2010 WCMA Compensation and Benefit Survey

Please complete each question as appropriate. If you need to further explain or clarify the answer to a question, please do so in the comment section provided near the bottom of the survey. Please note: Once you submit the survey you will not be able to edit your answers, so please check the form over for accuracy prior to submitting the survey.

1. Organization (required):

2. Position title (required):

3. Total years as chief and/or assistant chief appointed official with cities/counties:

Years of service with current city/county:

Total years of service in cities/counties:

4. Highest level of education:

5. 2010 population:

6. 2010 current expense/general fund operating budget: $

7. Total number of permanent employees (all departments and funds):

8. 2010 monthly salary: $  (Do not include longevity pay, deferred compensation, or other similar pay.)

9. How is Your Retirement Financed? (check all that apply):

PERS Plan 1      PERS Plan 2      PERS Plan 3      Other      457      Social Security      401a in lieu of Social Security

Social Security 401(a) replacement; please indicate the amount paid by your employer per month: $

10. Please indicate the amount of any 2010 employer paid deferred compensation per month: $

11. Please indicate the amount of any 2010 longevity pay per month: $

12. Please indicate the amount of any 2010 other regular, monthly premium pay: $

13. Insurance Coverage:

Insurance Type % Paid by Employee Employee Coverage Medical Yes No %   Dental Yes No %   Vision Yes No %   Dependent Coverage Medical Yes No %   Dental Yes No %   Vision Yes No %

Employee life insurance? Yes No

Employee disability insurance? Yes No

14. Does your employer pay for membership in WCMA?: Yes No

15. Does your employer pay for attendance at WCMA Conferences?: Yes No

16. Does your employer pay for membership in ICMA?:Yes No

17. Does your employer pay for attendance at ICMA Conferences?: Yes No

18. Does your employer pay for moving expenses?: Yes No

19. Does your employer provide an employer owned vehicle for your exclusive use?: Yes No

If no, do you receive:

A monthly allowance: Yes No

If yes, monthly amount: $

A mileage reimbursement: Yes No

If yes, amount: (cents/mile) $0. (whole number)

20. How many days of vacation leave per year do you earn?:

Are vacation days paid at the time of separation?: Yes No

If yes, what percent is paid?: %

Is the payout capped? Number of days:

Number of hours:

21. How many sick leave days per year do you earn?:

Are sick leave days paid at the time of separation?: Yes No

If yes, what percent is paid?: %

Is the payout capped? Number of days:

Number of hours:

22. Comments (Optional) Please list any other benefits, perks, etc., not mentioned above:

23. Do you have an employment agreement or contract?: Yes No

Employment Agreement. If you answered "Yes" to item 23 (you DO have an employment agreement), please complete the following information. This will be compiled at MRSC, but will not be included in the final document. It will be available to WCMA members who ask for it.

If you DO have an employment agreement, please furnish a current copy to MRSC. E-mail is preferred. Send to lnordby@mrsc.org. If paper copy, please mail to Lynn Nordby at MRSC.

24. In the case of termination, how many days notice is your employer required to provide you?

25. In the case of termination, how many days of severance will you be paid?

26. In the case of resignation, how many days notice are you required to provide to your employer?

If the form doesn't submit, it means that an incorrect value was entered into the form. Please scroll up and review the form for error messages. They will appear next to the field in red.