| Company name, address, EIN, phone and logo | Employer block and title with pay date, period and check number |
| Employee name, address and ID | Employee card |
| Last four digits of the SSN | Employee card |
| Pay period, pay date and pay frequency | Employer block and title with pay date, period and check number |
| Hours and rate, or the salary for the period | Earnings and deductions cards side by side |
| Overtime, bonus, commission and tips lines | Earnings and deductions cards side by side |
| Federal, state, Social Security and Medicare (estimated) | Pay Summary card: gross pay, deductions, net pay |
| Your own deductions (health plan, retirement, garnishment) | Pay Summary card: gross pay, deductions, net pay |
| Year-to-date totals | Pay Summary card: gross pay, deductions, net pay |
| Memo or notes | Year-to-date block and notes |