Document text
[FULL NAME]
[POSITION]
Staff No. [NUMBER]
Date: [DATE]
To: The Human Resources / Payroll Manager, [COMPANY NAME], [ADDRESS]
Subject: NSSF contributions — request for the remittance record
My payslips show NSSF deductions of KSh [AMOUNT] a month (Tier I and Tier II under the Year 4 (2026) rates), with the same amount due from the employer — KSh [TOTAL] a month in total.
My NSSF statement does not show the contributions for the month(s) of [MONTHS]. Under the NSSF Notice to Employers (Year 4, 2026), contributions are to be remitted by the 9th day of the following month.
Please send me, within 14 days, the payment record (receipt or remittance reference) for these months, or remit the outstanding contributions and confirm in writing. I attach copies of my payslips for the months concerned.
Yours faithfully,
[FULL NAME]
Signature: ____________________
My figures
Amount
Tier I (6 % up to KSh 9,000) KSh [AMOUNT]
Tier II (6 % from KSh 9,000 to 108,000) KSh [AMOUNT]
From me KSh [AMOUNT]
From the employer KSh [AMOUNT]
Total a month KSh [TOTAL]
Attached: payslips for [MONTHS]; NSSF statement printout.
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