An employee employment status form records a change in the type or stage of employment, such as confirmation after probation, conversion from contract to company rolls, or a move to part-time. It notes the effect on benefits like PF, gratuity tracking, leave and notice period.
Basis for Change (probation review ref. / request / business need)
Service and Benefits
PF membership continues without break
Service from [DD/MM/YYYY] counted for seniority
Leave balance carried forward
Gratuity service treatment confirmed with HR / legal
Approvals
Recommended by
[Reporting Manager]
Approved by
[HR Name]
Letter issued on
Privacy notice: [Company Name] collects the details on this page only for updating your employment status and related benefits. Access is limited to authorised HR staff, and the record will be kept for the duration of employment and the retention period for service records, after which it will be securely deleted or destroyed. You may ask HR to see or correct your data, consistent with the Digital Personal Data Protection Act, 2023.
Service continuity note for gratuity and seniority
Letter issued and HRMS updated
When to use it
Confirming an employee after successful probation
Converting a trainee or apprentice to a permanent role
Bringing a contractor's worker on to company rolls
Moving an employee to part-time or fixed-term at their request
How to customise this template
1List the employment types your company actually uses
2Add notice periods for each status
3Note how prior contract service is treated for seniority
4Attach the probation review form for confirmations
5Use this form to trigger the confirmation letter
HR tips
Do not keep employees on extended probation without a written review
Explain clearly how service is counted after a conversion
Update leave entitlements on the effective date
Communicate status changes in writing
This template is a starting point only. Review it against applicable labour laws, state rules, your standing orders and data-protection obligations, and take advice from a legal adviser where needed.
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Please list only those family members who should be covered under a benefit. Leave the form blank if you do not wish to enrol anyone.
Sl.
Name of Family Member
Relationship
Date of Birth
Gender
Residing with Employee (Y/N)
Dependent (Y/N)
Purpose
1
[Name]
[Spouse]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Insurance / ESIC / Nomination]
2
[Name]
[Son / Daughter]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
3
[Name]
[Relationship]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
4
[Name]
[Relationship]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
Benefits Selected
Group health insurance
ESIC family coverage (if wages within the ESI limit)
Use as reference for nominations
Privacy notice: [Company Name] collects the details on this page only for enrolling your family members in the benefits selected and supporting nominations. Access is limited to authorised HR staff, and the record will be kept for the period the benefit is active and the retention period thereafter, after which it will be securely deleted or destroyed. You may ask HR to see or correct your data, consistent with the Digital Personal Data Protection Act, 2023.
I authorise [Company Name] to recover ₹[Amount] per [month / year] from my salary towards the premium for the dependants added above, as per the company insurance policy.