A pay stub is the itemized record that goes out with a paycheck. It shows what an employee earned, what was taken out, and what actually landed in their account. This template lays out gross pay, taxes, other deductions, and net pay for one pay period, with running year-to-date totals. Download it free, fill in the numbers, and issue it.
Free to use. Legally binding under the ESIGN Act, UETA, and eIDAS.Updated November 2026 by Document eSign
A pay stub is the itemized statement an employer hands over with each payment, showing how the net amount was worked out. It starts with gross pay, the full amount earned before anything is taken out, then lists the deductions one by one: federal income tax, Social Security and Medicare, state and local tax, and voluntary items like health premiums or a retirement contribution. What is left is net pay, the figure that actually reaches the bank account. Most stubs also carry a year-to-date column so each line adds up across the year. People call the same document a few things: a pay stub, a paycheck stub, an earnings statement, or, in several state statutes, a wage statement. Federal law does not require an employer to issue one, but it does require the underlying records, and many states require a written or electronic statement every payday. Keep it separate from two documents it sits next to. A timesheet is the worker's claim of hours before payroll runs; this document is the record of what was actually paid after it runs. A direct deposit authorization routes the money to a bank account; the stub accounts for the money itself. The template here is for issuing a real record of wages genuinely paid. It is not a tool for inventing income, which is a separate matter covered below.
Who uses it
A small-business owner running payroll without a full payroll serviceAn employer in a state that requires a written wage statement each paydayA household employer paying a nanny, caregiver, or housekeeperA bookkeeper issuing a one-off or corrected statement for a past periodAn employee who needs a clean record of earnings for their own files
What's inside
Employer and employee identification, with the pay period dates and pay date
An earnings block: regular and overtime hours, the rate, and gross pay
Tax withholding lines for federal income tax, Social Security, Medicare, and state tax
Other deductions: health premiums, retirement contributions, and any garnishment
A net pay figure, the amount actually paid for the period
Year-to-date columns that carry every total forward across the year
A payment-method line for a check number or direct deposit
An optional leave-balance section for paid time off and sick leave
A short employer certification of the amounts shown
A closing line that defers to your state's wage-statement rules
HOW IT WORKS
From template to signed in three steps.
01
Start from the template
Open it in the editor with the fields already mapped, or download the DOCX to edit offline.
02
Add signers and send
Drop signature and date fields, then route each party in order or in parallel.
03
Get a sealed copy
Everyone signs, and you get a tamper-evident PDF plus an audit certificate.
Free forever. No credit card. Your recipients sign with no account.
The details
Everything to know before you send it.
1
How to fill it in
Work top to bottom. Identify the two parties and the exact period, enter the earnings, then each deduction, and let the summary reconcile to the net pay you actually sent. The one rule that matters: the net pay line has to equal gross pay minus every tax and deduction above it, and it has to match the check or deposit the employee received.
Enter the employer's legal name and address and the employee's name and payroll ID.
Set the pay period start and end dates, the pay date, and how the employee was paid.
Fill in the earnings: regular hours times the rate, any overtime, and any bonus or commission, to get gross pay.
Enter the tax lines: federal income tax, Social Security, Medicare, and state or local tax.
Add any other deductions, such as insurance premiums or a retirement contribution.
Check that gross pay minus total taxes and deductions equals the net pay you issued, then carry the year-to-date totals forward.
2
What a wage statement has to show
There is no single federal list, because the Fair Labor Standards Act does not require a statement at all. It requires the employer to keep the underlying payroll records, which per the Department of Labor (Fact Sheet #21, 29 CFR Part 516) include hours worked, the pay rate, straight-time and overtime earnings, all additions to and deductions from wages, total wages per period, and the pay date and period covered. The detailed content rules come from the states. California sets the fullest list: Labor Code 226(a) requires nine items on every wage statement, which is why this form mirrors them. Those nine are gross wages earned, total hours worked (for non-exempt employees), any piece-rate units and rate, all deductions, net wages earned, the pay-period dates, the worker's name and the last four digits of the Social Security number or an employee ID, the employer's legal name and address, and all hourly rates in effect with the hours worked at each. Build to a list like that and your stub will satisfy nearly any state.
3
Reading the tax lines
Three federal taxes come out of almost every paycheck, and they behave differently. Federal income tax is withheld based on the worker's Form W-4 and the IRS tables, so it varies with pay and filing choices. The other two are FICA and are set by statute at flat rates. Social Security is 6.2 percent of wages, paid by the worker and matched by the employer, but only up to an annual wage base that the Social Security Administration resets each year; for 2026 that base is $184,500, so earnings above it are not subject to the Social Security portion. Medicare is 1.45 percent with no wage cap, also matched, plus an extra 0.9 percent Additional Medicare Tax taken from the worker on wages over $200,000 in a year. On top of those sit state income tax, where your state has one, and sometimes a local or city tax. Everything after the taxes, the health premium or the 401(k) line, is a separate category of deduction, not a tax.
4
Gross pay, net pay, and year to date
Gross pay is the full amount earned for the period before anything is removed. Net pay, often called take-home pay, is what is left after every tax and deduction, and it is the number that matches the check or deposit. The gap between the two is routine and often large once income tax, FICA, and benefit deductions are added up. The year-to-date columns are the part people overlook, and they matter. Each line, gross, each tax, each deduction, and net, carries a running total from January 1 through this pay date. Those figures are what an employee uses to sanity-check a W-2 at year end and what a lender or landlord looks at to gauge steady income, so keep them accurate from the first stub of the year rather than trying to reconstruct them in December.
5
Do employers have to provide a pay stub?
It depends entirely on the state, because federal law does not require one. The states fall into a few groups. A small number have no wage-statement law at all, so an employer there is not legally required to hand over a stub, though keeping the FLSA records and issuing one anyway is still the sensible practice; commonly cited no-requirement states include Florida, Georgia, and Tennessee. Most states are access states: the employer must give the employee a statement of their pay each payday, on paper or electronically. A few, including Delaware, Minnesota, and Oregon, let electronic stubs be the default but require the employer to let an employee opt for paper or print one. California goes furthest, requiring a detailed itemized statement under Labor Code 226 and backing it with penalties: a knowing and intentional violation runs $50 for the first pay period and $100 for each one after, up to $4,000 per employee, plus costs and attorney's fees. Classifications and details shift, so check your own state's wage-payment rules before deciding a stub is optional.
6
Do not use this to fake income
This form exists to document wages that were actually paid. It is not a way to manufacture proof of income you did not earn, and using it that way is a crime, not a gray area. Filling in invented figures to get a mortgage, a car loan, or an apartment is fraud. Submitting a fabricated statement on a loan application can be charged as making a false statement to a lender (18 U.S.C. 1014), bank fraud (18 U.S.C. 1344), or wire fraud (18 U.S.C. 1343), each a federal felony with serious prison exposure, and it also exposes you to civil liability to whoever relied on it. Landlords, lenders, and background-check services routinely verify stubs against bank deposits, employer records, and tax transcripts, so a faked one tends to fall apart on the first check. If you need to prove income you genuinely have, ask your employer for your real records or use an employment verification letter instead.
7
Issuing it on paper or online
A pay stub does not need to be signed, notarized, or witnessed; it is a record the employer issues, not a contract the two sides negotiate. You can print it and include it with a paper check, or send it electronically with a direct deposit, and an electronic wage statement is valid in most states as long as the employee can access and print it. California, for example, allows electronic statements provided the employee can readily access and print a copy. Whatever the format, keep a copy. The FLSA requires payroll records to be retained for three years and the supporting wage-computation records for two, and some state laws set their own retention periods, so a stub is part of the record you are expected to be able to produce later.
8
Common mistakes to avoid
A few errors show up again and again. The most common is a net pay figure that does not actually equal gross pay minus the listed deductions, usually because a line was rounded or missed; always reconcile the summary to the real payment. Dropping or resetting the year-to-date totals mid-year is the next one, and it breaks the W-2 reconciliation at year end. Showing a full Social Security number instead of the last four digits is a privacy problem and a violation in states like California. Labeling a pre-tax deduction as a tax, or vice versa, throws off the employee's tax picture. And forgetting to show total hours and the rate for a non-exempt employee leaves out items that several states specifically require.
This template and the guidance on this page are provided for general information only and are not legal advice. Laws differ by country and state, so review the final document against your own situation and have a qualified lawyer check anything high-value or regulated before you sign.
FAQ
Questions, answered.
What is a pay stub?
A pay stub is the itemized statement issued with a paycheck that shows how net pay was calculated. It starts with gross pay, lists each tax and deduction, and ends with the net amount actually paid. It usually also carries year-to-date totals. The same document is sometimes called a paycheck stub, an earnings statement, or a wage statement.
Are employers required to provide pay stubs?
Federal law does not require a pay stub, only that the employer keep the underlying payroll records. The requirement comes from the states, and most of them require a wage statement each payday, on paper or electronically. A few states have no requirement at all, and California requires a detailed itemized statement with penalties for getting it wrong. Check your own state's rules.
What should a pay stub include?
At a minimum: the employer's legal name and address, the employee's name and ID, the pay-period dates, gross pay, each tax withheld (federal income tax, Social Security, Medicare, and state tax), any other deductions, net pay, and the hours and rate for an hourly employee. California's Labor Code 226 lists nine required items, which is a good model to build to no matter where you are.
What is the difference between gross pay and net pay?
Gross pay is the full amount earned before anything is taken out. Net pay, or take-home pay, is what is left after taxes and deductions and is the figure that matches the check or deposit. The difference is the total of all the withholdings in between, which commonly includes income tax, Social Security and Medicare, and benefit deductions.
What taxes are taken out on a pay stub?
Federal income tax, withheld based on the employee's W-4, plus the two FICA taxes: Social Security at 6.2 percent (on wages up to $184,500 for 2026, the limit the Social Security Administration sets each year) and Medicare at 1.45 percent with no cap, plus an extra 0.9 percent on wages above $200,000. State and sometimes local income tax come out on top of those where they apply.
Can I make my own pay stubs?
Yes, for real wages you actually paid. An employer or bookkeeper can issue a stub with this template as long as the numbers reflect the actual pay. What is not legal is inventing figures to fake income for a loan or a rental, which is fraud and can be charged as a federal crime. To prove income you genuinely earn, use your real stubs or an employment verification letter.
Is the pay stub template available in Word format?
Yes. Download the pay stub as a Word (.docx) file and edit it in Microsoft Word, Google Docs, or Pages. You can also download a PDF or fill it in and sign online.
Can I download the pay stub as a PDF?
Yes. A print-ready PDF is available alongside the Word version. Download either one free, or fill it in online without downloading anything.
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