| Sequence | Field Name Description | Length | Example |
|---|---|---|---|
| 1 | Employee Social Security Number | 9 | 123456789 |
| 2 | Employee Last Name | 25 | Anderson |
| 3 | Employee First Name | 17 | William |
| 4 | Extract Deduction Code | 6 | 123456; can be up to six characters; must match deduction code table |
| 5 | Deduction Description | 35 | ABC Dental |
| 6 | Employee Amount | 7.2 | 22.00; decimal point must be included |
| 7 | Employer Amount | 7.2 | 178.00; decimal point must be included |