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Acknowledgement of Payment and Leaves

From Domestic Worker / Helper

This is an acknowledgement letter from the domestic worker / helper to the employer listing out all the unused holidays and confirming that all wages, unused leaves, airfare and expenses have been settled and the domestic worker has no other claim against the employer.

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01

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02

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03

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04

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Document Description

The document titled 'Acknowledgement of Payment and Leaves' is an important document that serves as a written acknowledgment of various aspects related to payment and leaves for a domestic helper. The document starts with a header containing the helper's name, the account holder's first and last name, and the account address. The current date is also mentioned.

 

The document is addressed to the account holder and begins with a formal greeting. It states that the helper, referred to as 'helper name,' acknowledges the following under the domestic helper contract (no. idno):

 

1. Unused Holidays: The document mentions whether the helper has any unused holidays as of the current date. If there are no unused holidays, it is explicitly stated. However, if there are unused holidays, the specific dates are mentioned, and it is stated that the account holder has paid for these holidays on the current date.

 

2. Monthly Wage: The document states that the helper's monthly wage, denoted as 'currencywage,' includes the final wage, unused leaves, living quarter, meals, transportation, and all expenses required under the contract. It further mentions that the helper has no claim against the employer as of the current date.

 

3. Trips to Origin: If the helper has made any trips to their origin, the document mentions the number of trips and states that the account holder has paid for the round trip air tickets from the jurisdiction state to the origin.

 

4. Return Ticket: Depending on the situation, the document states whether the account holder will be required to provide a return ticket to the helper's origin when the contract ends. If the return ticket is required, it is explicitly mentioned; otherwise, it is stated that the account holder will no longer be required to provide a return ticket.

 

5. Statutory Holidays and Paid Leave: The document confirms that the helper has used their statutory holidays and paid leave pro-rata for the year as of the current date.

 

The document concludes with a closing statement, followed by spaces for the helper's name and signature, the current date, the employer's name and signature, and the witness's name and signature.

How to use this document?


To use the 'Acknowledgement of Payment and Leaves' document, follow these steps:

 

1. Enter the necessary information: Fill in the helper's name, the account holder's first and last name, and the account address in the designated fields at the beginning of the document. Also, ensure to include the current date.

 

2. Acknowledge unused holidays: If the helper has no unused holidays, remove the section marked with '' and '.' Otherwise, specify the dates of the unused holidays and indicate that the account holder has paid for them on the current date.

 

3. Confirm monthly wage: Replace 'currencywage' with the actual monthly wage of the helper. Ensure that the monthly wage includes the final wage, unused leaves, living quarter, meals, transportation, and all other expenses required under the contract. State that the helper has no claim against the employer as of the current date.

 

4. Provide information on trips to origin: If the helper has made any trips to their origin, mention the number of trips and specify that the account holder has paid for the round trip air tickets from the jurisdiction state to the origin.

 

5. Determine the need for a return ticket: Based on the agreement between the helper and the account holder, decide whether a return ticket to the helper's origin is required when the contract ends. If it is required, retain the section marked with '' and '' and state that the account holder will provide the return ticket. Otherwise, remove that section and mention that the account holder will not be required to provide a return ticket.

 

6. Confirm statutory holidays and paid leave: Ensure that the helper has used their statutory holidays and paid leave pro-rata for the year as of the current date.

 

7. Sign and date the document: After reviewing and verifying the information, the helper should sign and date the document in the designated space. The employer should also sign and date the document. Additionally, a witness should sign and date the document.

 

Note: It is essential to ensure that all the information provided in the document is accurate and reflects the actual agreement between the helper and the account holder.

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