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Free form template · Word

Finance Exit Clearance

A finance exit clearance form is completed by the accounts team to record every money item open against a departing employee. It lists loans, advances, imprest, corporate card balances and unsettled claims so the correct recoveries and reimbursements flow into the full and final settlement.

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Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

FINANCE EXIT CLEARANCE

Ref. No.:
[Reference Number]
Date:
[Date]

Employee Details

Employee Name
Employee ID
Department
Last Working Day
PAN
Bank Account (last 4 digits)

Amounts Recoverable from Employee

ItemReferenceOutstanding (₹)Remarks
Salary advance[Reference][Amount]
Personal / vehicle loan[Reference][Amount]
Travel advance not settled[Reference][Amount]
Cash imprest / petty cash[Reference][Amount]
Corporate card unsettled charges[Card last 4 digits][Amount]
Total recoverable[Amount]

Amounts Payable to Employee

ItemClaim No.Approved (₹)Remarks
Travel / conveyance claims[Claim No.][Amount]
Medical / other reimbursements[Claim No.][Amount]
Excess deposit or imprest refund[Claim No.][Amount]
Total payable[Amount]

Tax and Payroll Notes

  • Investment proofs received for final TDS calculation
  • Corporate card cancelled on [DD/MM/YYYY]
  • Net amount communicated to payroll for F&F
  • Employee informed of the breakup
Net Recovery / (Payable) to be adjusted in F&F (₹)
Finance Remarks
Prepared by
[Accounts Executive]
Date: [Date]
Approved by
[Accounts Manager]
Date: [Date]

What this template includes

  • Outstanding loan and advance balances with amounts
  • Imprest and petty cash reconciliation
  • Corporate card statement and unsettled charges
  • Pending reimbursement claims payable to the employee
  • Tax items: investment proofs and TDS for final salary
  • Net amount to be recovered or paid through F&F
  • Accounts sign-off

When to use it

  • Before HR sends an employee's details for F&F calculation
  • The employee holds a travel advance, cash imprest or corporate card
  • A salary loan or advance is being repaid in instalments
  • There are pending reimbursement claims to be paid out

How to customise this template

  1. 1Add items specific to your company such as vehicle loan or relocation bond
  2. 2Pull balances from your accounting software as on the last working day
  3. 3Insert the cut-off date for submitting final claims
  4. 4Route the form to payroll after signature

HR tips

  • Pay pending genuine claims; do not only recover amounts
  • Recover only amounts the employee owes under a written agreement or policy
  • Share the breakup with the employee to avoid disputes
  • Cancel the corporate card on the last working day

For HR & hiring managers

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Frequently asked questions

Can the company recover a salary advance from F&F?+

Yes, an outstanding advance or loan can usually be adjusted against the final settlement where the employee agreed to it in writing or company policy provides for it.

What happens to pending reimbursements when an employee leaves?+

Valid claims submitted within the cut-off are normally paid with the full and final settlement. Finance should list them on the clearance form.

Who signs the finance exit clearance?+

An authorised person from accounts or finance, usually the accounts manager, after checking all ledgers for the employee.