This document type for pay stubs in the United States is expected to be a single page only. Any subsequent pages are ignored.

Supported fields on this form:

• PeriodBeginning

• PeriodEnding

• PayDate

• EarningsRegularRate

• EarningsRegularHour

• EarningRegularThisPeriod

• EarningsRegularYearToDate

• GrossPay

• GrossPayYearToDate

• FederalIncomeTaxThisPeriod

• FederalIncomeTaxYearToDate

• SocialSecurityTaxThisPeriod

• SocialSecurityTaxYearToDate

• MedicareTaxThisPeriod

• MedicareTaxYearToDate

• EmployerName

• EmployerStreet

• EmployerCity

• EmployerState

• EmployerZip

• EmployeeName

• EmployeeStreet

• EmployeeCity

• EmployeeState

• EmployeeZip