| Item |
Monthly |
Yearly |
|
Full name, social security numbers and dates of birth
of you, spouse and any dependents (and their relationship to you) and
contact e-mail address and phone number:
| Name |
SS# |
Relationship |
DOB |
Phone |
Cell |
Email |
| |
|
|
|
|
|
|
| |
|
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|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| State of residence |
| Number of days worked (count a 2-day as 2 days, not 1 night) |
|
|
| Hotel Van-Driver Tips (we will compute this from # of days worked) |
|
|
| Hotel Maid Tips |
|
|
| Dry-cleaning (If not reimbursed by company) |
|
|
| Uniforms and accessories (tie, scarf, epaulets, etc.) |
|
|
| Uniform Alterations |
|
|
| Other Clothes for work and/or training |
|
|
| Shoes / Boots |
|
|
| Shoe Repairs / Shines |
|
|
| Gloves / mittens |
|
|
| Hose / Socks / Undergarments |
|
|
| Toiletries (shampoo, shaving supplies, makeup) |
|
|
| Nails (if polish or clear coat is required by employer) |
|
|
| Flight Luggage |
|
|
| Flight Luggage Repair |
|
|
| Wings |
|
|
| Company ID Replacement |
|
|
| Logbook / Calendar / Organizer |
|
|
| Flashlight |
|
|
| Batteries |
|
|
| Travel Hotel Door Alarm |
|
|
| Travel Clock |
|
|
| Travel Curling Iron |
|
|
| Travel Hair Dryer |
|
|
| Travel Iron |
|
|
| Travel Smoke Detector |
|
|
| International Voltage Converter |
|
|
| Manual Fees (replacement) |
|
|
| Updates & Revision Services |
|
|
| Bidding Services |
|
|
| Travel Passes (Employee ONLY) |
|
|
| Professional Aviation Publications |
|
|
| Faxing or Copying |
|
|
| Recurrent Training Expenses (not covered by the company) |
|
|
| New Aircraft Training |
|
|
| New Cabin Service Training |
|
|
| Other Training |
|
|
| Travel Expenses to Union or Company Meetings |
|
|
| Foreign Language Courses or Seminars |
|
|
| Unreimbursed flight tickets |
|
|
| Union Dues |
|
|
| Union Initiation Dues |
|
|
| Other Aviation Organization Dues |
|
|
| Pager Purchase and Service |
|
|
| Cell Phone Purchase |
|
|
| Cell Phone Service and / or Calling Card Fees |
|
|
| Internet Service Provider |
|
|
| Computer Supplies |
|
|
| Passport (New or Expired) |
|
|
| Passport Photos |
|
|
| Foreign Visas |
|
|
| Business Cards & Supplies |
|
|
| Loss of License / Medical Insurance |
|
|
| FAA Medical Expense |
|
|
| Cockpit Supplies (maps, charts, etc.) |
|
|
| Ear Piece / Headset |
|
|
| Hearing protection |
|
|
| Sunglasses |
|
|
| 2nd phone line for scheduling |
|
|
| Answering Service / Machine |
|
|
| ATM Fees on Layovers |
|
|
| Drug Testing Expenses |
|
|
| Airport Parking Fees |
|
|
| Emergency Cab Fares (Reserve only) |
|
|
| Layover transportation Expenses (taxi, rental car, subway, bus, etc) |
|
|
| Mailing expenses |
|
|
| Charitable Contributions - Cash |
|
| Charitable Contributions - Non-cash (clothes, furniture, books,
etc.) ** |
|
| Other expenses |
|
|
| TOTALS |
| We will need a copy of your prior year's tax returns, both
Federal and state (if applicable) ~ if we did not prepare them. |
| Copy of last pay stub of tax year. |
