Bi-Weekly Payroll Information
Practice Name:
*
Pay Date:
*
Submitters Name:
*
First Name
Last Name
Submitters E-mail:
*
example@example.com
Did you approve time in Gusto?
*
Yes
No
Notes:
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Contractor Pay:
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Bonus Pay:
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Reimbursements and Travel Pay (Please attach receipts and invoices to this form):
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PTO/Sick Pay (Only if different from Gusto Requests and Approvals):
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Miscellaneous Pay:
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Pay Raises:
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Attachments:
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