FORTNIGHTLY TIME AND WAG

WORKSHEET

EMPLOYEE'S ORDINARY WEEKLY WA

DAY AND DATE
Start of
Eg. Monday
START TIME
Unpaid Break
16/10/2008

PAY

Full-Time weekly wage or salary - as in award/agreeme

Ordinary Time Rate

Hours @ $

per/hour

Saturday

Hours @ $

per/hour

Sunday

Hours @ $

per/hour

Public Holiday

Hours @ $

per/hour

Shift Penalty - Rate 1

Hours @ $

per/hour

Shift Penalty - Rate 2

Hours @ $

per/hour

Hours @ $

per/hour

Overtime - Rate 1

Hours @ $

per/hour

Overtime - Rate 2

Hours @ $

per/hour

Hours @ $

per/hour

Hours @ $

per/hour

Piece/Tally Work

Allowance - Other
Payment
Allowance - Other
Payment
Leave - Type

Hours @ $

per/hour

Leave - Type

Hours @ $

per/hour

Leave Loading

Hours @ $

per/hour

GROSS

NOTE: All records must be retained for a minimum of sev

Need more information? Contact Wageline on 1300 655

This information is provided by the Department of

liability for any claim which may arises from any pe

AND WAGES

Employer Name:
Employer ABN:

WEEKLY WAGES (EXCLUDING OVERTIME)

TOTAL
End of
Other Breaks FINISH TIME Hours minus
Unpaid Break
unpaid breaks

as in award/agreement: $

TOTAL:

EMPLOYEE'S ORDINARY WEEKL

DEDUCTIONS (NOTE: Any dedu

be authorised in w
Taxation

Other (eg board/meals)

Other:

Other:

Other:

$
$

N
$
$

Gross Pay -

Total Deductions

$
$

SUPER

$
$

Employer Contribution

Fund/Scheme

GROSS PAY$

Date Paid Into Fund

minimum of seven (7) years from the date the employee ceases their e

ne on 1300 655 266 or wageline@commerce.wa

epartment of Commerce as a general guide only and is not des

es from any person acting on, or refraining from acting on, this

Employee's Name
Job Title:
Status (FT, PT, CAS):
Name of Award/Agreement:

OVERTIME
START TIME

Start of
End of
Other Breaks
Unpaid Break Unpaid Break

WEEKLY WAGES (EXCLUDING OVERTIME)

ny deductions, other than taxation, need to

sed in writing by the employee).
$

I have worked the ab

$
$

Employee's Signatur

$
TOTAL DEDUCTIONS$

NET PAY
Dated:
$

NET PAY$
SUPERANNUATION

es their employment. Where the business changes hands, the record

Other employer templates and resources

Template - Payslip
Template - Employment Details

Template - Fortnightly Time And Wages R

Template - Personal And Other Leave Rec

not designed to be comprehensive nor to render legal advice.

on, this information .

ment:

LEAVE
TOTAL
FINISH TIME Hours minus
unpaid breaks

TYPE
Eg. Annual

HOURS

TOTAL:

EMPLOYEE DECLARATION

ed the above time and received the Net Pay shown on this worksheet.
Signature:

he records should be transferred to the new employer.

ources available from Wageline or at www.commerce.wa.g

Annual leave Calculation Guide
Sick leave Calculation Guide

ages Records Worksheet

Long Service

Leave Calculation Guide

ve Record Worksheet

advice. The Department of Commerce does not accept

FORTNIGHTLY TIME AND WAG

WORKSHEET

EMPLOYEE'S ORDINARY WEEKLY WA

DAY AND DATE
Start of
Eg. Monday
START TIME
Unpaid Break
16/10/2008

PAY

Full-Time weekly wage or salary - as in award/agreeme

Ordinary Time Rate

Hours @ $

per/hour

Saturday

Hours @ $

per/hour

Sunday

Hours @ $

per/hour

Public Holiday

Hours @ $

per/hour

Shift Penalty - Rate 1

Hours @ $

per/hour

Shift Penalty - Rate 2

Hours @ $

per/hour

Hours @ $

per/hour

Overtime - Rate 1

Hours @ $

per/hour

Overtime - Rate 2

Hours @ $

per/hour

Hours @ $

per/hour

Hours @ $

per/hour

Piece/Tally Work

Allowance - Other
Payment
Allowance - Other
Payment
Leave - Type

Hours @ $

per/hour

Leave - Type

Hours @ $

per/hour

Leave Loading

Hours @ $

per/hour

GROSS

NOTE: All records must be retained for a minimum of sev

AND WAGES

Employer Name:
Employer ABN:

WEEKLY WAGES (EXCLUDING OVERTIME)

TOTAL
End of
Other Breaks FINISH TIME Hours minus
Unpaid Break
unpaid breaks

as in award/agreement: $

TOTAL:

EMPLOYEE'S ORDINARY WEEKL

DEDUCTIONS (NOTE: Any dedu

be authorised in w
Taxation

Other (eg board/meals)

Other:

Other:

Other:

$
$

N
$
$

Gross Pay -

Total Deductions

$
$

SUPER

$
$

Employer Contribution

Fund/Scheme

GROSS PAY$

Date Paid Into Fund

minimum of seven (7) years from the date the employee ceases their e

Employee's Name
Job Title:
Status (FT, PT, CAS):
Name of Award/Agreement:

OVERTIME
START TIME

Start of
End of
Other Breaks
Unpaid Break Unpaid Break

WEEKLY WAGES (EXCLUDING OVERTIME)

ny deductions, other than taxation, need to

sed in writing by the employee).
$

I have worked the ab

$
$

Employee's Signatur

$
TOTAL DEDUCTIONS$

NET PAY
Dated:
$

NET PAY$
SUPERANNUATION

es their employment. Where the business changes hands, the record

ment:

LEAVE
TOTAL
FINISH TIME Hours minus
unpaid breaks

TYPE
Eg. Annual

HOURS

TOTAL:

EMPLOYEE DECLARATION

ed the above time and received the Net Pay shown on this worksheet.
Signature:

he records should be transferred to the new employer.