Employee exit clearance form (free template)
A clearance form for UAE companies: each department signs off, company property comes back, system access is removed and the final settlement is acknowledged. Ready to print or fill in.
No sign-up, no email. Also in Arabic: نموذج إخلاء طرف موظف
Employee exit clearance form
Company logo| Department | Items to clear | Cleared by | Signature | Date |
|---|---|---|---|---|
| Line manager | Handover of work and open tasks | |||
| IT | Laptop, phone, email and system access | |||
| Administration | Staff ID, keys, door card, uniform | |||
| Operations | Tools, vehicle keys, fuel card | |||
| Finance | Advances, loans, petty cash | |||
| HR | Leave balance, final settlement, visa cancellation |
I confirm that I have returned all company property in my custody and that my final settlement has been explained to me.
What the form covers.
Six departments, one form. Edit the rows to match how your company is organised.
-
1
Employee and exit detailsName, number, department, designation, last working day and the reason for leaving.
-
2
Department sign-offsLine manager, IT, administration, operations, finance and HR, each with a signature and date.
-
3
Company property returnedLaptops, phones, keys, door cards, uniforms, tools and fuel cards.
-
4
Access removedEmail and system accounts, door cards and keys, with who removed each and when.
-
5
Final settlement acknowledgedThe employee confirms the settlement was explained; HR approves.
Questions
What is an exit clearance form?
An internal record that a leaving employee has handed back company property, that their access has been removed and that dues on both sides are settled. Each department signs to confirm its part.
Is a clearance form required by UAE law?
The law does not prescribe a clearance form; it is an internal control. It does not replace the final settlement, which must be paid within 14 days of the contract ending (Article 53 of Federal Decree-Law No. 33 of 2021).
Who should sign it?
Every department that issued something or granted access, then the employee and HR. Most companies keep the signed copy on the employee's file.
When the form needs chasing, use an exit clearance that fills itself.
ValiCrew lists what the person still holds, the access still to be removed and their final settlement — and records every sign-off.