Record Form

Vendor Details

Gross Amount
Total Amount of Compensation
Statutory Minimum Wage for Minimum Wage Earners (MWEs)
Holiday Pay, Overtime Pay, Night Shift Differential Pay, Hazard Pay (for MWEs only)
13th Month Pay and Other Benefits
De Minimis Benefits
SSS/GSIS
Philheath
HDMF
Union Dues (employee’s share only)
Other Non-Taxable Compensation
Taxable Compensation not subject to Withholding Tax
Total taxes withheld
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