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SAMPLE FORMP6641R01
LEAVE AND EARNINGS STATEMENT
P6641R01 Leave and Earnings Statement
PURPOSE:The purpose of the Leave and Earnings Statement (LES) is to provide the
employee with a biweekly record
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How to fill out leave and earnings statement

How to fill out leave and earnings statement
01
Gather all necessary documents such as pay stubs, tax forms, and leave records.
02
Log in to your employer's online portal or access the paper version of the leave and earnings statement.
03
Provide your personal information such as employee ID, name, and contact details.
04
Enter your current leave balance and any leave taken during the specified period.
05
Report your earnings accurately, including regular wages, overtime pay, bonuses, and other additional payments.
06
Include deductions such as taxes, insurance premiums, retirement contributions, and any other applicable deductions.
07
Double-check all the entered information for accuracy and completeness.
08
Submit the completed leave and earnings statement to your employer through the preferred method.
09
Retain a copy of the statement for your records.
Who needs leave and earnings statement?
01
Employees who receive a salary or wages from an employer.
02
Individuals subject to tax withholdings.
03
Workers who accrue or take paid leave.
04
Those who require proof of income or employment for various purposes (e.g., loan applications, rental agreements, etc.).
05
Individuals interested in monitoring their leave balance, earnings, and deductions.
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What is leave and earnings statement?
A leave and earnings statement is a document provided to employees by their employer that outlines their pay for a specific time period, including details on earnings, deductions, and leave balances.
Who is required to file leave and earnings statement?
Employers are required to provide leave and earnings statements to their employees on a regular basis, typically with each paycheck.
How to fill out leave and earnings statement?
Employees do not typically fill out leave and earnings statements, as they are generated by the employer. However, employees should review their statements for accuracy.
What is the purpose of leave and earnings statement?
The purpose of a leave and earnings statement is to provide employees with a detailed breakdown of their pay, including earnings, deductions, and leave balances, for a specific time period.
What information must be reported on leave and earnings statement?
A leave and earnings statement typically includes information on gross earnings, deductions for taxes and benefits, net pay, and any leave taken or accrued.
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