Clone of 2018 Employee Revisions

1
Church Name* This field is required.
2
Employee Name* This field is required.Enter employee's name as it appears on paystubs.
3
What do you want to adjust? (Select multiple, if applicable)* This field is required.
Address
E-mail
Wages / Housing
Tax Withholdings
Deductions/Benefits
Remove Employee
Other
4
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Employee's Email
example@example.com
6
New CompensationFor employees with multiple lines items of compensation, please list all line items even if some have not changed to ensure the account gets accurately updated. The new annualized amounts will be divided by the number of annual pay periods and that amount will be included in each paycheck going forward.
7
Previous Annualized Housing Allowance
8
New Annualized Housing Allowance
9
Payday that this housing change will go into effect
Date
Month
Day
Year
10
* This amount is only for a designation adjustment. No extra compensation will be distributed, only a reallocation of current wages.
11
What status is this employee?
Clergy
Non-Clergy
12
Optional Federal WithholdingsPer Pay Period
13
Optional State WithholdingsPer Pay Period
14
W-4 Status
SINGLE or MARRIED FILING SEPARATELY
MARRIED FILING JOINTLY
HEAD OF HOUSEHOLD
EXEMPT
15
If employee marked box 2c, check here
Box 2c Checked
16
Dependents claimed, in dollars
Field 3 on W-4
17
Dependents claimed, in dollars
$0
$0
$500
$1000
$1500
$2000
$2500
$3000
$3500
$4000
$4500
$5000
$5500
$6000
$6500
$7000
$7500
$8000
$8500
$9000
$9500
$10000
Field 3 on W-4
18
Other income
Field 4a on W-4
19
Deductions
Field 4b on W-4
20
Extra withholding
Field 4c on W-4
21
State Withholding Status
SINGLE
MARRIED
MARRIED (WITHHOLD AT SINGLE RATE)
EXEMPT
22
Number of Allowances
23
Additional State Withholding Per Pay Period
24
AdjustmentsOnly list employee deductions or benefits that are changing. Non-clergy deductions can be entered as flat amounts or percentages. For clergy deductions, please list flat amounts.
25
Employee's Final Payday
Please submit this form after their final payday.
Month
Day
Year
26
Comments
27
Form Submitted By:* This field is required.
First Name
Last Name
28
Your Verification Code
New Compliance Requirement
29
New Compliance Regulation

Clergy Financial Resources will now implement a 6-digit 'Verification Code' as a part of our efforts to protect sensitive church payroll data. Effective immediately, anyone that has not been authorized by the church will not have the ability to make modifications. This step protects your church from someone trying to modify or access your payroll information without your consent. If you have not set up your verification code, please click the link below.

SET UP VERIFICATION CODE

This 'Verification Code' will not have any effects on how your current payroll operates or log-in. This is merely an added layer of protection of your data privacy through our website.
30
Submitted By Email
example@example.com
31
Submitted By Phone Number
Area Code
Phone Number
32
Data Confirmation* This field is required.
33
Submitted By Signature* This field is required.
Clear
34
Tags
Todo
In Progress
Done
Should be Empty: