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County: FRINGE BENEFIT COMPONENTS SOCIAL SECURITY & MEDICARE WORKMAN S COMP INS UNEMPLOYMENT COMP INS PENSION/RETIREMENT PERMANENT PERMANENT TEMPORARY TEMPORARY EMPLOYEES EMPLOYEES EMPLOYEES EMPLOYEES REGULAR TIME OVERTIME REGULAR TIME OVERTIME 7.65% 7.65% 7.65% 7.65% MEDICAL INS DENTAL INS LIFE INS HOLIDAYS VACATION LEAVE SICK LEAVE TOTAL % I certify that the information above was transcribed from payroll records or other documents, which.

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How to fill out the Dap16 Form online

The Dap16 Form is a crucial document used by the Pennsylvania Emergency Management Agency to detail fringe benefit rate components for employees. This guide provides clear and concise steps to assist users in completing the form online with ease.

Follow the steps to fill out the Dap16 Form effectively

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the applicant's name and county in the designated fields.
  3. Complete the section for fringe benefit components by entering the applicable percentages for Social Security & Medicare, Workman’s Comp Insurance, Unemployment Comp Insurance, and Pension/Retirement under each employee category (Permanent and Temporary).
  4. For benefits like Medical Insurance, Dental Insurance, and Life Insurance, input the costs associated with regular and overtime work as necessary. Refer to the note regarding overtime costs to ensure accuracy.
  5. Once all relevant fringe benefits and percentages are entered, calculate the total percentage and write it in the appropriate field.
  6. Certify the information by providing your name and the date in the 'Certified by' section. Make sure all data is transcribed accurately from payroll records or other documents as per audit requirements.
  7. Finally, review the entire form for any errors or omissions, make necessary corrections, and then save your changes. You can download, print, or share the completed form as needed.

Fill out your Dap16 Form online today for a streamlined process!

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