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No Dues (No Claim) Letter Format from Employee to Employer

Your employer may ask you to provide a no claim certificate or no dues letter as an evidence towards clearing all pending dues to you, and a declaration that you will not claim anything from the employer in the future.

no dues certificate format from employee to company
You can write a simple letter confirming that you have received all your dues and have no further claim. Otherwise, you can ask your employer to provide you with their format for this purpose.

Here are samples of such no dues certificates or no claim letters. Please modify it appropriately.


Date: _________

The Accounts Department
(Name of the Organization)
(Office Address)
(Phone Number)

Sub.: No dues confirmation.

Dear Sir/Madam,

I would like to hereby confirm that I have received all pending dues from (Name of the Organization) towards salary, perquisites, provident fund, gratuity, and any other form of compensation.

I was working in the _________ department of (Name of the Organization) from (Date) until (Date) as a (Designation). My employee code was _________. I am the son/daughter of ____________, presently residing at (Address).

I received from you (Amount in Figures) (Amount in Words) by way of cheque no. _____ dated ______ in full and final settlement of all my claims against the company.

I have no further claim/demand against the company for reinstatement or re-employment. I will not raise any claim or demand whatsoever against the company whether in monetary or any other terms.

Thanking you,
Yours sincerely,

(Name of the Employee)



I, (Full Name of the Employee), son/daughter of (Name of the Father), age ___ years, presently residing at (Address), have received on this __th day of (Month), (Year) a sum of (Amount in Figures) (Amount in Words) by way of Cheque no. _______ dated _______ from (Name of the Company), (HQ Location) towards full and final settlement of all my dues and claims pertaining to earned wages, salary, notice pay, leave encashment, provident fund, gratuity, and any other compensation in connection with my employment in the said company as a (Designation) during (Date) until (Date). My employee code was _________.

I affirm and declare that, as I have received full payment towards all statutory and other dues, I have no further claim against (Name of the Company) including that of reinstatement and re-employment. I will not raise any claim or demand of any nature against the company in the future with respect to my aforementioned employment in the company.


(Name of the Employee)

Dated ________
Place: ________