Check 0805
Check 0805
Company Information
Name Address Phone
Sedgwick Claims Management Services Inc. 8125 Sedgwick Way +1 866-686-0406
Memphis, TN 38125-1128
United States of America
Payslip Information
Check
Name Colleague ID Pay Period Begin Pay Period End Check Date Number
Amber Donaldson 200035576 07/17/2022 07/30/2022 08/05/2022
Earnings
Description Dates Hours Rate Amount YTD
Bereavement 0.00
Referral Bonus 0.00
Group Term Life Imputed 07/17/2022 - 0.00 0.00 0.00 0.00
07/30/2022
Holiday 0.00
Miscellaneous 07/17/2022 - 0.00 0.00 0.00 0.00
07/30/2022
Overtime-Premium Rate 0.00
PTO 0.00
Regular Pay 07/17/2022 - 60.00 17.60 0.00 0.00
07/30/2022
Total: 644.55 644.55
Employee Taxes
Description Amount YTD
OASDI 78.09 1,449.66
Medicare 18.26 339.03
Federal Withholding 1.19 377.51
Total: 97.54 2,166.20
Withholding
Description Federal Work State
Marital Status Married
Allowances 4 0
Additional Withholding 0
Time Off
Description Accrued Reduced Available
US - PTO 0.00 0.00 13.50
Payment Information
Pay Group
Bank Account Name Account Number Amount in Pay Group Currency Currency
Not Available DDA ******7682 644.55 USD
Total: 644.55