Payroll Correction Form

A payroll correction form is a form filled by an employee in case there is any error while calculating and making his payment or in case there is any detail wrongly mentioned in his payroll. The form is filled up so that there is documentary evidence that there was a mistake in the payroll and it has to be rectified and the employee is compensated. The form is usually approved by the HR department of the employer organization.

Sample Payroll Correction Form

                                                           Payroll Correction Form

Employee information:

Name: John Woo                                                Employee id: 521345

Employee status (tick on the appropriate one):

1. Active   2. Terminated     3. Retired

Employee type (tick on the appropriate one):

1. Full Time         2. Part time         3. Contractual

Designation: Assistant Manager

Department: Sales    

Error Information:

Error type (tick on the appropriate one):

1. Base pay     2. Deduction     3. Provident fund      4. Overtime     5. Taxes

Correction (tick on the appropriate one):

1. Over payment   2. Under payment   3. Payment missing   4. Stop pay

Error Period: From 1^st November 2011 to 30^th November 2011

Amount: $1000

Approval for correction:

Name of approver: Glenn Ben                                            Date:  1^st December 2011

Department: HR department

Phone extension number: 456123                                      Email id: glenn@mail.com

The HR department certifies that the above mentioned employee was under paid in his payroll. The HR department also assures the amount will be compensated in the next payroll period.

The employee acknowledges that he is fine with the amount being adjusted in the next payroll period.

Signature of the employee: ______________                             Date: ____________

Signature of approver from HR department: _____________    Date: ___________

Category: Payroll Forms