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Labour & HR₹399 + 18% GST

Gratuity Claim (Form I)

Claim gratuity due on leaving a job

An application for payment of gratuity in Form I under the Payment of Gratuity Act, 1972, by an employee (or nominee) who has completed 5 years of continuous service — with the gratuity computation (15 days' wages per completed year) and the demand on the employer.
What you'll need to provide
  • Employee name
  • Employer / company name
  • Date of joining
  • Date of leaving / cessation
  • Last drawn monthly wages (basic + DA) (₹)
  • Reason for leaving
A preparation aid — not legal advice. This document is drafted from the details you provide. Please have it reviewed and validated by a competent lawyer before you sign, serve, file or rely on it. MSME Prime does not replace a lawyer.