Fill online: Register of leave with wages and encashment working

Try the first few blanks free and watch the document fill in on the right. Pay, and the whole document opens here to finish and download in Word and PDF.

0 of 178 blanks filled

Leave a blank empty and it stays highlighted in your document, to fill by hand. Your answers are saved in this browser only.

Try the first 5 blanks free. After payment the whole document opens here: every blank, and clean Word and PDF downloads.

Your details

Name of the establishment

Address of the establishment

OSH registration number

Calendar year of service

Leave year

Name of the preparer

Date of preparation

Name of the reviewer

Date of review

First day of the calendar year of service, DD.MM.YYYY

Last day of the calendar year of service, DD.MM.YYYY

Employee code, worker 1

Name of the worker, worker 1

Adult / Adolescent (1)

Date of joining, worker 1

Days actually worked, worker 1

Lay-off, maternity leave and leave days, worker 1

Employee code, worker 2

Name of the worker, worker 2

Adult / Adolescent (2)

Date of joining, worker 2

Days actually worked, worker 2

Lay-off, maternity leave and leave days, worker 2

Employee code, worker 3

Name of the worker, worker 3

Adult / Adolescent (3)

Date of joining, worker 3

Days actually worked, worker 3

Lay-off, maternity leave and leave days, worker 3

Employee code, worker 4

Name of the worker, worker 4

Adult / Adolescent (4)

Date of joining, worker 4

Days actually worked, worker 4

Lay-off, maternity leave and leave days, worker 4

Employee code, worker 5

Name of the worker, worker 5

Adult / Adolescent (5)

Date of joining, worker 5

Days actually worked, worker 5

Lay-off, maternity leave and leave days, worker 5

Employee code, worker 6

Name of the worker, worker 6

Adult / Adolescent (6)

Date of joining, worker 6

Days actually worked, worker 6

Lay-off, maternity leave and leave days, worker 6

Employee code, worker 7

Name of the worker, worker 7

Adult / Adolescent (7)

Date of joining, worker 7

Days actually worked, worker 7

Lay-off, maternity leave and leave days, worker 7

Employee code, worker 8

Name of the worker, worker 8

Adult / Adolescent (8)

Date of joining, worker 8

Days actually worked, worker 8

Lay-off, maternity leave and leave days, worker 8

Employee code, worker 9

Name of the worker, worker 9

Adult / Adolescent (9)

Date of joining, worker 9

Days actually worked, worker 9

Lay-off, maternity leave and leave days, worker 9

Employee code, worker 10

Name of the worker, worker 10

Adult / Adolescent (10)

Date of joining, worker 10

Days actually worked, worker 10

Lay-off, maternity leave and leave days, worker 10

Opening balance, worker 1

Leave availed, worker 1

Refused leave in the balance, worker 1

Encashment asked for, worker 1

Opening balance, worker 2

Leave availed, worker 2

Refused leave in the balance, worker 2

Encashment asked for, worker 2

Opening balance, worker 3

Leave availed, worker 3

Refused leave in the balance, worker 3

Encashment asked for, worker 3

Opening balance, worker 4

Leave availed, worker 4

Refused leave in the balance, worker 4

Encashment asked for, worker 4

Opening balance, worker 5

Leave availed, worker 5

Refused leave in the balance, worker 5

Encashment asked for, worker 5

Opening balance, worker 6

Leave availed, worker 6

Refused leave in the balance, worker 6

Encashment asked for, worker 6

Opening balance, worker 7

Leave availed, worker 7

Refused leave in the balance, worker 7

Encashment asked for, worker 7

Opening balance, worker 8

Leave availed, worker 8

Refused leave in the balance, worker 8

Encashment asked for, worker 8

Opening balance, worker 9

Leave availed, worker 9

Refused leave in the balance, worker 9

Encashment asked for, worker 9

Opening balance, worker 10

Leave availed, worker 10

Refused leave in the balance, worker 10

Encashment asked for, worker 10

Monthly wages, worker 1

Paid on (date), worker 1

Payroll reference, worker 1

Monthly wages, worker 2

Paid on (date), worker 2

Payroll reference, worker 2

Monthly wages, worker 3

Paid on (date), worker 3

Payroll reference, worker 3

Monthly wages, worker 4

Paid on (date), worker 4

Payroll reference, worker 4

Monthly wages, worker 5

Paid on (date), worker 5

Payroll reference, worker 5

Monthly wages, worker 6

Paid on (date), worker 6

Payroll reference, worker 6

Monthly wages, worker 7

Paid on (date), worker 7

Payroll reference, worker 7

Monthly wages, worker 8

Paid on (date), worker 8

Payroll reference, worker 8

Monthly wages, worker 9

Paid on (date), worker 9

Payroll reference, worker 9

Monthly wages, worker 10

Paid on (date), worker 10

Payroll reference, worker 10

Employee code, leaver 1

Date of leaving, leaver 1

Discharge or retrenchment / Dismissal / Resignation / Superannuation / Death (1)

Balance brought forward, leaver 1

Days worked this year, leaver 1

Leave availed this year, leaver 1

Monthly wages, leaver 1

Employee code, leaver 2

Date of leaving, leaver 2

Discharge or retrenchment / Dismissal / Resignation / Superannuation / Death (2)

Balance brought forward, leaver 2

Days worked this year, leaver 2

Leave availed this year, leaver 2

Monthly wages, leaver 2

Employee code, leaver 3

Date of leaving, leaver 3

Discharge or retrenchment / Dismissal / Resignation / Superannuation / Death (3)

Balance brought forward, leaver 3

Days worked this year, leaver 3

Leave availed this year, leaver 3

Monthly wages, leaver 3

Employee code, leaver 4

Date of leaving, leaver 4

Discharge or retrenchment / Dismissal / Resignation / Superannuation / Death (4)

Balance brought forward, leaver 4

Days worked this year, leaver 4

Leave availed this year, leaver 4

Monthly wages, leaver 4

Employee code, leaver 5

Date of leaving, leaver 5

Discharge or retrenchment / Dismissal / Resignation / Superannuation / Death (5)

Balance brought forward, leaver 5

Days worked this year, leaver 5

Leave availed this year, leaver 5

Monthly wages, leaver 5

Designation of the preparer

Designation of the reviewer

Working register for one calendar year · keep it with the statutory register of leave with wages

[Name of the establishment]
Establishment: [Address of the establishment] | Registration number under section 3, OSH Code 2020: [OSH registration number]
Calendar year of service (days of work counted): [Calendar year of service] | Leave year (leave allowed): [Leave year]
Prepared by: [Name of the preparer] on [Date of preparation] | Reviewed by: [Name of the reviewer] on [Date of review]

This workbook computes eligibility, leave credit, carry forward and encashment under section 32 of the OSH Code. It does not replace the register in the prescribed form: Form XX under Rule 76 of the OSH (Central) Rules 2026 where the Central Government is the appropriate Government, or the form under the State OSH rules. Carry its results into that register. The policy that sets the figures is the "Leave policy, annual leave with wages under the OSH Code" in this pack.

1. Settings

Change a figure only where the State rules, a settlement or the contract is more favourable to the worker. Type dates in the date format your computer uses; the cells display them as DD.MM.YYYY.

Setting	Value or date	Basis
First day of the calendar year of service	[First day of the calendar year of service, DD.MM.YYYY]	The year in which the days of work were performed. Leave earned is allowed in the following year, s.32(1)
Last day of the calendar year of service	[Last day of the calendar year of service, DD.MM.YYYY]	Used for the one-fourth test for a worker who joined during the year, s.32(1)
Days of work needed in the year	180	s.32(1), OSH Code 2020
Days of work for one day of leave, adult worker	20	s.32(1)
Days of work for one day of leave, adolescent	15	s.32(1); also underground work in a mine
Carry-forward ceiling (days)	30	s.32(1); leave refused on application is carried forward beyond the ceiling
Divisor for the daily rate of wages	26	Policy, consistent with the 1/26 basis in Rule 69(3) of the OSH (Central) Rules 2026; use a more favourable State or contractual basis where one applies

2. Leave credit for the leave year

The rest of this format (21 more paragraphs and tables) opens here after payment, to fill in the same way.

₹199 + GST, for the finished document, Word and PDF

The short sample is the opening of the document with your details, marked SAMPLE.

A drafted format for your use. It is not legal advice; for a complex matter, consult a professional. About this format