Document text
EPF letter to employer and Form K sheet
Fill this in before you go to the Labour Office. It does not replace Form K.
Check Mine
Date I left work [DATE]
Date my marriage was registered [DATE]
First window: marriage registered within 3 months after I left? [YES / NO]
Second window: I left within 5 years after registration? [YES / NO]
EPF member number [MEMBER NUMBER]
Employer's EPF number [EMPLOYER NUMBER]
NIC number [NIC NUMBER]
Bank and account for payment [BANK, BRANCH, ACCOUNT NUMBER]
Papers:
[ ] Form K from the Labour Office, Part I completed
[ ] Part II certified by my last employer
[ ] B card
[ ] Certified copy of the marriage certificate
[ ] Grama Niladhari certificate, countersigned by the District Secretary, that the marriage took place
If my last employer has closed:
[ ] Form with my personal details, certified by the Grama Niladhari and countersigned by the District Secretary
[ ] Letter of indemnity, wording from the Labour Office
Steps:
[ ] Handed in at [LABOUR OFFICE] on [DATE]
[ ] Receipt number: [RECEIPT NUMBER]
Letter to my last employer
[FULL NAME]
[ADDRESS] · [MOBILE] · [EMAIL]
To: [HR MANAGER OR NAME], [COMPANY]
[DATE]
Subject: Certification of Part II of EPF Form K
I worked at [COMPANY] as [JOB] from [START DATE] to [LAST DATE]. My EPF member number is [MEMBER NUMBER].
I left on grounds of marriage. My marriage was registered on [DATE]. I am applying to the Commissioner of Labour for a refund of my benefits from the Employees' Provident Fund.
I attach Form K with Part I completed. Please:
certify Part II of the form
give me my B card
return both to me at the address above
Please tell me if you need anything else to do this.
Sincerely,
[FULL NAME]
Signature: ____________________
Received by: ____________________ Date: ____________