WAGES / TIME RECORD WAGES / TIME RECORD

Tax Code Date Applied Rates of Pay Superannuation

Hours Worked (regular) Name: Age (if under 20):

Date Started Weekly: Superannuation:  Yes 

M T W T F S S Telephone No.: Date Started:

Hourly:
Postal Address:
Time+Half: Tax Rate:

Employee's IRD Number Double: ACC Levy Classification

Agreement
Expiry Date:
type:
Other*:
Important: Note standard hours above or complete irregular hours Length of pay period
below.
Job title: Employee classification:
* Any other agreed rate

Hours Worked (irregular) Total Hours No. of Annual holidays Domestic

Week Shift Ordinary Time Overtime Leave / Holiday Taxable Gross for pay Taxation PAYE for pay Child Support Student Loan KiwiSaver for Total Net After Tax & Non-Taxable
Shift for Paid as pay-as - Violence Leave Other Deductions Net Payment
Ending Allowances Pay Pay Pay Allowance period Total period for pay period for pay period pay period Deductions Deductions Reimbursement
Ordinary Over Rebate you-go pay
M T W T F S S Ord. Time
hours Time
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
Ordinary
hours
Overtime
hours
Piece
rates
CORD HOLIDAY AND LEAVE RECORD

Value of board or This record should include all details required to enable correct calculation or payments and entitlements for the employee.
Superannuation Current Leave Rights Date
lodgings as agreed $ This record must be considered in the context of employment legislation and the employee's employment agreement.
Employment arrangements and work patterns change and it is important that the record is updated to reflect any changes agreed, as
(if applicable): Annual Holidays (usually 12 months from start)
they occur. It is also important to consider and determine any impact that a change to work pattern may have on annual holidays
 Yes  No Holiday Pay paid on Annual holidays
entitlement $
entitlement at the same time. Records must be kept for six years, and can be viewed by (or a copy given to, on request) the employee
or their representative (including union), or a Labour Inspector.
termination (if
applicable):
8% $ Sick Leave Please visit www.employment.govt.nz for more information.
(usually 6 months from start):
Date Terminated
(if applicable):
Bereavement Leave
(usually 6 months from start):

ACC Levy Classification You should agree with the employee what 4 weeks' holidays Public Holidays (immediate from start)
genuinely means for this employee, and record the agreement
here. This should be reviewed and updated if their work patterns
change. Domestic Violence Leave (usually 6 months after start)

BEREAVEMENT LEAVE DOMESTIC VIOLENCE LEAVE OTHER LEAVE

Signature (if required) ANNUALHOLIDAYS PUBLIC HOLIDAYS ALTERNATIVE HOLIDAYS SICK LEAVE
Amount
Start/Finish Paid Holidays Balance Balance Balance Balance Leave Balance
Date (Gross) Taken Cashed up available Holidays Worked Date Earned Date Taken Cashed up Available Leave Taken Available Taken Leave Taken Available Taken Available