Gratuity Claim Form (India)
Payment of Gratuity Act 1972 — Form I
APPLICATION FOR PAYMENT OF GRATUITY
Form I — Payment of Gratuity Act 1972 / Payment of Gratuity (Central) Rules 1972
To,
The Employer / Manager,
[Employer Name]
Date: [Claim Date]
1. CLAIMANT DETAILS
Name: [Employee Name]
Address: [Employee Address]
Employee ID: [Employee ID]
Designation: [Designation]
Department: [Department]
2. SERVICE DETAILS
Employer: [Employer Name]
Date of joining: [Date of Joining]
Last working day: [Last Working Day]
Reason for separation: [Separation Reason]
Total continuous service: [Years of Service]
3. GRATUITY CALCULATION
Last drawn Basic + DA: [Last Drawn Basic]
Completed years of service: [Years of Service]
Gratuity formula: (Basic + DA) ÷ 26 × 15 × years of service
Gratuity amount claimed: [Gratuity Amount]
4. PAYMENT DETAILS
Bank Account: [Bank Account Number]
IFSC: [IFSC Code]
Bank / Branch: [Bank Name]
5. DECLARATION
I, [Employee Name], hereby declare that the information provided above is true and correct. I am entitled to gratuity under the Payment of Gratuity Act 1972 and request the employer to determine and pay the gratuity amount within 30 days as required under Section 7(2) of the Act.
Claimant / Employee (or Nominee)
________________
Signature
What Is a Gratuity Claim Form (India)?
A Gratuity Claim Form in India supplies the facts and figures the authority requires so the matter can be processed, assessed or verified.
The legal framework governing the Gratuity Claim Form (India) in India draws on several key statutes and regulatory bodies. Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Parties executing a Gratuity Claim Form (India) in India should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Industrial Disputes Act, 1947 sets the foundational requirements.
When Do You Need a Gratuity Claim Form (India)?
A Gratuity Claim Form is required to be filed in India whenever an employee who has completed five or more years of continuous service separates from an employer covered under the Payment of Gratuity Act 1972. The form must be filed upon: resignation after five years of continuous service; retirement on reaching superannuation age; termination of employment (with or without cause) after five years; voluntary retirement under a VRS scheme; and upon the death or total permanent disablement of the employee (where the five-year requirement is waived and the claim is filed by the nominee or legal heir). The claim must be filed within 30 days of the date on which gratuity becomes due. While a delay beyond 30 days does not extinguish the right to gratuity (courts have held that gratuity cannot be denied for late filing alone), timely filing is advisable to confirm prompt payment and to avoid complications. The Gratuity Claim Form must be submitted to the employer at the establishment where the employee was last employed.
Parties in India should prepare a Gratuity Claim Form (India) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.
What to Include in Your Gratuity Claim Form (India)
A Gratuity Claim Form for India under the Payment of Gratuity Act 1972 should contain the following elements: the employee full name, designation, department, and employee code; the establishment name and address; the date of joining and date of last working day; the total period of continuous service in years and months; the nature of separation (resignation, retirement, termination, death, disablement); the last drawn basic wages and dearness allowance per month; the calculated gratuity amount based on the formula: (Basic + DA) x 15/26 x completed years of service; the nominee details if the claim is filed by a nominee following death; the bank account details for payment (account number, IFSC code, bank name, and branch); a declaration that the information provided is true and correct; and the signature or thumb impression of the claimant with date. The form should be accompanied by: a copy of the appointment letter or service record; a copy of the separation letter or retirement notice; a copy of the death certificate and nomination form (for nominee claims); and a copy of the medical certificate (for disablement claims). The completed form must be submitted to the employer, with acknowledgement obtained.
Additional compliance elements for a Gratuity Claim Form (India) used in India include: Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Forms-legal.com provides this template as a starting point for India-compliant documentation.
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Gratuity Claim Form (India) (India) [Legal document template]. Forms Legal. https://forms-legal.com/india/employment/termination/gratuity-claim-form-india
"Gratuity Claim Form (India) (India)." Forms Legal, 2026, https://forms-legal.com/india/employment/termination/gratuity-claim-form-india.
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title = {Gratuity Claim Form (India) (India)},
year = {2026},
howpublished = {\url{https://forms-legal.com/india/employment/termination/gratuity-claim-form-india}},
note = {Free legal document template. Based on Industrial Disputes Act, 1947}
}Also available for these jurisdictions:
Frequently Asked Questions
Gratuity is a statutory retirement benefit payable by an employer to an employee under the Payment of Gratuity Act 1972 in recognition of long and meritorious service. It is governed by the Payment of Gratuity Act 1972, which applies to every factory, mine, oilfield, plantation, port, railway company, shop, or establishment where ten or more persons are employed or were employed at any time in the preceding twelve months. Under Section 4 of the Payment of Gratuity Act 1972, gratuity shall be payable to an employee on: termination of employment after completion of five years of continuous service; retirement or superannuation; resignation after five years of continuous service; or death or total disablement due to accident or disease (in which case the five-year requirement is waived). The five-year continuous service requirement is calculated as per Section 2A of the Act. An employee is considered to have been in continuous service even if they have been absent due to illness, accident, leave, absence without leave (up to certain limits), lay-off, strike, or lock-out. The gratuity amount is calculated under Section 4(2) as: (Last drawn basic salary + dearness allowance) x 15/26 x completed years of service (or part thereof exceeding six months). The maximum gratuity payable is Rs 20 lakhs as per the most recent notification (effective from 29 March 2018). For seasonal establishments, Section 4(6) provides a different calculation formula.
The procedure for claiming gratuity in India is prescribed under Sections 7 and 8 of the Payment of Gratuity Act 1972 and the Payment of Gratuity (Central) Rules 1972. The process is as follows. For claims by employees: the employee (or nominee in case of death) must submit an application in Form I prescribed under the Payment of Gratuity (Central) Rules 1972 to the employer within 30 days from the date gratuity becomes payable. The form must specify: the name and address of the applicant; the date of joining and separation; the department and designation; the nature of termination (resignation, retirement, death, etc.); the last drawn basic wages and dearness allowance; the gratuity amount claimed as calculated by the applicant. The employer is required under Section 7(2) to determine the amount of gratuity payable and give written notice to the employee specifying the amount determined, within 30 days of receiving the application. The gratuity must be paid within 30 days from the date it becomes payable. Under Section 7(3A), if the employer fails to pay within 30 days, simple interest at the rate prescribed (currently 10% per annum) is payable from the due date until actual payment. If the employer disputes the amount or refuses to pay, the employee may apply to the Controlling Authority (typically the Regional Labour Commissioner) under Section 7(4). The Controlling Authority has the power to conduct an inquiry and direct payment of the correct gratuity amount.
Under the Payment of Gratuity Act 1972, the right to gratuity is a statutory entitlement and the Act contains strong protections against forfeiture or reduction. Section 4(6) of the Act provides that the gratuity of an employee may be wholly or partially forfeited in two circumstances only: first, if the services of the employee have been terminated for any act, wilful omission, or negligence causing any damage or loss to, or destruction of, property belonging to the employer; and second, if the services of the employee have been terminated for riotous or disorderly conduct or any other act of violence on their part. Even where forfeiture is permissible, it is limited to the extent of the damage caused or the value of the property destroyed. A forfeiture of the entire gratuity for minor misconduct or poor performance is not permissible under the Act. Furthermore, Section 14 of the Payment of Gratuity Act 1972 provides that the provisions of the Act or any instrument made thereunder shall have effect notwithstanding anything inconsistent therewith contained in any enactment or instrument, meaning the Act overrides any contract of employment that purports to reduce the gratuity entitlement below the statutory minimum. Any agreement or contract that attempts to do so is null and void to that extent. Courts have consistently held that employers cannot incorporate conditions in employment contracts that reduce gratuity entitlements below the statutory floor.
A Gratuity Claim Form (India) does not legally require a lawyer in India, and individuals and businesses may draft and execute the document independently. The Industrial Disputes Act, 1947 does not mandate legal representation for the creation or signing of this type of document. However, seeking independent legal advice from a qualified India lawyer is recommended for transactions involving substantial financial value, complex regulatory requirements, or cross-border elements where multiple legal jurisdictions may apply. A lawyer can verify that the document complies with all applicable statutory requirements, identify potential risks specific to the transaction, and confirm that the terms adequately protect the interests of all parties involved. The Supreme Court of India has jurisdiction over disputes arising from this type of document, and Registrar of Companies (ROC) may impose additional compliance obligations depending on the nature of the underlying transaction. Professional legal review is particularly advisable where the document will be submitted to government agencies or used as evidence in legal proceedings.
A Gratuity Claim Form (India) does not legally require a lawyer in India, though legal advice is recommended. Under Indian law, the Indian Contract Act 1872 governs agreements. The Companies Act 2013 and Registrar of Companies (ROC) regulate corporate documents. The Information Technology Act 2000 governs electronic contracts and data protection. The Consumer Protection Act 2019 provides consumer rights. The Income Tax Act 1961 requires tax compliance. Forms-legal.com provides this template as a starting point — always review with a qualified Indian advocate for significant transactions. Under India law, Industrial Disputes Act, 1947, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). Forms-legal.com provides this template as a starting point for India-compliant documentation.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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