Document text
Text to paste into the claim on SAMADHAN (samadhan.labour.gov.in) or UMANG, and to keep with your papers.
Claimant: [FULL NAME], [DESIGNATION], Employee ID [NUMBER]
Address and phone: [ADDRESS], [PHONE], [EMAIL]
Employer: [COMPANY NAME], [REGISTERED ADDRESS], [STATE]
Establishment where I worked: [OFFICE ADDRESS]
Period of employment: [DATE OF JOINING] to [LAST WORKING DAY]
Facts
1. I worked for the employer as [DESIGNATION] from [DATE] to [DATE]. I resigned on [DATE]; my resignation was accepted and my last working day was [DATE].
2. Under the Code on Wages, 2019, s. 17(2), my final wages were payable within two working days of my resignation, that is by [DATE]. [Gratuity was payable within 30 days from [DATE] — Code on Social Security, 2020, s. 56.]
3. On [DATE] I sent a written demand by [EMAIL / REGISTERED POST]. As of [DATE] the dues are unpaid and I have received [NO REPLY / THE FOLLOWING REPLY: …].
Amounts claimed
Item Period Amount
Unpaid salary [MONTHS / DAYS] ₹[AMOUNT]
Leave encashment [DAYS] ₹[AMOUNT]
Bonus or incentive due [PERIOD] ₹[AMOUNT]
Gratuity [YEARS OF SERVICE] ₹[AMOUNT]
Reimbursements and other [DETAILS] ₹[AMOUNT]
Total ₹[TOTAL]
Relief sought: payment of ₹[TOTAL], with any compensation the authority finds due, and issue of my relieving letter.
Documents attached: appointment letter; salary slips for [MONTHS]; resignation and its acceptance; written demand dated [DATE] and proof of sending; [RELIEVING LETTER, IF ANY]; bank statement showing the last salary credit.
I declare that the facts above are true to the best of my knowledge.
[FULL NAME]
Signature: ____________________
Date: [DATE]
Letter to the Labour Commissioner
To: The Labour Commissioner / Inspector-cum-Facilitator, [DISTRICT / REGION], [STATE]
From: [FULL NAME], [ADDRESS], [PHONE], [EMAIL]
Date: [DATE]
Subject: Non-payment of final wages and dues by [COMPANY NAME] — request for action
Sir / Madam,
I worked for [COMPANY NAME], [ADDRESS], as [DESIGNATION] until [LAST WORKING DAY]. My final wages and dues of ₹[TOTAL] (breakup attached) were payable within two working days of my resignation under the Code on Wages, 2019, s. 17(2), but remain unpaid as of today, [NUMBER] days later.
I sent a written demand on [DATE] and filed a claim on SAMADHAN on [DATE], reference [NUMBER]. No payment has been made.
I request you to direct the employer to pay the dues and to take such action as the law provides.
Enclosed: breakup of dues; appointment letter; salary slips; resignation and acceptance; demand and proof of sending; SAMADHAN acknowledgement.
Yours faithfully,
[FULL NAME]
Signature: ____________________
Reply to this document or get a deadline reminder: https://layers.md/in/samadhan-complaint-unpaid-dues?from=reply-in-samadhan-dues