Audit Records Report

Are your audit records in order?

Michael G Campbell Insurance Agency, LUTCF 4216 N. Brown Ave Scottsdale, AZ 85251 staff@michaelgcampbell.com Office: (480) 831-6103 FAX: (480) 945-0999 Toll Free: (800) 467-9006

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These records are REQUIRED to complete Your audit:

1. Gross Payroll Journal / Employee's Earnings Records

2. General Ledger / Canceled Checks / Cash Disbursement Journal / Check Register.

3. Clerical / Salespersons form completed by a principal of your company.

4. Quarterly Wages and Withholding Report.

5. Employee's Quarterly Federal Tax Return (Form 941).

6. Form 1099

7. Sub-Contractor Verification form with Contractors License Numbers

8. Report of Independent Contractors

9. Copies of Certificates covering any Sub-Contractors work attached to Sub-Contractor. Any subcontractor for which this completed information is not provided at the audit will be included for premium purposes.

If applicable to your business, the following records are also required:

. Copies of all monthly payroll reports (if insured with SCIF or similar carrier)

. Time Cards to Verify Payroll Segregation and Use of Two Tier Construction Classes

. Form 5500-Schedule F for Approved 125 Cafeteria Plans

. Fund Control Disbursement Logs and Summaries (and Coupon Book)

. Employee Tool Reimbursement Plan Records

. Certified Payroll Record and Summarized Breakdown of Fringe Benefits for Prevailing Wage Jobs

. Breakdown of Payroll for Jobs with Waiver of Subrogation and Wrap- Up Endorsements

. Mileage Logs Used to Substantiate Auto Allowance

. List of All Lodging Values Provided to Employees

. Property Management Agreement/Contract

. Resident Managers' Contracts/Agreements

. Trust Accounts/Joint Accounts for all Properties Managed

. Records of All Cash Payments for Labor

. Records of Volunteer Hours