Payroll Reporting Payroll End Date* Organization Name*Person Submitting this Form (Full Name)*Your Phone #*Your Email* Date Paycheck(s) Written 1st Employee Full NameCheck #Total Hours WorkedHas Hourly Wage ChangedNoYes2nd Employee Full NameCheck #Total Hours WorkedHas Hourly Wage ChangedNoYesCommentsThis field is for validation purposes and should be left unchanged.