Leave Encashment Form

[COMPANY NAME]
LEAVE ENCASHMENT REQUEST

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Employee:        [Name]          Employee number: [Number]
Department:      [Department]          Date of joining: [Date]

LEAVE POSITION
   Earned leave accrued to date              [Days]
   Less leave taken                          [Days]
   Balance available                         [Days]
   Days requested for encashment             [Days]

CALCULATION
   Monthly basic + DA                        [Amount]
   Divided by 30 to give a daily rate       [Amount]
   Multiplied by days encashed               [Amount]
   GROSS ENCASHMENT                          [Amount]

Encashment is permitted only on leaving the company, in accordance with the leave
policy.

TAX
Encashment while still employed is fully taxable as salary.

On leaving, for a non-government employee, the exemption is the least of: the
actual encashment; the cash equivalent of unutilised leave at up to 30 days a year
of service; ten months' average salary; and ₹25,00,000. The cap is a lifetime limit
across all employers, not a limit per job.

Employee
Name: [Name]
Signature: [Signature]          Date: [Date]

Manager approval
Name: [Name]
Signature: [Signature]          Date: [Date]

Human resources
Name: [Name]
Signature: [Signature]          Date: [Date]

Payroll
Name: [Name]
Signature: [Signature]          Date: [Date]