“Employment Contract Template: Key Terms, Employee Rights, and Drafting Guide.”

EMPLOYMENT CONTRACT

1.1 Agreement Overview

This Employment Contract (“Agreement”) is made and entered into on [Date], by and between:

• Employer: [Company Name], a legally registered entity under the laws of [Jurisdiction], having its principal place of business at [Company Address] (hereinafter referred to as the “Employer”), and
• Employee: [Employee Name], an individual residing at [Employee Address], holding [Employee’s Nationality] citizenship and identification number [ID/Passport Number] (hereinafter referred to as the “Employee”).

Both parties acknowledge that they have the legal capacity and authority to enter into this Agreement and agree to be bound by its terms.

1.2 RECITALS

WHEREAS, the Employer is engaged in [Nature of Business], specializing in [Industry-Specific Operations], and requires skilled personnel to fulfill key roles within the organization;

WHEREAS, the Employee possesses the requisite skills, qualifications, experience, and expertise in [Specific Field/Industry], and has demonstrated the ability to perform the responsibilities required for the position being offered;

WHEREAS, the Employer seeks to employ the Employee in the capacity of [Job Title], and the Employee has expressed a willingness and ability to undertake such employment under the terms and conditions set forth herein;

WHEREAS, the parties desire to establish a formal employer-employee relationship, defining their respective rights, obligations, and expectations to ensure a professional and productive working relationship;

WHEREAS, the parties recognize the importance of confidentiality, integrity, and adherence to company policies, and agree to uphold the values and operational standards of the Employer;

WHEREAS, the parties acknowledge that this Agreement constitutes the entire understanding between them regarding the Employee’s employment and supersedes any prior discussions, representations, or agreements, whether written or oral;

NOW, THEREFORE, in consideration of the mutual promises, covenants, and obligations contained herein, and intending to be legally bound, the parties agree as follows:

CLAUSE 2: DEFINITIONS

For the purpose of this Employment Agreement, the following terms shall have the meanings assigned to them unless the context requires otherwise:

1. “Agreement” – Refers to this Employment Contract, including all appendices, annexures, and amendments agreed upon by both parties.
2. “Employer” – Refers to [Company Name], a company incorporated under the laws of [Jurisdiction], with its principal office located at [Company Address].
3. “Employee” – Refers to [Employee Name], an individual hired by the Employer for the position of [Job Title] under the terms and conditions specified in this Agreement.
4. “Effective Date” – Refers to the date on which this Agreement becomes enforceable, being [Start Date], unless otherwise specified by the Employer.
5. “Job Title” – Refers to the official designation assigned to the Employee, namely [Job Title], and any related roles or responsibilities assigned by the Employer.
6. “Duties & Responsibilities” – Refers to the tasks, obligations, and functions assigned to the Employee as outlined in Clause 3 of this Agreement.
7. “Salary” – Refers to the compensation payable to the Employee for services rendered, as specified in Clause 4, subject to applicable deductions, taxes, and statutory contributions.
8. “Work Schedule” – Refers to the Employee’s official working hours, including any overtime, shifts, or flexible work arrangements as determined by the Employer in compliance with labor laws.
9. “Confidential Information” – Includes all proprietary, trade secret, and business-sensitive information disclosed to or accessed by the Employee during the term of employment, as described in Clause 7.
10. “Intellectual Property” – Refers to any inventions, ideas, designs, works, trademarks, patents, trade secrets, and any other proprietary rights developed by the Employee during employment, as covered in Clause 9.
11. “Notice Period” – Refers to the minimum duration required for either party to provide written notice for termination of employment, as outlined in Clause 8.
12. “Termination” – Refers to the conclusion of the employment relationship, whether through resignation, dismissal, or contract expiry, as set forth in Clause 8.
13. “Governing Law” – Refers to the jurisdiction under which this Agreement shall be interpreted and enforced, as specified in Clause 10.
14. “Force Majeure” – Refers to unforeseen circumstances beyond the control of either party, including but not limited to natural disasters, war, governmental actions, and other events that prevent contractual obligations from being fulfilled.
15. “Non-Compete” – Refers to the restrictions imposed on the Employee after termination, preventing engagement in competitive business activities, as outlined in Clause 9.
16. “Non-Solicitation” – Refers to the Employee’s obligation to refrain from soliciting the Employer’s clients, employees, or business partners after termination, as outlined in Clause 9.

CLAUSE 3: JOB TITLE, DUTIES, AND RESPONSIBILITIES

3.1 Job Title and Nature of Employment

1. The Employer hereby employs the Employee in the capacity of [Job Title].
2. The employment may be classified as:
   • ☐ Permanent
   • ☐ Fixed-Term (Expiring on [End Date])
   • ☐ Probationary (Subject to confirmation after [Probation Duration])
   • ☐ Part-Time/Temporary
3. The nature of the Employee’s role may require periodic modifications to job responsibilities to meet the changing needs of the Employer’s business.

3.2 Place of Work

1. The Employee shall perform duties at [Primary Work Location].
2. The Employer may, at its discretion, require the Employee to work from:
   • ☐ Alternate Office Locations
   • ☐ Client Sites
   • ☐ Remote/Hybrid Work Model
3. If travel is required as part of the Employee’s duties, the Employer shall provide reasonable notice and reimbursement of business-related expenses in accordance with company policies.

3.3 Reporting Structure and Supervision

1. The Employee shall report to [Supervisor’s Name & Title] or any other individual designated by the Employer.
2. The Employee may be required to coordinate with other departments, teams, or external stakeholders as part of job duties.
3. The Employee shall provide periodic reports on job performance, progress, and project updates as requested by the Employer.

3.4 Duties and Responsibilities

The Employee shall undertake the following duties and responsibilities, which may be adjusted from time to time to align with business requirements:

A. Core Responsibilities

The Employee shall:

1. [Specific Responsibility 1 – e.g., Manage daily operations, oversee sales, lead a team, etc.]
2. [Specific Responsibility 2 – e.g., Prepare reports, maintain financial records, etc.]
3. [Specific Responsibility 3 – e.g., Customer relationship management, project coordination, etc.]
4. [Specific Responsibility 4 – Additional duties as per job function]

B. Additional Responsibilities

1. The Employee shall undertake any additional duties as assigned by the Employer that align with the Employee’s skills and expertise.
2. The Employee shall participate in business meetings, strategy discussions, and cross-functional collaborations as required.
3. The Employee shall proactively contribute to organizational development and suggest process improvements.

C. Adherence to Employer Policies

1. The Employee shall comply with all company policies, procedures, and operational guidelines, including:
   • Code of Conduct
   • Health & Safety Regulations
   • Data Protection & Confidentiality Policies
   • IT & Cybersecurity Policies
   • Workplace Harassment & Discrimination Policies
2. The Employee shall maintain ethical conduct in all professional interactions and business dealings.

3.5 Performance Expectations and Evaluation

1. The Employee shall perform all assigned duties with diligence, efficiency, and professionalism.
2. The Employer shall evaluate the Employee’s performance based on:
   • Key Performance Indicators (KPIs)
   • Quality of work and adherence to deadlines
   • Contribution to team goals and company growth
3. Performance reviews shall be conducted at regular intervals, and the Employer reserves the right to adjust job responsibilities or compensation based on performance assessments.

3.6 Training & Professional Development

1. The Employer may provide relevant training, workshops, or certifications to enhance the Employee’s skills.
2. The Employee shall participate in any mandatory training sessions as required by the Employer.
3. Any training costs incurred by the Employer may be subject to a reimbursement clause if the Employee leaves within [X] months after completion of training (if applicable).

3.7 Work Ethics & Professional Conduct

1. The Employee shall demonstrate professionalism, teamwork, and integrity at all times.
2. The Employee shall not engage in activities that may create conflicts of interest with the Employer’s business.
3. The Employee shall respect diversity, promote an inclusive workplace, and avoid any form of workplace misconduct.

CLAUSE 4: COMPENSATION, BENEFITS, AND EXPENSES

4.1 Salary & Payment Terms

1. The Employee shall receive a gross salary of [Amount] per [Hour/Week/Month/Year], subject to deductions as required by law, including but not limited to taxes, social security, and other statutory contributions.
2. The Employee’s salary shall be payable on a [Payment Schedule, e.g., weekly, bi-weekly, or monthly] basis through [Bank Transfer/Cheque/Other Method].
3. Any salary adjustments, bonuses, or increments shall be at the sole discretion of the Employer, based on performance reviews, company profitability, or policy changes.

4.2 Overtime & Additional Pay

1. If the Employee is required to work beyond regular working hours, overtime compensation shall be:
   • ☐ As per statutory labor laws.
   • ☐ Included in the fixed salary (For exempt employees).
   • ☐ Paid at the rate of [Rate] per hour.
2. The Employee shall seek prior approval for any overtime work unless otherwise instructed by the Employer.

4.3 Performance Bonuses & Incentives

1. The Employee may be eligible for performance-based bonuses, incentives, or commission structures based on individual and company performance.
2. Bonuses shall be subject to the terms and conditions set forth in the Employer’s bonus policy and shall not constitute an automatic entitlement.

4.4 Benefits & Perks

1. The Employee shall be entitled to the following benefits as per the Employer’s policies:
   • Health Insurance: ☐ Yes ☐ No
   • Retirement/Pension Plan: ☐ Yes ☐ No
   • Stock Options/Equity Participation: ☐ Yes ☐ No
   • Gym Membership/Recreational Facilities: ☐ Yes ☐ No
   • Company Vehicle/Mileage Reimbursement: ☐ Yes ☐ No
   • Relocation Assistance: ☐ Yes ☐ No
   • Education Assistance/Tuition Reimbursement: ☐ Yes ☐ No
2. The Employer reserves the right to amend or discontinue any benefits upon providing reasonable notice to the Employee.

4.5 Expense Reimbursement

1. The Employee shall be reimbursed for reasonable and necessary business-related expenses, including but not limited to:
   • Travel, lodging, and meals incurred for official business trips.
   • Mobile phone, internet, or work-related equipment (if required).
   • Other expenses approved in advance by the Employer.
2. All expenses must be substantiated with receipts and submitted through the Employer’s reimbursement process within [X] days of incurring the expense.
3. Unauthorized or personal expenses shall not be reimbursed.

4.6 Deductions & Statutory Contributions

1. The Employee acknowledges that the Employer shall deduct applicable amounts for:
   • Income Tax
   • Social Security Contributions
   • Pension or Retirement Fund Contributions
   • Other deductions mandated by labor laws
2. Any voluntary deductions (e.g., health insurance premiums, loan repayments) shall be made only with the Employee’s written consent.

4.7 Salary Review & Adjustments

1. The Employee’s salary shall be subject to periodic review, typically on an annual/semi-annual basis.
2. Adjustments may be made based on:
   • Performance evaluations.
   • Changes in job role or responsibilities.
   • Market conditions and company policies.
3. Salary increases are not guaranteed and remain at the Employer’s discretion.

CLAUSE 5: WORKING HOURS, LEAVE, AND HOLIDAYS

5.1 Standard Working Hours

1. The Employee’s regular working hours shall be [Start Time] to [End Time], from [Days of the Week].
2. The Employee shall be entitled to [Duration] of unpaid/paid meal breaks and [Duration] of rest breaks during each workday as per company policy and applicable labor laws.
3. The Employer reserves the right to modify work schedules based on business needs, provided reasonable notice is given to the Employee.

5.2 Overtime & Additional Working Hours

1. The Employee may be required to work overtime beyond regular working hours due to operational demands.
2. Overtime work shall be compensated in accordance with:
   • Labor Law Requirements or
   • Employer’s Overtime Policy
3. The Employee shall obtain prior approval from their supervisor before undertaking overtime work unless required for urgent business needs.

5.3 Flexible Work Arrangements (if applicable)

1. The Employee may be eligible for remote work, flexible hours, or a hybrid work arrangement based on the Employer’s policy and the nature of the role.
2. Any such arrangement shall be documented and agreed upon in writing.

5.4 Leave Entitlement

1. The Employee shall be entitled to leave as follows:
   • Annual Leave: [Number] days per calendar year, accrued on a [Monthly/Quarterly/Annual] basis.
   • Sick Leave: [Number] days per year, subject to submission of valid medical documentation if required.
   • Maternity/Paternity Leave: As per applicable labor laws.
   • Bereavement Leave: [Number] days for the loss of an immediate family member.
   • Unpaid Leave: May be granted at the discretion of the Employer upon written request by the Employee.
2. Leave requests must be submitted in advance through the Employer’s leave management system or directly to the [Department/Supervisor] for approval.

5.5 Public Holidays

1. The Employee shall be entitled to official public holidays recognized by [Country/State].
2. If the Employee is required to work on a public holiday, they shall be compensated with:
   • Overtime Pay
   • Compensatory Time Off
   • Other compensation as per company policy

5.6 Absence & Attendance Policy

1. The Employee shall maintain regular attendance and promptly notify the Employer in case of any unexpected absence.
2. Unapproved absences for [Number] consecutive workdays without communication may be considered as voluntary resignation or misconduct, subject to disciplinary action.

CLAUSE 6: CONFIDENTIALITY, NON-DISCLOSURE, AND DATA PROTECTION

6.1 Confidentiality Obligations

1. The Employee acknowledges that during the course of employment, they may have access to proprietary, confidential, and sensitive information belonging to the Employer, including but not limited to:
   • Business strategies, financial data, trade secrets, and operational processes.
   • Customer and supplier lists, contracts, pricing information, and marketing strategies.
   • Software, technical developments, and research data.
   • Employee records, internal reports, and legal documents.
2. The Employee agrees to maintain strict confidentiality and not disclose or use any such information for personal benefit or third-party gain, both during and after employment.

6.2 Non-Disclosure Agreement (NDA)

1. The Employee shall not, without prior written consent from the Employer, directly or indirectly:
   • Share confidential information with any external party.
   • Replicate, store, or distribute proprietary data outside the organization.
   • Discuss internal matters with unauthorized personnel.
2. If legally required to disclose confidential information, the Employee must notify the Employer immediately and cooperate to protect sensitive data.

6.3 Handling of Confidential Documents & Electronic Data

1. The Employee shall take all reasonable steps to safeguard confidential documents, including:
   • Proper storage of physical and digital records.
   • Use of secure communication channels for business correspondence.
   • Compliance with IT security policies regarding access controls and encryption.
2. Upon termination of employment, the Employee must return all confidential materials, including laptops, USB drives, and digital files, and delete any stored copies.

6.4 Intellectual Property Rights

1. Any work, invention, concept, or product developed by the Employee during employment that is related to the Employer’s business shall be the exclusive property of the Employer.
2. The Employee waives any claims to intellectual property rights, including copyrights, patents, trademarks, or trade secrets, unless otherwise agreed in writing.
3. The Employer may require the Employee to sign additional intellectual property agreements, if necessary.

6.5 Data Protection & Privacy

1. The Employee shall comply with all applicable data protection laws, including [GDPR, CCPA, or other relevant regulations], when handling personal or business-sensitive information.
2. The Employee must not collect, store, or share customer or employee data without authorization.
3. Any security breaches, data loss, or unauthorized access must be reported to the Employer immediately.

6.6 Consequences of Breach

1. Any violation of this clause shall be considered a serious offense, and the Employer may:
   • Take disciplinary action, including termination of employment.
   • Seek legal remedies, including injunctions and financial damages.
   • Report breaches to regulatory authorities, if required.

CLAUSE 7: TERMINATION, RESIGNATION, AND NOTICE PERIOD

7.1 Termination by the Employer

1. The Employer may terminate this Agreement under the following circumstances:
   • With Cause: Immediate termination if the Employee engages in:
     • Gross misconduct, fraud, dishonesty, or criminal activity.
     • Breach of confidentiality or company policies.
     • Insubordination, negligence, or failure to perform assigned duties.
     • Workplace harassment, discrimination, or unethical behavior.
   • Without Cause: Termination at the Employer’s discretion, subject to providing the required notice or compensation in lieu of notice as per Clause 7.3.

7.2 Resignation by the Employee

1. The Employee may resign by submitting a written notice of [Notice Period] days/weeks/months to the Employer.
2. The Employer reserves the right to:
   • Waive the notice period and relieve the Employee from duties immediately.
   • Require the Employee to serve the full notice period.
   • Deduct any unserved notice period from the Employee’s final paycheck if resignation is abrupt.
3. The Employee must return all company property, including office equipment, documents, and digital files, before the last working day.

7.3 Notice Period Requirements

1. Either party may terminate this Agreement by providing [Number] days/weeks/months of prior written notice.
2. In lieu of notice, the Employer may compensate the Employee with payment equivalent to the unserved notice period.
3. The Employee shall remain obligated to fulfill their duties professionally during the notice period unless otherwise instructed by the Employer.

7.4 Exit Process & Final Settlement

1. The Employee must complete an exit interview, if requested, before their departure.
2. The Employee’s final salary shall include:
   • Any accrued but unused leave balance.
   • Pro-rated bonus or incentives, if applicable.
   • Any outstanding deductions (e.g., loans, training costs, unserved notice period).
3. The Employer shall provide the Employee with a relieving letter, experience certificate, or recommendation letter upon successful completion of the exit process.

7.5 Termination Due to Redundancy or Business Closure

1. If employment is terminated due to downsizing, redundancy, or business closure, the Employee may be eligible for severance pay as per labor laws.
2. The Employer shall provide written notice of such termination at least [Minimum Legal Notice Period] in advance.

7.6 Post-Employment Obligations

1. The Employee shall not disclose confidential information, solicit company clients, or engage in any actions that harm the Employer’s business after termination.
2. Any breach of post-employment obligations may result in legal action.

CLAUSE 8: NON-COMPETE, NON-SOLICITATION, AND POST-EMPLOYMENT RESTRICTIONS

8.1 Non-Compete Agreement

1. The Employee agrees that for a period of [Duration] (e.g., 6 months, 1 year) after termination of employment, they shall not:
   • Engage in, establish, or work for a business that competes with the Employer’s business within [Geographical Area] (e.g., city, state, country).
   • Offer services, whether as an employee, contractor, consultant, or partner, to a competing business.
   • Develop, sell, or distribute products or services that are similar to the Employer’s core business offerings.
2. If the Employee wishes to work in a potentially competitive role, they must seek prior written approval from the Employer.
3. If any part of this non-compete clause is deemed unenforceable due to legal jurisdiction, it shall be modified to the maximum enforceable extent.

8.2 Non-Solicitation of Clients & Employees

1. The Employee agrees that for a period of [Duration] after termination of employment, they shall not:
   • Directly or indirectly approach, solicit, or attempt to do business with the Employer’s existing or past clients/customers.
   • Persuade or attempt to recruit any current employees, contractors, or consultants of the Employer to leave their positions.
   • Use or share inside information about the Employer’s clients, pricing, strategies, or projects for personal gain or competitive advantage.
2. Any violation of this clause may result in legal action and financial penalties, including repayment of any financial damages suffered by the Employer.

8.3 Non-Disclosure of Proprietary Information

1. The Employee acknowledges that the Employer has invested significant resources in developing confidential business strategies, technical knowledge, and customer relationships.
2. The Employee shall not disclose, share, or use any confidential information gained during employment, even after leaving the organization.
3. This obligation shall remain in effect indefinitely unless the information:
   • Becomes publicly available through legal means.
   • Is disclosed by the Employer through official channels.

8.4 Exceptions & Limitations

1. This clause does not prevent the Employee from working in a non-competing industry or pursuing general employment opportunities.
2. The Employee may engage in competitive employment if explicitly authorized by the Employer in writing.

8.5 Legal Consequences of Breach

1. Any violation of this clause may result in:
   • Injunctive relief (court-ordered prohibition of violating activities).
   • Financial penalties and reimbursement of losses incurred by the Employer.
   • Lawsuits or other legal actions as permitted by applicable law.
2. The Employer retains the right to waive or modify the restrictions based on individual circumstances.

CLAUSE 9: DISPUTE RESOLUTION, GOVERNING LAW, AND ARBITRATION

9.1 Governing Law

1. This Agreement shall be governed by and construed in accordance with the laws of [Jurisdiction].
2. Any disputes, claims, or legal proceedings arising under this Agreement shall be subject to the exclusive jurisdiction of the courts of [Jurisdiction], unless otherwise agreed by both parties.

9.2 Dispute Resolution Mechanism

1. In the event of a dispute, controversy, or claim arising between the Employer and the Employee, both parties shall first attempt to resolve the matter amicably through good-faith negotiations.
2. If negotiations fail to resolve the dispute within [Number] days, the parties agree to participate in Mediation or Arbitration as outlined below.

9.3 Mediation Process

1. The parties may agree to submit the dispute to mediation before proceeding to arbitration or litigation.
2. Mediation shall be conducted by a mutually agreed-upon neutral mediator or through an official mediation center recognized in [Jurisdiction].
3. The cost of mediation shall be borne equally by both parties unless otherwise determined by the mediator.

9.4 Arbitration Clause

1. If mediation is unsuccessful, the dispute shall be resolved through binding arbitration in accordance with the rules of [Arbitration Institution, e.g., AAA, ICC, or a local arbitration body].
2. The arbitration shall be conducted in [Language] at [Location], unless otherwise agreed upon by both parties.
3. The decision of the arbitrator(s) shall be final and binding on both parties and enforceable in any court of competent jurisdiction.
4. The costs of arbitration shall be shared equally, unless otherwise directed by the arbitrator.

9.5 Exclusion from Arbitration

1. This arbitration clause does not prevent either party from seeking injunctive relief in cases involving:
   • Breach of confidentiality or intellectual property rights.
   • Violation of non-compete or non-solicitation obligations.
2. Any such legal actions shall be brought before the courts of [Jurisdiction].

9.6 Legal Fees & Costs

1. In the event of legal action, the prevailing party shall be entitled to recover reasonable attorney’s fees and court costs from the other party.
2. If a court or arbitrator determines that any claim was filed in bad faith or was frivolous, the filing party may be required to bear the full legal costs of the other party.

CLAUSE 10: GENERAL PROVISIONS

10.1 Entire Agreement

1. This Agreement constitutes the entire understanding between the Employer and the Employee regarding the terms of employment.
2. It supersedes any prior agreements, representations, or understandings, whether written or oral, relating to the Employee’s employment.

10.2 Amendments & Modifications

1. Any amendments, modifications, or changes to this Agreement must be:
   • Made in writing.
   • Signed by both the Employer and the Employee.
2. No verbal agreements shall have any legal effect unless confirmed in writing.

10.3 Severability

1. If any provision of this Agreement is found to be unenforceable, invalid, or illegal, it shall not affect the enforceability of the remaining provisions.
2. The affected provision shall be modified to the closest legally permissible extent while maintaining its original intent.

10.4 Waiver

1. Failure by either party to enforce any term of this Agreement shall not be considered a waiver of their rights to enforce the same in the future.
2. A waiver must be expressly stated in writing and signed by the waiving party.

10.5 Assignment & Transfer

1. The Employee may not assign or transfer their rights and obligations under this Agreement to another party without prior written consent from the Employer.
2. The Employer reserves the right to assign, transfer, or delegate its rights and obligations under this Agreement to another entity, including a subsidiary, affiliate, or successor.

10.6 Force Majeure

1. Neither party shall be liable for failure to perform obligations under this Agreement if prevented due to unforeseen circumstances beyond their control, including but not limited to:
   • Natural disasters (earthquakes, floods, hurricanes).
   • War, terrorism, or political unrest.
   • Governmental actions, regulatory changes, or pandemics.
   • Power failures, cyber-attacks, or major infrastructure breakdowns.
2. If a force majeure event persists for more than [Number] days, either party may terminate this Agreement with written notice.

10.7 Notices & Communication

1. All notices, requests, and formal communications under this Agreement shall be:
   • In writing.
   • Sent via registered mail, email, or courier to the addresses provided by each party.
2. Notice shall be deemed received:
   • By mail: After [Number] business days from the date of dispatch.
   • By email: Upon acknowledgement of receipt or [Number] business days after being sent.

10.8 Survival of Certain Obligations

1. The following provisions shall survive termination of this Agreement:
   • Confidentiality (Clause 6)
   • Non-Compete & Non-Solicitation (Clause 8)
   • Dispute Resolution (Clause 9)
   • Intellectual Property Rights (Clause 6.4)
2. These obligations remain enforceable for the period specified in their respective clauses.

10.9 Counterparts & Electronic Signatures

1. This Agreement may be executed in multiple counterparts, each of which shall be considered an original, but all of which together constitute the same document.
2. This Agreement may be signed electronically and shall be deemed legally valid under [Applicable Electronic Signature Laws].

10.10 Acknowledgement & Acceptance

By signing this Agreement, both parties confirm that:

1. They have read and understood the terms of this Agreement.
2. They have had the opportunity to seek legal advice before signing.
3. They voluntarily agree to be bound by the terms stated herein.

SIGNATURES

Employer:
[Employer’s Name]
[Company Name]
[Date]
Signature: ______________________

Employee:
[Employee’s Name]
[Employee’s Address]
[Date]
Signature: ______________________