HTML Preview Monthly Payroll page number 1.
MONTHLY PAYROLL REPORTING SHEET
NAME:
MONTH/YEAR:
Monthly Totals:
TYPE
MISC. PAY
# OF
HOURS/DAYS
# OF
VISITS
PAY RATE
TOTAL $
Opens
--------------
----------------
$
$
Misc. Visits
--------------
----------------
$
$
Co-signs
--------------
----------------
$
$
PTO
--------------
------------
$
$
In-service
--------------
------------
$
$
Meetings
--------------
------------
$
$
Chart Reviews
------------
$
$
Miscellaneous
$
$
Totals
$
$
Report only time not included in the on-line Home Health Care Assistant system.
Please send your completed sheet by the 1
st
of the month for the previous month.