NOTE: One page has eight (8) entries only. If multi-pages are required, one page is completed and submitted at a time. Once a page is completed, click the "Show Totals" button and the totals will appear. Insert the Earnings Case Management System (ECMS) REAP Totals into Reconcilition Image Managment System (RIMS) (for each form completed). Once the "Submit" buton is selected, a blank form will appear. Continue this process until you have completed the number of pages required for the case.

Select an option:

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  06-08 – all increases;

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  09-11 – all decreases;

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  12-14 – mixed;

Select an employment code:

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  Agriculture,

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  Household, ;

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  Military,

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  Regular

Enter Social Security Number (9 digits) for each item to be listed.

NOTE: If no SSN, enter all zeroes (000-00-0000).

Enter first initials of each individual; if no middle initial, leave blank.

Enter last name of each individual: If no last name exists, then enter “None” in the Last Name field.

Leave blank

Enter amount of Wage adjustment:

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  If adjustment is a decrease, enter a negative sign (-) before the money amount

NOTE: When using type of modification (TOM) code 12-14, show all decreases on one line and all increases on the next line for the same SSN.

• •

  Enter amount of Tips adjustment (if applicable)

NOTE: When using TOM code 12-14, show all decreases on one line and all increases on the next line for the same SSN.

• •

  Enter amount of Medicare adjustment

NOTE: When using TOM code 12-14, show all decreases on one line and all increases on the next line for the same SSN.

Additional remarks (if applicable)

*Click the "Show Totals" button and the totals of the completed form will appear.

Note: Review totals for accuracy. If the totals are incorrect, select the "Reset" button to re-enter the wages.

*Insert the ECMS REAP Totals into RIMS for each form completed.