Employer Final Paycheck Compliance Checklist PDF

Record final paycheck timing and included pay components in a neutral checklist.

Employment details

Provide the termination and paycheck details to evaluate timing and components.

Employer name

Employee name (optional)

Termination date

Final paycheck received date

Mark which components were included in the final paycheck.

Regular wages included

Accrued PTO included

Bonuses or commissions included

Deductions explanation provided

Deductions explanation

Notes