Calculate your present (or most recent) hourly
wage
Enter the information on an annual basis in the spaces provided.
Salary
1. Salary or wages ____________
2. Overtime ____________
3. Bonuses ____________
Total payments (1+2+3) ____________
Benefits (employer paid)
4. Medical/Dental/Vision Ins ____________
5. Long term disability ____________
6. Life Insurance ____________
7. Pension (401k match, etc.) ____________
8. FICA (7.65% of Salary) ____________
9. State Unemployment (2.10%) ____________
10. Miscellaneous Benefits ____________
Total Benefits (Sum 4-10) ____________
Total Income + Benefits ____________
Your hourly rate (income ÷ 2080) ____________