Home / Code on Social Security / Central Rules 2026
Form guide · Source checked 21 October 2026
Social Security Form IX: application to recover unpaid gratuity
Application to recover gratuity that remains unpaid after determination, rather than a fresh calculation of an undecided entitlement.
(See rule 33 (13) · Social Security (Central) Rules, 2026 · Central-sphere scope
Download and read the completed example
Completed fictional application to recover unpaid gratuity for Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001. It illustrates the prescribed fields without executing a signature or official act.
Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.
When and how this form is used
Rule 33(13) concerns recovery after nonpayment. Identify the actual determination, service, payment time and balance rather than treating an unadjudicated demand as an existing recovery order.
The prescribed recovery prayer asks for a certificate under section 129. The actual authority’s issued certificate and recovery process remain distinct from this application.
The completed fields
Recovery application
| Prescribed field / section | Completed fictional entry |
|---|---|
| Before / parties | Competent authority having jurisdiction over the fictional Central-sphere establishment in New Delhi; no real case number or office order is represented; Arun Mehta (fictional), 8 Example Lane, New Delhi 110001 v Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001 |
| Determination relied on | Prospective hypothetical order dated 15 November 2026 determining ₹3,00,000 |
| Amount received / amount unpaid | ₹2,50,000 received; ₹50,000 still unpaid after the illustrative order’s payment period |
| Employer default and request | Request recovery of the unpaid determined balance through the competent statutory process; interest, if any, only as legally determined |
| Enclosures | Determination, proof of service, actual payment reconciliation and unpaid-balance statement listed; no fake receipts |
| Place / date / execution | New Delhi, 20 December 2026 (prospective fictional scenario); Signature / seal / certification not executed; typed name is an illustration only |
Supporting records and reconciliation
Issued order, service records, expiry of payment time, bank/payment evidence and exact unpaid-balance calculation.
Worked calculation: ₹3,00,000 − ₹2,50,000 = ₹50,000; no invented interest assessment.
Official source and version
Official Gazette, Social Security (Central) Rules, 2026; Form IX; PDF pages 216–217
Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.
The Central Rules have their stated jurisdiction. The corresponding appropriate-government rules and any later amendment must match the real establishment and event.
Practical questions
Can I submit the sample as my own completed form?
No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.
What makes the example specific to this form?
This is the prescribed application to recover unpaid gratuity under (See rule 33 (13), with its own parties, event, required entries and legal function.