Employee Gratuity Award

EMPLOYEE GRATUITY AWARD

This Employee Gratuity Award (the Award) is made by and between the Employer and the Employee identified below. Employer Name:    Employee Name:

Personal Information

Position Information

Employment Start Date:    Current Annual Salary: $

Full-time    Part-time    Exempt    Non-exempt

Employment History

Education

Graduation Date:

References

Legal Disclosures

At-Will Employment: Employee acknowledges that, unless otherwise provided in a separate written agreement signed by an authorized officer of Employer, Employee's employment is at-will and may be terminated by either party at any time, with or without cause and with or without notice.

Equal Opportunity: Employer is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, sex, national origin, disability, protected veteran status, age, or any other protected characteristic under applicable law.

By checking the box below, Employee acknowledges receipt of and understanding of the above statements. I acknowledge and understand.

Gratuity Award Details

Award Reference Number:

Effective Date of Award:    Payment Method: Lump sum    Installments

Tax Withholding: Employee acknowledges that applicable federal, state, and local taxes and other required withholding will be deducted from the Award as required by law. I acknowledge.

Conditions of Award

Vesting: The Award vests in full effective on the Effective Date unless otherwise set forth in the Calculation Basis. Any unvested portion is subject to forfeiture if Employee's service terminates prior to vesting.

Repayment Obligation: If Employee voluntarily terminates employment or is terminated for Cause within days of payment, Employee shall repay the Award (or an amount determined pro rata in Employer's discretion) to Employer. Employer may recover such amounts through payroll deduction or other lawful means. Employee authorizes such deductions: Authorize payroll deduction.

Tax Treatment and Reporting: Employer will report the Award as taxable compensation in accordance with applicable law. Employee understands that Employer makes no representation as to the tax consequences of the Award and Employee is solely responsible for any tax liability.

No Right to Future Awards: Except as expressly set forth herein, this Award does not confer any right to future grants, nor does it alter Employee's at-will employment status.

Authorization and Background Checks

Employee Authorization: Employee authorizes Employer to contact prior employers and references to verify employment history and to obtain background checks, including criminal record and credit checks where permitted by law. Employee authorizes prior employers and references to provide such information to Employer.

I authorize Employer to contact my previous employers and references.    I authorize background checks as described.

Employee Certification

I certify that all information provided in this document is true and complete to the best of my knowledge. I understand that knowingly providing false information may result in rescission of the Award and disciplinary action up to and including termination. I further acknowledge receipt of the Gratuity Award and agree to the terms and conditions set forth in this Award.

I authorize Employer to withhold amounts from the Award to satisfy tax withholding obligations and any repayment obligations that arise under this Award agreement.

Employee Signature below constitutes Employee's acceptance of this Award and its terms.

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