Employee Name: | [Employee Name] |
Employee ID: | [ID Number] |
Department: | [Company Department] |
Date: | [Date] |
Advance Date: | [Date] |
Advance Amount: | [Enter Amount] |
Repayment Date: | [Date] |
Repayment Method: | Payroll Deduction |
[Employee Name] has requested a salary advance for personal reasons. The amount requested is [Enter Amount], which will be repaid through payroll deduction over the next month.
Date | Amount Deducted | Remaining Balance |
[Date] | [Enter Amount] | [Enter Amount] |
[Date] | [Enter Amount] | [Enter Amount] |
The salary advance is subject to approval by the HR department.
The total advance amount will be deducted from the employee's future paychecks in equal installments.
If the employee leaves the company before the full advance is repaid, the outstanding balance will be deducted from the final paycheck.
Any outstanding advance balance cannot be carried over to a new fiscal year.
I, [Employee Name], acknowledge that I have received an advance of [Enter Amount] from my salary and understand that it will be repaid in equal installments from my future paychecks. I agree to the terms and conditions outlined above.
Employee Signature: ___________________________ Date: ______________
Manager's Approval
The salary advance request for [Employee Name] has been reviewed and approved by the department manager.
Manager's Name: [Manager Name] Date: ______________
Note: This Salary Advance Slip serves as a record of the advance request and repayment schedule. It is important to retain this document for reference and documentation purposes.
Templates
Templates