Employee Clearance Form Example
Want to make an employee clearance form? We are giving you a sample Employee Clearance Form for companies, schools, colleges, universities, and offices to get in-writing clearance from employees, students, and clients.
Best Employee Clearance Form Template
Please indicate the status of the following items:
Return of Company Property:
a. Office keys: [ ] Returned [ ] Not Returned
b. Company ID Card: [ ] Returned [ ] Not Returned
c. Laptop/Computer: [ ] Returned [ ] Not Returned
d. Company Phone: [ ] Returned [ ] Not Returned
e. Other (please specify): _________________________ [ ] Returned [ ] Not Returned
Return of Company Documents:
a. Employee Handbook: [ ] Returned [ ] Not Returned
b. Confidential Documents: [ ] Returned [ ] Not Returned
c. Other (please specify): _________________________ [ ] Returned [ ] Not Returned
Compliance With Company Policies:
a. Non-disclosure Agreement: [ ] Complied [ ] Not Complied
b. Code of Conduct: [ ] Complied [ ] Not Complied
c. Other (please specify): _________________________ [ ] Complied [ ] Not Complied
Final Payroll:
a. Final Paycheck: [ ] Received [ ] Not Received
b. Final Salary Slip: [ ] Received [ ] Not Received
Exit Interview: [ ] Completed [ ] Not Completed
Remarks: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Employee Clearance Form Page 1
AH Foundation
Clearance Certificate
Certified that there is nothing outstanding against Mr./Ms. _________
Designation ______ who is leaving the Job as (Manager) from (AH Foundation)
With Effect From ________ Head Office DHA, LHR
Section/Signatures ………………….
Store Section __________
Vocational Department ________
Canteen __________
Secretarial Department _________
Section Head _________
Manager Human Capital Development _________
Assistant Manager Administration ______
Manager Administration __________
Accounts Department _______
Marketing Department __________
Employee Clearance Form Page 2
AH Foundation
FULL AND FINAL SETTLEMENT
Name ______ Father Name ________
Designation ________
- Payable Salary for the Month of (if any) __________
- Refundable Security Deposit __________
- Leave Encashment (if any) __________
Total _________
Deductions/Less:
- Outstanding Loans (if any) ________
Advance Salary _______
Tax _________
Net Payable _________
Figures in words. _____________________
Acknowledgment:
I acknowledge the receipt of my full and final settlement of dues, including outstanding salary to date & security deposit, etc. I certify that nothing is due against (AH Foundation) on my behalf. Total amount received Rs. _____
Signature of Employee ______
Accounts Manager |HCD Manager | Director | President
