Payroll Review Questions
Facility Name
*
Choose Facility
Center Home
Pine Crest
Park View
River View
Prairie Oasis
Oak Park Oasis
Austin Oasis
Payroll Ending Date
*
/
Month
/
Day
Year
Date
Name of Person Filling out Form
*
First Name
Last Name
E-mail
*
Time Card Review (answer all questions)
Check if completed
Have all time cards been reviewed?
Have you reviewed your salaried employees time cards?
Are all schedules entered and adjusted accordingly?
All missing punches corrected?
All deviations from the schedule explained in a note on timecard?
Payroll Review (answer all questions)
Check if completed
Have you submitted your Status Change Forms for approval?
Have you submitted Direct Deposit Changes to payroll?
Have you submitted all New Hire Forms to payroll?
Have you submitted Termination Forms to payroll?
Overtime (All boxes must be filled. If there are 0 OT hours enter "0")
*
Overtime (Enter hours) 00.00
Nursing (RN/LPN)
CNA
Dietary
Housekeeping
Laundry
Activity
Maintenance
Rehab/Restorative
Total Overtime for this Pay Period
Explanation (provide short explanation for the overtime in each department)
Are any of the department hours above the budgeted hours?
*
Yes
No
Explanation (provide short explanation for being above the budget)
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