Payment of Gratuity Format Letter

For claiming gratuity form I is used and for sanctioning the same form L is used. Please find the attached forms.

FORM ‘I’

 

[See sub-rule (1) of rule 7]

Application of gratuity by an employee

 

     To ………………………………………………………………………………………………………….

[Give here name or description of the establishment with full address]

 

Sir/Gentlemen,

 

I beg to apply for payment of gratuity to which I am entitled under sub-section (1) of section 4 of the Payment of Gratuity Act, 1972 on account of my superannuation/retirement/resignation after completion of not less than five years of continuous service/ total disablement due to accident/ total disablement due to disease with effect from the …………… Necessary particulars relating to my appointment in the establishment are given in the statement below:

 

Statement

1.       Name in full.

2.       Address in full

3.       Department/Branch/Section where last employed.

4.       Post held with Ticket No. or Serial No., if any.

5.       Date of appointment.

6.       Date cause of termination of service.

7.       Total period of service.

8.       Amount of wages last claimed.

9.       Amount of gratuity claimed.

 

I was rendered totally disabled as a result of

[Here give Detail of the nature of disease or accident]

Payment may please be made in cash/open or crossed bank Cheque.

 

As the amount of gratuity payable is less than Rupees one thousand, I shall request you to arrange for payment of the sum to me by Postal Money Order at the address mentioned above after deducting postal money order commission therefrom.

 

Yours faithfully,

Place                                                                                        Signature/Thumb impression of

Date                                                                                         the applicant employee.

 

Note:

1.       Strike out words not applicable.

 

2.       Strike out paragraph or paragraph not applicable.

 Click Here To Download Payment of Gratuity Format

 Download Form L (Notice for payment of gratuity)

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