Form wording:

(a) Employee's name:

(b) Date of commencement of continuous employment:

(c) Date of termination of continuous employment:

(d) Age at start of employment:

(e) Age on termination of employment:

(d) Length of continuous service (20 years is the maximum that can be taken into account):

(e) Number of weeks' pay due, calculated as follows:

Number of complete years' employment aged 41 or over x 1½ =

Number of complete years' employment aged 22-40 x 1 =

Number of complete years' employment aged 21 and under x ½ =

Total number of weeks' redundancy payment due =

(f) Amount of a week's pay (maximum amount where the effective date of termination is on or after 1 February 2008 = £330):

(g) Amount of redundancy payment due ((e) x (f)):

When to use this document

Use this document to provide written particulars of how a redundancy payment has been calculated.

Law relating to this document

Leading statutory authority

Employment Rights Act 1996
Employment Equality (Age) Regulations 2006 SI 2006/1031

Under the Employment Rights Act 1996, section 165 an employer is, on making a redundancy payment, under a statutory duty to supply the employee who is being made redundant with a written statement indicating how the amount of the payment has been calculated.