Employee Final Settlement Review Form
Review and confirm the details of an employee’s final settlement at the time of exit, termination, or resignation.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Operations
IT
Sales
Marketing
Other
Position/Designation
*
Last Working Day
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Exit
*
Resignation
Termination
Retirement
Other
Final Settlement Components Reviewed
*
Salary Dues
Leave Encashment
Bonus/Incentives
Gratuity/Retirement Benefits
Other
Company Assets Returned
*
Laptop/Computer
Access Card/ID Badge
Mobile Phone
Keys
Other
Outstanding Items (if any)
Final Settlement Approval Status
*
Approved
Pending
Needs Correction
Submit Review
Should be Empty: