Print one row for each pay period. Add extra sheets if the verified category requires a longer history. Keep account numbers and payslip files in your private folder.
| Item to record | Your notes / evidence | Owner and date |
|---|---|---|
| Pay period / payslip reference / gross and net pay | ________________________________________________ | ________________ |
| Bank credit date / amount / statement reference | ________________________________________________ | ________________ |
| Employer or payroll name discrepancy | ________________________________________________ | ________________ |
| Bonus, deduction, leave or corrected-pay explanation | ________________________________________________ | ________________ |
| Employer letter facts checked | ________________________________________________ | ________________ |
| Missing evidence request and response date | ________________________________________________ | ________________ |
Complete the action plan
Total only the figures permitted by the relevant category. Finish with a discrepancy list showing the fact, supporting document and remaining question. Do not use this grid to replace the required payslips, statements or employer letter.
Decision record: What is established? ____________________ What remains uncertain? ____________________ Next action and date: ____________________
Keep this completed sheet privately. It is a planning aid, not an application form or an eligibility decision. Recheck the linked official guidance before relying on a rule, fee or deadline.
Family Visa Mag · Information checked 15 October 2026 · https://familyvisamag.com/resources/employment-evidence-reconciliation-worksheet/
Planning resource, not an official application form or eligibility decision.