HK Helper Desk · Draft template · hello@hkhelperdesk.com
Final pay summary (employer worksheet)
Helper name: · SEC start: · Last day:
Reason: □ Natural expiry □ Clause 10 notice □ Wages in lieu □ Other: ________
| Item | Amount (HK$) | Notes / paid on |
|---|---|---|
| Outstanding wages | ||
| Payment in lieu of notice (if any) | ||
| Untaken annual leave pay + pro-rata (if any) | ||
| Food allowance arrears (if no free food) | ||
| Severance / long service payment (if EO tests met) | One or the other, not both — Unverified without your facts | |
| Return passage (ticket cost) — Clause 7 | Ticket preferred over cash | |
| Food & travelling allowance (HK$100 × travel days) | ||
| Other SEC sums | ||
| Total |
Payment method: □ Bank transfer (attach receipt) □ Other: ________
Paid on / before (target within 7 days of expiry or termination): _______________
Employer signature / date: _____________________
Helper acknowledgement of amounts received: _____
Helper signature / date: _______________________
LD sample termination receipts / calculators on fdh.labour.gov.hk may be clearer for your case — use those when available. © HK Helper Desk · Not legal advice