Establishing secure connection…Loading editor…Preparing document…

Employee Compensation Agreement

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

DESCRIPTION OF EMPLOYEE'S JOB DUTIES

State of California
Division of Workers' Compensation

INSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the employee's job duties. The completed form will be reviewed by the treating doctor to determine whether the employee is able to return to his/her job. This is an important document and should accurately show the requirements of the employee's job. If the employee needs help in completing this form, the employee may contact the Information and Assistance Officer at the Division of Workers' Compensation. The phone number can be found in the State Government section of the phone book.

EMPLOYEE NAME: (LAST) (FIRST) (M.I.)

CLAIM #

EMPLOYER NAME:

JOB ADDRESS:

JOB TITLE:

HRS. WORKED PER DAY:

HRS. WORKED PER WEEK:

DESCRIPTION OF JOB RESPONSIBILITIES: (DESCRIBE ALL JOB DUTIES)

1. Check the frequency of activity required of the employee to perform the job.

ACTIVITY
(Hours per day)
NEVER
0 hours
OCCASIONALLY
up to 3 hours
FREQUENTLY
3-6 hours
CONSTANTLY
6-8+ hours
Sitting
Walking
Standing
Bending (neck)
Bending (waist)
Squatting
Climbing
Kneeling
Crawling
Twisting (neck)
Twisting (waist)
Hand Use: Dominant hand Right / Left
Is repetitive use of hand required?
Simple Grasping (right hand)
Simple Grasping (left hand)
Power Grasping (right)
Power Grasping (left)
Fine Manipulation (right)
Fine Manipulation (left)
Pushing & Pulling (right)
Pushing & Pulling (left)
Reaching (above shoulder level)
Reaching (below shoulder)

2. Please indicate the daily Lifting and Carrying requirements of the job:

Indicate the height the object is lifted from floor, table or overhead location and the distance the object is carried.

LIFTING LIFTING Height CARRYING Distance
Never
0 hours
Occasionally
up to 3 hours
Frequently
3-6 hours
Constantly
6-8+ hours
Other Never
0 hours
Occasionally
up to 3 hours
Frequently
3-6 hours
Constantly
6-8+ hours
Other
0-10 lbs.
11-25 lbs.
26-50 lbs.
51-75 lbs.
76-100 lbs.
100+ lbs.

Describe the heaviest item required to carry and the distance to be carried:

3. Please indicate if your job requires:

Requirement YES NO (IF YES, PLEASE BRIEFLY DESCRIBE)
a. Driving cars, trucks, forklifts and other equipment?
b. Working around equipment and machinery?
c. Walking on uneven ground?
d. Exposure to excessive noise?
e. Exposure to extremes in temperature, humidity or wetness?
f. Exposure to dust, gas, fumes, or chemicals?
g. Working at heights?
h. Operation of foot controls or repetitive foot movement?
i. Use of special visual or auditory protective equipment?
j. Working with bio-hazards such as: bloodborne pathogens, sewage, hospital waste, etc.

Employee Comments:

Employer Comments:

EMPLOYER CONTACT NAME:

EMPLOYER CONTACT TITLE:

EMPLOYER REPRESENTATIVE SIGNATURE:

DATE:

EMPLOYEE'S SIGNATURE:

DATE:

QUALIFIED REHAB. REPRESENTATIVE SIGNATURE: (IF APPLICABLE)

DATE:

DWC Form RU-91 (1/95)

DESCRIPTION OF EMPLOYEE'S JOB DUTIES

Rehabilitation Unit
California Division of Workers' Compensation
Form RU-91

Purpose:

To obtain a job description which is to be forwarded to the employee's treating physician when an injury or illness results in disability exceeding 90 days.

Submitted by:

  1. Qualified Rehabilitation Representative, if the injury is before 1/1/94.
  2. Claims Administrator if the injury is on or after 1/1/94.

When prepared:

If the injury is before 1/1/94 the QRR meets with the employee to jointly complete this form and provides a copy of the form in conjunction with the RU-90 to the employee's treating physician. If the injury is on or after 1/1/94, the claims administrator consults with the injured worker in completing the RU-90 and then submits it to the treating physician.

When submitted:

To the treating physician. Do not file the RU-90 or RU-91 with the Rehabilitation Unit unless specifically requested or when submitting information as part of a dispute.

Form completion:

Qualified Rehabilitation Representative or claims administrator, in consultation with the employee and employer, completes the entire form.

Accompanying document:

The RU-91 is to be attached to the RU-90 and submitted to the treating doctor.

Rehabilitation Unit action:

None.

Enter text✕

What an Employee Compensation Agreement Covers

An Employee Compensation Agreement is a written contract that documents the pay, benefits, bonus structure, and any equity or deferred compensation for an employee. It typically sets the effective date, payment schedule, conditions for bonuses or commissions, tax and withholding obligations, and terms for termination or severance. The agreement clarifies employer and employee expectations about base salary, eligibility for benefits, and any post-termination obligations such as noncompete or confidentiality provisions. Clear, signed compensation agreements reduce disputes and support accurate payroll, tax reporting, and recordkeeping.

Why a Written Compensation Agreement Matters

A documented agreement creates legal clarity around pay, prevents misunderstandings, supports payroll and tax compliance, and provides enforceable terms for bonuses, PTO, and severance. It also helps HR and finance apply consistent payroll processes and preserves evidence in case of disputes or audits.

Why a Written Compensation Agreement Matters

Who Typically Creates and Signs This Agreement

The Employee Compensation Agreement is used by employers and HR teams to formalize pay and benefits, and by new hires or existing employees when changes occur.

  • HR and payroll teams preparing offer or amendment documents for hire and compensation changes.
  • Hiring managers and executives approving job-level pay, bonus formulas, and equity grants.
  • Employees receiving, reviewing, and formally accepting compensation terms or amendments.

Use the agreement whenever compensation terms are set or materially changed to ensure payroll, tax reporting, and benefits administration align with the written terms.

Step-by-Step: How to Complete an Employee Compensation Agreement

Follow these core steps to prepare, review, and finalize a compensation agreement so payroll, benefits, and tax reporting align with the signed document.

  • 01
    Prepare Terms: Draft pay, schedule, bonuses, benefits, and termination terms with precise language to avoid ambiguity.
  • 02
    Internal Review: Route to HR, payroll, and legal for compliance and tax implications before presenting to employee.
  • 03
    Present to Employee: Share the agreement with clear explanation of pay mechanics and any contingencies or performance targets.
  • 04
    Sign and Record: Obtain signatures from authorized signers and store the executed copy in the HR record and payroll system.

How to Configure an Online Signing Workflow

Set up an eSignature workflow that enforces signer order, authentication, and retention of the signed agreement.

Field Configuration
Signer Order Employee then Employer representative
Authentication Email link or SMS code as minimum
Required Fields Signatures, dates, printed names
Storage Retain PDF with audit trail in HRIS

Where to Send and How the Submission Works

Understand the routing and final destinations for the signed agreement to ensure proper records and payroll updates.

  • Prepare: Upload document and place required fields for signature and dates.
  • Assign: Add signer emails and set signing order if multiple approvers are required.
  • Send: Dispatch via secure signing link or email with authentication as configured.
  • Archive: Store executed PDF and audit trail in the HR file and payroll system.

Digital Signing and Format Requirements

Choose a platform that supports secure eSignatures, audit trails, and common file formats for HR recordkeeping.

  • File Formats: PDF, DOCX supported
  • Authentication: Email or SMS code options
  • Integrations: HRIS and cloud storage connections

Ensure the chosen workflow preserves the signed PDF and audit metadata so the agreement can be reproduced and validated for audits.

Key Timing Considerations and Deadlines

Be mindful of payroll cycles, tax-reporting deadlines, and effective dates that affect withholding, benefits enrollment, and year-end forms.

Effective Date:

Date when pay and benefits become active for payroll and benefits eligibility.

Payroll Cutoff:

Confirm payroll cycle deadlines to include any retroactive pay on next check.

Bonus Payout Dates:

Schedule and document payout dates and any earning conditions.

Year-End Reporting:

W-2 must be provided to employees by Jan 31 (IRS deadline).

Amendment Effective:

Use MM/DD/YYYY to record when any amendment takes effect for obligations.

Common Errors to Avoid

  • Using vague bonus language that leaves performance metrics undefined and creates disputes during payout calculation.
  • Mismatched names or titles that do not match payroll or tax records, causing backup withholding or reporting delays.
  • Failing to specify payment frequency or method, which leads to misaligned payroll entries and employee confusion.
  • Not documenting termination-related compensation or severance triggers, resulting in contested post-employment payments.

Risks and Penalties from Incorrect or Missing Details

Tax Reporting Penalties: Incorrect forms can trigger IRC §6721 fines.
Backup Withholding: Missing TIN may cause 24% withholding.
I-9 Violations: Record errors can incur $281–$2,789 fines.
Enforceability Risk: Ambiguous terms can reduce enforceability in disputes.
Benefits Misapplication: Wrong effective dates can deny eligible coverage.
Clawback Exposure: Unclear clawback terms complicate recovery of overpayments.

Essential Clauses to Include in the Agreement

A professional Employee Compensation Agreement contains clear compensation mechanics, eligibility rules, and employer-employee obligations so both parties understand pay, performance triggers, and termination consequences.

Base Compensation

Identify exact salary or hourly rate, currency, and measurement period. Include overtime eligibility and the pay frequency used for payroll processing.

Payment Schedule

Specify pay dates or period (weekly, biweekly, monthly) and how retroactive adjustments are handled to ensure payroll alignment.

Bonus and Commissions

Detail formula, performance metrics, payout timing, pro rata rules, and any clawback or repayment provisions for erroneous payments.

Benefits and Perks

Describe eligibility for health insurance, retirement contributions, PTO accrual, and any employer contributions or waiting periods.

Confidentiality

Include nondisclosure obligations related to compensation, proprietary information, and trade secrets to protect business interests.

Termination Terms

State cause and notice provisions, severance formula if any, and which compensation items survive termination or are subject to repayment.

Security, Compliance, and Signature Standards

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
ESIGN / UETA: Meets ESIGN and UETA legal tests
Audit Trail: Timestamps, IP, and action history
HIPAA: BAA available for protected health data
21 CFR Part 11: Support for FDA-regulated records
Access Controls: Role-based permissions and SSO

eSignature Vendor Pricing Snapshot for Compensation Agreements

Compare starting prices and core capabilities that matter for HR workflows. signNow is listed first by design; confirm vendor terms before purchase.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Real-World Examples of Compensation Agreement Use

Examples show how organizations apply electronic signing and tailored clauses to speed execution and maintain compliance.

Xerox - NetSuite Integration

Kodi-Marie Evans, Director of NetSuite Operations at Xerox, used integrated workflows to automate signatures and recordkeeping.

  • Integration reduced manual uploads and reconciliations.
  • The approach ensured the right signatures and formats flow into NetSuite, improving compliance and reducing processing time for HR and finance teams.

Martin Properties - Remote Execution

Tim Martin, Founder of Martin Properties, executed offers remotely to speed hiring during property growth.

  • Remote signing enabled instant acceptance and onboarding.
  • By processing and executing compensation documents online with secure signatures, the company maintained compliance while shortening time-to-hire and accelerating payroll setup.

Primary Signers and Their Roles

HR Manager

HR managers draft and review compensation agreements to ensure alignment with internal pay bands, benefits eligibility, and payroll system requirements. They coordinate approvals and ensure the executed agreement is stored in the employee record for audit purposes.

Authorized Signer

An authorized employer representative—often an officer or HR director—executes the agreement on the employer's behalf and confirms compensation commitments are budgeted and approved before signature.

Practical Tips for Accurate, Efficient Completion

Adopt clear drafting, consistent formats, and a controlled signing workflow to reduce errors and support downstream payroll and tax processes.

Use Precise Language
Define amounts, formulas, and timing in plain terms. Avoid subjective phrases like 'reasonable' without measurable context to reduce interpretive disputes and simplify payroll implementation.
Align with Payroll
Coordinate with payroll to confirm pay codes, effective dates, and tax withholding entries before final signature to prevent retroactive corrections.
Record Supporting Schedules
Attach exhibits for bonus formulas, equity vesting, or commission schedules so the agreement and calculations remain auditable and unambiguous.
Preserve Audit Metadata
Maintain the executed PDF plus audit trail (timestamps, IP, signer email) and retain records per regulatory retention rules for tax and employment matters.

FAQs — Common Questions About Employee Compensation Agreements

Answers to frequent questions about validity, e-signatures, notarization, tax reporting, and amendments to compensation agreements.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users