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Full and final settlement worksheet

To work out what is paid or recovered at exit.

Full and final settlement worksheet

FULL AND FINAL SETTLEMENT - [Employee name] ([Employee ID])
Last working day: [date]   Notice served: [days]

EARNINGS
Salary for [days] days worked: INR [amount]
Leave encashment ([days] days): INR [amount]
Bonus or incentive due: INR [amount]
Gratuity, if eligible: INR [amount]
Reimbursements due: INR [amount]
Other: INR [amount]

DEDUCTIONS
Notice-period shortfall: INR [amount]
Loans and advances: INR [amount]
PF, ESI, professional tax and TDS as applicable: INR [amount]
Assets not returned: INR [amount]
Other: INR [amount]

NET PAYABLE: INR [amount]

Prepared by: [name]   Checked by: [name]   Approved by: [name]
Payment date: [date]

    Download Word (.docx)

Replace everything in [square brackets]. This is a starting point and not legal advice. Have your adviser review it.

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