Wage Payment Acknowledgment Form

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Document Overview

A Wage Payment Acknowledgment Form is an official HR document used by employers to record and confirm that an employee has received their wages or salary for a specific pay period.
It serves as written proof of payment and helps ensure compliance with Sections 17–20 of the Employment Act, 2007 (Cap 226) of Kenya, which governs how and when wages are paid, as well as how deductions and receipts are handled.

Key Components:
1. Employee and employer information
2. Pay period covered
3. Gross pay, deductions, and net pay
4. Mode of payment (cash, bank, cheque, mobile money)
5. Signatures of both the employee and employer as confirmation of payment

Notes:
1. Employers must issue this acknowledgment whenever wages are paid in cash (Employment Act, Section 17(1)(a)).
2. Both employer and employee should retain a copy for at least five years (Section 74).
3. Where payment is made via bank transfer or mobile money, attach proof of payment.

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Wage Payment Acknowledgment Form

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