Final Paycheck Acknowledgment Form

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Final Paycheck Acknowledgment Form

A final paycheck acknowledgment form is given to an employee to have them sign off on their final paycheck, documenting that they are not owed any more money. It provides a breakdown of the final payout, which includes any vacation pay owed and deductions made.

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Last updated July 28th, 2025

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A final paycheck acknowledgment form is given to an employee to have them sign off on their final paycheck, documenting that they are not owed any more money. It provides a breakdown of the final payout, which includes any vacation pay owed and deductions made.

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Final Pay Laws

The deadline for when an employee is entitled to receive their final paycheck varies by state. For instance, in South Carolina, employers may withhold an employee’s final pay until all company equipment has been returned to them.[1]

In some cases, penalties are applied if an employer fails to deliver payment by the due date, such as in Arkansas where employers must pay double the wages owed if they’re late with the final paycheck.[2] 

Final Paycheck Deadlines (By State)

View Requirements
State Employee Fired Employee Resigns Statute
AL N/A N/A N/A
AK 3 workdays. Next payday (at least 3 days after termination). §23.05.140(b)
AZ 7 business days or next payday (whichever is sooner). Next payday. §23-353(a)-(b)
AR Next payday. N/A §11-4-405(a)
CA Immediately. 72 hours (immediately if given 72 hours’ notice). §§ 201(a), 202(a)
CO Immediately. Next payday. §8-4-109(1)(a)-(b)
CT Next business day. Next payday. §31-71c(a)-(b)
DE 3 business days or next payday (whichever is later). 3 business days or next payday (whichever is later). §1103(a)(1)
FL N/A N/A N/A
GA N/A N/A N/A
HI Immediately (or next workday if necessary). Next payday. §388-3(a)-(b)
ID 10 workdays or next payday (whichever is sooner), or 48 hours if requested. 10 workdays or next payday (whichever is sooner), or 48 hours if requested. §45-606(1)
IL Immediately (or next payday if necessary). Immediately (or next payday if necessary). §115/5
IN Next payday. Next payday. §22-2-9-2(a)
IA Next payday. Next payday. §91A.4
KS Next payday. Next payday. §44-315(a)
KY 14 days or next payday (whichever is later). 14 days or next payday (whichever is later). §337.055
LA 15 days or next payday (whichever is sooner). 15 days or next payday (whichever is sooner). § 23:631(A)(1)(a)-(b)
ME N/A Next payday. 26 M.R.S.A. § 626
MD Next payday. Next payday. §3-505(a)
MA Immediately. Next payday. M.G.L. c. 149, § 148
MI Immediately. Immediately. §408.475(1)-(2)
MN Immediately. Next payday (or 20 days if next payday is within 5 days). §§181.13(a), 181.14(a)
MS N/A N/A N/A
MO Immediately. N/A §290.110
MT Immediately. 15 days or next payday (whichever is sooner). §39-3-205(1)-(2)
NE 2 weeks or next payday (whichever is sooner). 2 weeks or next payday (whichever is sooner). §48-1230(4)(a)
NV Immediately. 7 days or next payday (whichever is sooner). §§608.020(1), 608.030
NH 72 hours. Next payday (72 hours if given one pay period’s notice). §275:44(I)-(II)
NJ Next payday. Next payday. §34:11-4.3
NM Immediately (no later than 5 days). Next payday. §§50-4-4(A), 50-4-5
NY Next payday. Next payday. N.Y. Lab. Law §191(3)
NC Next payday. Next payday. §95-25.7
ND Next payday. Next payday. §34-14-03
OH N/A N/A N/A
OK Next payday. Next payday. §165.3(A)
OR Next workday. 5 days or next payday, whichever is sooner (immediately if given 48 hours’ notice). §652.140
PA Next payday. Next payday. §260.5(a)
RI Next payday. Next payday. §28-14-4(a)
SC 48 hours or next payday (no later than 30 days). N/A §41-10-50
SD Next payday. Next payday. §§60-11-10, 60-11-11
TN 21 days or next payday (whichever is later). 21 days or next payday (whichever is later). §50-2-103(g)
TX 6 days. Next payday. §61.014
UT Immediately (no later than 24 hours). Next payday. §34-28-5(1)-(2)
VT 72 hours. Next payday. §342(b)
VA Next payday. Next payday. §40.1-29(A)
WA At the end of the pay period. At the end of the pay period. §49.48.010(2)
WV Next payday. Next payday. §21-5-4(b)
WI Next payday (no later than 31 days). Next payday (no later than 31 days). §109.03(1)-(2)
WY Next payday. Next payday. §27-4-104(a)

Sample

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FINAL PAYCHECK ACKNOWLEDGMENT

I, [EMPLOYEE NAME], have received my final paycheck from [EMPLOYER NAME] on [MM/DD/YYYY]. The total amount of the paycheck is [TOTAL AMOUNT].

The total paycheck amount represents:

Wages
[PAY PERIOD]: $[WAGES AMOUNT]

Accrued Vacation Pay
[VACATION TIME ACCRUED]: $[VACATION PAY AMOUNT]

Other
[OTHER PAY REASON]: $[OTHER PAY AMOUNT]
[OTHER PAY REASON]: $[OTHER PAY AMOUNT]
[OTHER PAY REASON]: $[OTHER PAY AMOUNT]

Deductions
[DEDUCTION REASON]: $[DEDUCTION AMOUNT]
[DEDUCTION REASON]: $[DEDUCTION AMOUNT]
[DEDUCTION REASON]: $[DEDUCTION AMOUNT]

Total:                                           $[TOTAL AMOUNT]

To the best of my knowledge, there is no additional money owed to me by [EMPLOYER NAME] at the present time.

Employee Signature:                                                               Date: ______________
Print Name:[EMPLOYEE NAME]

Company Signature:                                                               Date: ______________
Print Name:[COMPANY REPRESENTATIVE NAME] Title:[COMPANY REPRESENTATIVE TITLE]

Sources

  1. §§ 60-11-10, 60-11-11
  2. § 11-4-405(b)