Worksheet

1 Fill out needed details in the heading of the worksheet as applicable.

2 Correctly and completely fill out white cells with needed data.
*Employee Number (Code to be provided by Accounting for those without employee number e.g HRH)
*Employee name
*Unit/Section
*Position
*TIN
*No of working days for the month
*Work period with pay (refers to the number of days with pay for the period/cut-off. E.g for the period Sept 1-15, there are 1
*Number of minutes late and absent ; for absences,1 day= 480 minutes (8 working hours*60 minutes )
*Monthly rate
*Choose if the tax classification is professional or non-professional (for PHA, classification to be chosen is non-professional e
*Input necessary deductions (HDMF,PHIC and SSS)
2 Please do not input on the yellow cells as these are cells with formulas. These cells automatically generate needed figures.
Payroll
1 Provide necessary details in the heading of the payroll
Unit/Section
Fund Cluster
Period
Sheet no.
2 Check column S of Payroll sheet, it should be 0.
3 Input corresponding name of authorized official in box A of payroll and his/her designation.
4 Print the payroll sheet only.
e period Sept 1-15, there are 11 days to be paid)

e chosen is non-professional even though licensed.)

lly generate needed figures.

 PERIOD: REPLACE ME

No. EMPLOYEE No. NAME UNIT / SECTION

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTALS
PAYROLL No: PROGRAM: DIVISION: REPLACE ME

480

# OF WORKING WORK PERIOD No. of Mins.

POSITION TIN DAYS FOR THE WITH PAY Late/ Absent
MONTH
30 15 30
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
22 11
 UNIT: REPLACE ME

Pls do not input on the yellow cells, and do n

WTAX
MONTHLY AMOUNT EARNED TARDINESS/ GROSS Tax Classification
RATE THIS PERIOD ABSENCES SALARY 3%

15,000.00 7,500.00 31.25 7,468.75 Professional 224.06

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
7,500.00 31.25 7,468.75 224.06
ells, and do not insert additional rows/columns!
WTAX OTHER DEDUCTIONS
TOTAL OTHER NET
10% HDMF PS PHIC SSS DEDUCTIONS AMOUNT

746.88 - 6,497.81
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
746.88 - - - - 6,497.81
No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
 DEPARTMENT OF HEALTH
Regional Office V
Legazpi City

PAYROLL

Unit: REPLACE ME Fund Cluster: REPLACE ME

Salary of ________________________________________________________
We acknowledge receipt of cash shown opposite our name as full compensation for services rende

EMPLOYE Amount Late/ Absences

Monthly GROSS
NAME POSITION E earned for No. of WTAX
Rate Amount SALARY
NUMBER the period Minutes (3%)
1 - - - 15,000.00 7,500.00 30 31.25 7,468.75 224.06
2 - - - - - 0 - - -
3 - - - - - 0 - - -
4 - - - - - 0 - - -
5 - - - - - 0 - - -
6 - - - - - 0 - - -
7 - - - - - 0 - - -
8 - - - - - 0 - - -
9 - - - - - 0 - - -
10 - - - - - 0 - - -
11 - - - - - 0 - - -
12 - - - - - 0 - - -
13 - - - - - 0 - - -
14 - - - - - 0 - - -
15 - - - - - 0 - - -
16 - - - - - 0 - - -
17 - - - - - 0 - - -
18 - - - - - 0 - - -
19 - - - - - 0 - - -
20 - - - - - 0 - - -
TOTAL 15,000.00 7,500.00 30.00 31.25 7,468.75 224.06
A. Certified: Services duly rendered as stated. B. Approved for Payment:

REPLACE ME NAPOLEO
Authorized official Date O

C. Certified: Supporting documents complete and proper, and cash available in D. Certified: Each employee wh
the amount of _________________________ paid the amount indicated o

RESTY D. DAEP,CPA MA. SANDRA

Accountant III Date Administrative Office
 Appendix 33

Period: REPLACE ME Payroll No.:

Sheet_______of ______sheets
_________________
ervices rendered for the period covered.

DEDUCTIONS
NET
WTAX TOTAL REMARKS
HDMF PS PHIC SSS AMOUNT
(10%) DEDUCTIONS
746.88 - - - 970.94 6,497.81
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
 - - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
746.88 - - - 970.94 6,497.81
Payment: 6,497.81

NAPOLEON L. AREVALO,MD,MPH
OIC- DIRECTOR IV Date

employee whose name appears above has been

E.
unt indicated opposite his/her name.
ORS/BURS No.
MA. SANDRA S. PUNZALAN Date
strative Officer V/Head, Cash Section JEV No.
Date