Skip to main content

Free final pay & PTO record sheet

Write down what you believe you're owed so you can confirm it. This is a record, not a calculation of your rights.

No signup. No watermark. Free.

Save your details for next timeStored in this browser only. We do not upload it — though whatever you put into a document does reach us when you download that file.
You
Items to confirm
Where to confirm

About this document

A final pay and PTO record sheet writes down what to confirm about your last paycheck — timing, unused paid time off, outstanding expenses — as questions for HR, with room for their answers. It's a record you fill in, deliberately not a calculator.

When to use it

  • Before your last day, while asking is still easy.
  • Your exit has moving parts — unused PTO, a pending reimbursement, a bonus date.
  • You want the answers written down rather than remembered.

Getting it right

  • Ask "when" as much as "how much" — timing questions cause most of the surprises.
  • Bring pay stubs to the conversation; concrete numbers get concrete answers.
  • Write HR's answers onto the sheet during the conversation, with the date and who said it.

It does not determine what you are owed — payout rules for final wages and unused PTO differ by state and by policy, which is exactly why this sheet collects questions and answers instead of computing amounts.

Part of Leave a job — the whole situation, connected.

Common questions

Why won't it just calculate my payout?
Because the rules genuinely vary by state and by employer policy. A confident-looking wrong number is worse than a clear question.
Who answers these questions?
HR or payroll — and your state labor office for how the rules work where you live.
The answers changed later — now what?
That's why each answer carries a date and a name. Update the sheet and keep both versions.