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BackPayCalculationWorksheet SWM003G (Rev.07/2017)Submitted: PhoneNumber:I. EmployeeInformation Name: PersonnelNumber(SCEISAgencies): SocialSecurityNumber(nonSCEISAgencies): Reschedule:(Daysoftheweek) SundayMondayTuesdayThursdayFridaySaturdayWednesdayAnnualSalary: Includeanycompensationinadditiontobasesalarytheemployeewouldhavebeenentitledtoduringthebackpayperiod.
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