Request For Salary Change Form
Employee Name
First Name
Last Name
Department
Account Number
Current Salary $
New Salary $
% (This Section will be calculated automatically)
Please choose your request(s)
Promotion
Transfer
Reclassification
Performance
Additional Duties/skills
Retention
Salary Decrease
Special Pay
Do you want to specify your request?
Please justify your request via
Position Desctiption
Transcript
Other
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