1,652.11 8/20/2016 SH4 Shift 4 Differential 2.00 54.06 16.22 8/20/2016 SH3 Shift 3 Differential 22.00 54.06 59.46 8/20/2016 SH2 Shift 2 Differential 6.00 54.06 32.46 8/20/2016 RWN Regular Weekend Night LOO 54.06 54.06 8/20/2016 RWD Regular Weekend Day 11.00 54.06 594.66 8/20/2016 RN Regular Night 4.00 54.06 216.24 8/20/2016 RD Regular Day 36.00 54.06 1,946.16
Pay Period Totals= 126.25 $6,523.26 ~.
913/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 9/3/2016 SH4 Shift 4 Differential 1.00 54.06 8. ll 9/3/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 9/3/2016 SH2 Shift 2 Differential 5.00 54.06 27.05 9/3/2016 RWN Regular Weekend Night 1.00 54.06 54.06 9/3/2016 RWD Regular Weekend Day 11.00 54.06 594.66 9/3/2016 PN PTO Night 5.00 54.06 270.30 91312016 PD PTO Day 53.00 54.06 2,865.18 9/3/2016 MD Meeting Day 2.00 54.06 108.12
Pay Period Totals= 89.00 $3,962.94
9117/2016 WWN Worlc Sched Day Off Weekend N§ 1.00 54.06 81.09 9/17/2016 WWD Work Sched Day Off Weekend D:: 7.00 54.06 567.63 9/17/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 9/17/2016 SH4 Shift 4 Differential 3.00 54.06 24.33 9/17/2016 SH3 Shift 3 Differential 29.00 54.06 78.38 9/17/2016 SH2 Shift 2 Differential 4.00 54.06 21.64 9/17/2016 RWN Regular Weekend Night 2.00 54.06 108.12 9/17/2016 RWD Regular Weekend Day 22.00 54.06 1,189.32 9/17/20] 6 RN Regular Night 3.00 54.06 162.18 9/17/2016 RD Regular Day 33.00 54.06 1,783.98 9/17/2016 PRE Preceptor 5.00 1.50 7.50 9/17/2016 OLN Oregon Paid Leave Night 1.00 54.06 54.06 9117/20 I 6 OLD Oregon Paid Leave Day 3.00 54.06 162.18
5
- ... ~ ::t?t~b~~.;t~,,;:-· . Employee Earning From Pay Period End Date 2/1/2016 To 2/15/2017 ...
Employee 11oyee N Department Numbe Number:
Pay Period Earning Pav Code Pav Code Description Hour Pav Rate Amount
E_11gJ~~J~ 9/17/2016 HBO Holiday Day 8.00 54.06 432.48
Pay Period Totals= 121.00 $4,678.62
10/1/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 10/1/2016 SH2 Shift 2 Differential 6.00 54.06 32.46 10/1/2016 RN Regular Night 3.00 54.06 162.18 10/112016 RD Regular Day 33.00 54.06 1, 783.98 10/1/2016 PN PTO Night 3.00 54.06 162.18 10/1/2016 PD PTO Day 33.00 54.06 1,783.98 10/1/2016 PRE Preceptor 10.00 1.50 15.00
Pay Period Totals= 88.00 $3,945.51
10/15/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 10/15/2016 SH2 Shift 2 Differential 6.00 54.06 32.46 10/15/2016 RN Regular Night 2.00 54.06 108.12 10/15/2016 RD Regular Day 22.00 54.06 1,189.32 10/15/2016 PN PTO Night 4.00 54.06 216.24 10/15/2016 PD PTO Day 44.00 54.06 2,378.64
Pay Period Totals= 78.00 $3,930.51
10/29/2016 WWN Work Sched Day Off,Weekend Nf 2.00 54.06 162.18 10/29/2016 WWD Work Sched Day OffWeekend De: 7.50 54.06 608.18 10/29/2016 GTL Taxable Life Insurance 0.00 5.73 5.73 10/29/2016 FLS ~tatutory Overtime 5.50 54.06 451.14 10/29/2016 SH4 Shift 4 Differential 4.00 54.06 32.44 10/29/2016 SH3 Shift 3 Differential 29.50 54.06 79.73 I 0/29/2016 SH2 Shift 2 Differential 4.00 54.06 21.64 I 0/29/2016 RWN Regular Weekend Night 2.00 54.06 108.12 10/29/2016 RWD Regular Weekend Day 16.50 54.06 891.99 10/29/2016 RN Regular Night 4.00 54.06 216.24 10/29/2016 RD Regular Day 44.00 54.06 2,378.64
Pay Period Totals= 119.00 $4,956.03
11/12/2016 WSN Worked Sched Day OffNight 1.25 54.06 101.37 11/12/2016 WSD Worked Sched Day Off Day 7.50 54.06 608.18 11/12/2016 WWN Work Sched Day Off Weekend Nf 1.00 54.06 81.09 11/12/2016 WWD Wark Sched Day Off Weekend De 11.00 54.06 891.99 11/12/2016 GTL Taxable Life Insurance 0.00 5.64 5.64 11112/2016 FLS Statutory Overtime 16.75 54.06 1,367.23 11112/2016 SH4 Shift 4 Differential 2.00 54.06 16.22 11112/2016 SH3 Shift 3 Differential 22.00 54.06 59.46 11/12/2016 SH2 Shift 2 Differential 6.25 54.06 33.81 11/12/2016 RWN Regular Weekend Night 1.00 54.06 54.06 11/12/2016 RWD Regular Weekend Day 11.00 54.06 594.66 11/12/2016 RN Regular Night 4.00 54.06 216.24 11/12/2016 RD Regular Day 39.25 54.06 2,121.86
Pay Period Totals= 123.00 $6,151.81
11126/2016 WWD Work Sched Day Off Weekend De: 8.00 54.06 648.72 1112612016 GTL Taxable Life Insurance 0.00 5.63 5.63 11/26/2016 SH4 Shift 4 Differential 1.00 54.06 8.11 11/26/2016 SH3 Shift 3 Differential 19.00 54.06 51.35 11/26/2016 SH2 Shift 2 Differential 4.00 54.06 21.64 11/26/2016 RWN Regular Weekend Night 1.00 54.06 54.06
6
Employee Earning From Pay Period End Date 2/1/2016 To 2/15/2017
Employee lployee Nan Department Numb( Number:
Pay Period Earning Pav Code Pav Code Description Hour Pav Rate Amount
EmtDat.~ 11/26/2016 RWD Regular Weekend Day 11.00 54.06 594.66 11/26/2016 RN Regular Night 1.00 54.06 54.06 11/26/2016 RD Regular Day 11.00 54.06 594.66 11/26/2016 PN PTO Night LOO 54.06 54.06 11/26/2016 PD PTO Day 2.50 54.06 135.15 11/26/2016 OLN Oregon Paid Leave Night 2.00 54.06 108.12 11/26/2016 OLD Oregon Paid Leave Day 26.54 54.06 1,434.75 11/26/2016 HBD Holiday Day 8.00 54.06 432.48
Pay Period Totals= 96.04 $4,197.45
12/10/2016 GTL Taxable Life Insurance 0.00 5.63 5.63 12/ l 0/2016 SH4 Shift 4 Differential 2.00 54.06 16.22 12/10/2016 SH3 Shift 3 Differential 22.00 54.06 59.46 12/10/2016 SH2 Shift 2 Differential 4.00 54.06 21.64 12/10/2016 RWN Regular Weekend Night 2.00 54.06 108.12 12/10/2016 RWD Regular Weekend Day 22.00 54.06 1,189.32 12/10/2016 RN Regular Night 4.00 54.06 216.24 12110/2016 RD Regular Day 42.50 54.06 2,297.55 12110/2016 PD PTO Day 1.50 54.06 81.09
Pay Period Totals= 100.00 $3,995.27
12/24/2016 WSN Worked Sched Day Off Night LOO 54.06 81.09 12/24/2016 WSD Worked Sched Day Off Day 5.75 54.06 466.27 12/24/2016 TD Training Day 2.00 54.06 108. 12 12/24/2016 FLS Statutory Overtime 3.00 54.06 245.16 12/24/2016 SH4 Shift 4 Differential l.00 54.06 8.11 12/24/2016 SH3 Shift 3 Differential 11.00 54.06 29.73 12/24/2016 SH2 Shift 2 Differential 6.00 54.06 32.46 12/24/2016 RWN Regular Weekend Night 1.00 54.06 54.06 12/24/2016 RWD Regular Weekend Day 8.00 54.06 432.48 12/24/2016 RN Regular Night 5.00 54.06 270.30 12/24/2016 RD Regular Day 55.25 54.06 2,986.82
Pay Period Totals= 99.00 $4,714.60
117/2017 GTL Taxable Life Insurance 0.00 10.52 10.52 1/7/2017 SH4 Shift 4 Differential 1.00 54.06 8.11 1/7/2017 SH3 Shift 3 Differential 11.00 54.06 29.73 117/2017 SH2 Shift 2 Differential 5.00 54.06 27.05 117/2017 RN Regular Night 5.00 54.06 270.30 117/2017 RD Regular Day 55.00 54.06 2,973.30 117/2017 HWY Holiday Worked Weekend Night 1.00 54.06 81.09 117/2017 HWX Holiday Worked Weekend Day 11.00 54.06 891.99 117/2017 HBD Holiday Day 16.00 54.06 864.96
Pay Period Totals= 105.00 $5,157.05
1/21/2017 GTL Taxable Life Insurance 0.00 10.52 10.52 1121/2017 SH4 Shift 4 Differential 2.00 54.06 16.22 1121/2017 SH3 Shift 3 Differential 22.00 54.06 59.46 1/2112017 SH2 Shift 2 Differential 4.00 54.06 21.64 112112017 RWN Regular Weekend Night 2.00 54.06 108.12 1/21/2017 RWD Regular Weekend Day 22.00 54.06 1,189.32 1121/2017 RN Regular Night 2.00 54.06 108.12 1121/2017 RD Regular Day 22.00 54.06 1,189.32
7
Employee Number:
Employee Earning From Pay Period End Date 2/112016 To 2/15/2017
:mployee Natij;~ Department Number
Pay Period Earning
Pav Code Pav Code Descriotion Hour Pav Rate Amount E11_cUJru~ 1/21/2017 PN PTO Night 2.00 54.06 108.12 1121/2017 PD PTO Day 22.00 54.06 1,189.32
Pay Period Totals= 100.00 $4,000.16
2/4/2017 GTL Taxable Life Insurance 0.00 10.52 10.52 2/4/2017 SH2 Shift 2 Differential 6.00 54.06 32.46 2/4/2017 RN Regular Night 2.00 54.06 108.12 21412017 RD Regular Day 12.00 54.06 648.72 2/4/2017 PN PTO Night 1.00 54.06 54.06 2/4/2017 PD PTO Day 15.70 54.06 848.74 2/4/2017 OLD Oregon Paid Leave Day 5.30 54.06 286.52 2/4/iOl 7 EIN Extended Illness Bank Night 3.00 54.06 162.18 21412017 EID Extended lllness Bank Day 33.00 54.06 1)83.98
Pay Period Totals= 78.00 $3,935.30
Grand Totals= Sl26,654.16
PAYPERIOD ENDING 09/30/16
$6, 151.00'
$6,151.00
$6, 151.00
$6,151.00 $0.00
PAYPERIOD ENDING 10/31/16
$6,151.00 $6,520.06
$6,151.00 $6,520.06
$6, 151.00 $6,520.06
$6,151.00 $56.73
$6,151.00 $56.73
$6,151 .00 $0.00
$6.151.00 $0.00
PAYPERIOD ENDING 11/30/16
$6, 151.00 i
$6,151.00
PAYPERIOD ENDING 12/31 /16
tJ LL u f t---/l:»..J .
'iJ7J I
HEM
CNA
/ ~ I i'u o .fll'C-R_,,-
10/1/2_ <Ji 7-
1961
CLEAN ALLOW Qi l
180j
$6,032.92
$1,248.06
$35.00
$40.00
$7,843.12
$28.37
$35.00
$40.00
$7,162.37
$862.20
$7,551.31
$6.274.00 $6,650.44
$6,274.00 $6.650.44
$6,274.00 $6.650.44
$6,274.00 $57.56
PAYPERIOD ENDING 01/31/17
$6,274.00 $0.00
$6,274.00 $6.650.44
$6,274.00 $57.56
$6,274.00 $57.56
PAYPERIOD ENDING 02/28/17
$6,274.00 $0.00
$6,274.00 $6.650.44
$6,274.00 $57.56
PAYPERIOD ENDING 03/31/17
$6,274.00 $0.00
$6,274.00 $6,650.44
$6,274.00 $57.56
PAYPERIOD ENDING 04/30/17
$6.274.00 $0.00
$6,274.00 $6,650.44
$6,274.00 $57.56
PAYPERIOD ENDING 05/31/17
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Premium Pay ·
RG
HL
VA
OT
CNA
RG
OT
CBO
CNA
RG
OT
CNA
RG
OT
CNA
RG
OT
REGULAR PAY
HOLIDAY LVE
VACATION LV
OVERTIME
CLEAN ALLOW
REGULAR PAY
OVERTIME
CALL BACK OT
CLEAN ALLOW
REGULAR PAY
OVERTIME
CLEAN ALLOW
REGULAR PAY
OVERTIME
CLEAN ALLOW
REGULAR PAY
OVERTIME
150
14
26
5
195
0
160
17
1.5
178.5
0
160
8
168
0
190
12.5
$5,250.34
$490.04
$910.06
$287.80
$6,978.24
$40.00
$6,650.44
$978.52
$86.34
$7,755.30
$40.00
$6,650.44
$460.48
$7,150.92
$40.00
$6,650.44
$719.50
202.5 $7.409.94
0
160
24
$40.00
$6,650.44
$1,381.44
184 $8,071.88
$6,274.00 $0.00
$6.274.00 $6,650.44
$6.274.00 $6,650.44
$6.274.00 $6,650.44
$6,274.00 $57.56
PAYPERIOD ENDING 06/30/17
$6,274.00 $0.00
$6,274.00 $6.650.44
$6,274.00 $6,650.44
$6,274.00 $6,650.44
$6,274.00 $6.650.44
$6,274.00 $57.56
PAYPERIOD ENDING 07 /31/17
$6,274.00 $0.00
$6,274.00 $6,807.29
$6,274.00 $6,807.29
$6,274.00 $58.91
PAYPERIOD ENDING 08/31/17
$6,274.00 $0.00
$6,274.00 $6,807.29
$6.274.00 $6,807.29
$6;274.00 $58.91
PAYPERIOD ENDING 09/30/17
$6.274.00 $0.00
$6,274.00 $6,807.29
$6.274.00 $6,807.29
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Premium Pay
$38.37 Premium Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Regular Pay
$38.37 Premium Pay
$39.27 Premium Pay
$39.27 Regular Pay·
$39.27 Regular Pay
$39.27 Premium Pay
$39.27 Premium Pay
$39.27 Regular Pay
$39.27 Regular Pay
$39.27 Premium Pay
$39.27 Premium Pay
$39.27 Regular Pay
$39.27 Regular Pay
CNA
RG
HL
SL
OT
CNA
RG
HL
VA
GL
OT
CNA
RG
VA
OT
-----
CNA
RG
VA
OT
CNA
RG
HL
CLEAN ALLOW
REGULAR PAY
HOLIDAY LVE
SICK LEAVE
OVERTIME
CLEAN ALLOW
REGULAR PAY
HOLIDAY LVE
VACATION LV
GIVEN/GOV LV
OVERTIME
CLEAN ALLOW
REGULAR PAY
VACATION LV
OVERTIME
CLEAN ALLOW
REGULAR PAY
VACATION LV
OVERTIME
CLEAN ALLOW
REGULAR PAY
HOLIDAY LVE
0
130
30
10
5.5
175.5
0
160
10
2
8
10
190
0
160
10
28.5
198.5
0
170
20
25.5
215.5
0
113
20
$40.00
$5,085.63
$1,173.61
$391.20
$316.58
$7,007.02
$40.00
$5,911.50
$369.47
$73.90
$295.57
$575.60
$7,266.04
$40.00
$6,406.86
$400.43
$1,678.94
$8,526.23
$40.00
$6,090.73
$716.56
$1,502.21
$8,349.50
$40.00
$4,524.84
$800.86