Payroll Receipt Form
A payroll receipt form is a form filled up by the employee of an organization acknowledging that they have received their salary. This form also helps to know whether the employee has any issues with the payroll that he has received. The form also acts as evidence in case the employee in future claims that he has not received his salary or pay.
Sample Payroll Receipt Form
Employee Payroll Receipt Acknowledgement Form
Details of the employee:
Name of the employee: Jack Ripper
Employee id: 7231 Designation: Chief Sales Executive
Department: Sales
Office Extension number: 541235
E mail id: jack@mail.com
To employee:
Read the payroll carefully and put your signature below. In case you have problem in understanding the written language, please do acknowledge by signing below that the form has been read out to you in your native language or translated so that you can understand the content of the form.
I am acknowledging by putting my signature below that:
- I have received my payroll for the month of November 2011.
- All the wage details reflected in my payroll are accurate as per my knowledge. Even the overtime hours that I have worked and all the required deductions are also mentioned accurately.
In case I find that any of the information mentioned in my payroll is not accurate or I had met with an injury or accident at the work place, I will provide the specific details in writing below. If everything is accurate, I will simply put my signature without mentioning any details.
Details: _________________________
Signature: _______________ Dated: __________________
Category: Payroll Forms
