Scribd Logo
Upload

Welcome to Scribd!

  • Emp Clearance Form

    Uploaded by

    Azriel Rhyien
    43 views1 page
    This document is an employee clearance form used to verify that a departing employee has returned all company property and settled any outstanding financial obligations. It lists items and duties that must be cleared in departments like IT, HR, finance, and others. Managers must sign off to confirm the employee's clearance from obligations in each department. The form also collects information about the departing employee like name, employment details, forwarding address and details of their separation from the company.

    Original Description:

    Original Title

    Emp Clearance form.xls

    Copyright

    © © All Rights Reserved

    Available Formats

    XLS, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an employee clearance form used to verify that a departing employee has returned all company property and settled any outstanding financial obligations. It lists items and duties that must be cleared in departments like IT, HR, finance, and others. Managers must sign off to confirm the employee's clearance from obligations in each department. The form also collects information about the departing employee like name, employment details, forwarding address and details of their separation from the company.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    43 views1 page

    Emp Clearance Form

    Uploaded by

    Azriel Rhyien
    This document is an employee clearance form used to verify that a departing employee has returned all company property and settled any outstanding financial obligations. It lists items and duties that must be cleared in departments like IT, HR, finance, and others. Managers must sign off to confirm the employee's clearance from obligations in each department. The form also collects information about the departing employee like name, employment details, forwarding address and details of their separation from the company.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    GROUP COMPANY NAME COMPANY

    LOGO Employee Clearance Form LOGO

    This form is used to certify that all office property and other dues have been returned and rights to access property or
    services have been appropriately discontinued
    Managers must clear employee of all departmental obligations.

    Employee Information

    Name of the employee Employment No. (SAP)


    ________________________________________________ (Legacy) _________________

    Department Date Of Separation


    ________________________________________________ _________________

    Forwarding Address
    __________________________________________________________________________________

    __________________________________________________________________________________

    __________________________________________________________________________________
    Telephone No.

    Type of Separation

    Resignation

    Retirement

    Transfer To
    _______________________________________________

    Department Clearance

    The following have been surrendered, which were entrusted during employment

    Items Received / Amount Name & Signature Date Remarks


    Payable
    Department
    Keys for work station and other office areas
    Office Stationary item - Calculators, letter heads etc.
    Office Equipments - Electronic gadgets
    SOP Manual / Business Plans
    Project plans

    Database of vendor / suppliers / other outside contacts


    IT
    Office Equipments - Laptops and IT accessories
    Password - SAP / Restricted access (deactivated)
    HR
    Library Material / Card
    Identification Badge / Access Card / Bus Pass
    Office books with person at his office / desk
    Leave Balance (if any)-
    PL
    STORES
    Safety Equipments, etc.

    Department Clearance
    Received / Amount
    Items Payable Name & Signature Date Remarks
    Finance / Payroll
    Credit Cards
    Petty Cash
    Travel Advances
    Salary Advance
    Rent Advance
    Housing Loan Balance
    E.V.F.S Loan Balance
    Festival Advance Balance
    Company Loan with Interest
    Personal Loan
    Medical Loan
    Co-operative Society Dues
    Loan / Advances
    Medical Expenses Reimbursed
    LTA
    Secreterial
    Power of Attorney
    Legal
    Involve in any case
    Admin
    Locker Keys
    Cellular Phone
    Vehicle
    Personal Call Charges
    Transit Accommodation Occupancy Charges
    Residence Phone
    Company Quarters ( Inventory verified )
    Any Other ( Please Specify )

    All performance evaluation reports on all staff for whom I have Evaluation responsibility have been prepared Yes / No.

    I have Completed the Exit Interview Yes / No.

    All payments related to PF / SAF / Pension may be deposited to Bank Acco No. _______________
    ( Wherever applicable )
    Sent by a Check

    Proof of Investment declared through IT Declaration


    _____________________________________________________________

    Permanent Account No. ( PAN no. )


    _____________________________________________________________

    Employee's Signature Department Head's Signature HR Signature Payroll

    Date Date Date Date

    You might also like