For claiming gratuity form I is used and for sanctioning the same form L is used. Please find the attached forms.
[See sub-rule (1) of rule 7]
Application of gratuity by an employee
[Give here name or description of the establishment with full address]
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:
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.
Place Signature/Thumb impression of
Date the applicant employee.
1. Strike out words not applicable.
2. Strike out paragraph or paragraph not applicable.
Other Related Claim Letter Formats
Search Sample Formats:
Am attaching herewith Started maintaining for S & E Act.
Types of payment
1. Payment by time
Payment by time is the type of payment in which the employee is paid according to the real working time at the company:
• Monthly salary is the salary paid fixedly each month based on the employment contract.
• Weekly salary is the salary paid for one working week, calculated by monthly salary multiplied by 12 and then divided by 52.
• Daily salary is the salary paid for one working day, calculated by monthly salary divided by 26.
• Hourly salary is the salary paid for one working hour, calculated by daily salary divided by the standard number of working hours ( 8 per day or 40 per week).
2. Payment by results ( or by products):
Payment by results is the type of payment in which the employee is paid based on the number and quality of the product he (or she) produced.
3. Payment by work:
This is the type of payment in which the employee is paid according to the amount and quality of work he (or she) is required to do.