Payment Amount
Specify gross amount, net payment method, and whether payment covers salary, benefits, or both; list deductions and gross-to-net math.
A written PILON Confirmation clarifies the parties’ agreement on notice substitution, payment amount, timing, and tax treatment. It reduces dispute risk, supports accurate payroll reporting, and documents employee consent to waivers or restrictive post-employment terms.
The document is commonly prepared by employer HR or payroll teams and signed by the departing employee as evidence of agreement.
Legal, payroll, and benefits teams should retain copies after execution for compliance and audit purposes.
The HR Manager prepares the PILON Confirmation, documents the calculation and tax treatment, and ensures payroll posts the payment correctly; they coordinate with payroll and legal as needed.
The employee reviews and signs the confirmation to acknowledge receipt of payment in lieu of notice and any associated release or continuing obligations, creating a record of consent.
Specify gross amount, net payment method, and whether payment covers salary, benefits, or both; list deductions and gross-to-net math.
State the effective termination date and the date the PILON is considered paid for benefits and payroll purposes.
Declare that the payment is subject to applicable income, Social Security, Medicare, and state payroll withholdings and how taxes will be reported.
If a release or severance agreement is included, summarize obligations released and any conditions the employee must meet to receive the payment.
Provide dated signature lines for the employee and authorized employer representative; include printed names and titles.
Note where and how the employer will retain the executed confirmation for audit and compliance purposes.
| Field | Configuration |
|---|---|
| Template | Use a reusable template to standardize language and calculations. |
| Authentication | Enable email plus SMS or ID verification for higher-assurance signings. |
| Attachments | Attach payroll calculation worksheets and any release documents. |
| Retention | Set automated archiving per your records retention policy. |
Choose a signing platform that captures a detailed audit trail and integrates with payroll and HR systems.
Issue the PILON payout according to your payroll schedule and the effective termination date.
Report PILON as wages on Form W-2; provide employee copies by Jan 31.
Withhold federal and state income tax and FICA in the applicable pay period.
Retain payroll and confirmation documents per company and regulatory policy.
Comply with any state-specific wage payment timing rules where applicable.
Employer documents rationale and authorization to use PILON in place of notice.
Payroll computes amount; legal reviews release language where applicable.
Employee signs confirmation electronically or on paper, acknowledging terms.
Employer issues payment, posts payroll entries, and archives executed confirmation.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
Employer elects PILON for 30 days of notice at termination
Employer conditions full PILON on a limited release of claims