Social Security Form VIII: authority payment direction

Notice for payment of gratuity determined by the competent or appellate authority.

(See rules 33(11) and 33(12)(h) · Social Security (Central) Rules, 2026 · Central-sphere scope

Download and read the completed example

Completed fictional authority payment direction 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

Rules 33(11) and 33(12)(h) distinguish competent-authority and appellate-authority determinations. The actual operative order controls the payable amount, recipient and payment date.

This prospective fictional notice illustrates the output after adjudication. No adjudication or direction has actually occurred.

The completed fields

Hypothetical determination notice

Prescribed field / section	Completed fictional entry
To employer / copy applicant	Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001; copy Arun Mehta (fictional), 8 Example Lane, New Delhi 110001
Proceeding / authority	Hypothetical gratuity determination after hearing; no actual order number
Amount determined / amount paid / balance	₹3,00,000 determined; ₹2,50,000 assumed paid; balance ₹50,000
Hearing / alternatives	Heard 10 November 2026 in employer’s presence; competent-authority route selected; appellate route N/A
Payment direction / recipient	Illustrative direction to pay the determined balance to Arun Mehta by the time specified in the hypothetical order; not an actual enforceable deadline
Payment window / intimation	Within thirty days of receipt of the hypothetical notice, with intimation to the competent authority; exact actual receipt date controls
Ground / order date	Service/wage reconciliation accepted; hypothetical order dated 15 November 2026
Authority signature / seal / date	Signature / seal / certification not executed; typed name is an illustration only; prospective fictional date 15 November 2026

Supporting records and reconciliation

Retain the issued determination and notice, service proof, computation, payment evidence and any operative appellate order.

Worked calculation: ₹3,00,000 determined − ₹2,50,000 paid = ₹50,000 balance.

Official source and version

Official Gazette, Social Security (Central) Rules, 2026; Form VIII; PDF pages 215–216

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 authority payment direction under (See rules 33(11) and 33(12)(h), with its own parties, event, required entries and legal function.