Human Resources Job Classification Request Form
Use this form to request a review or update of a job classification for an employee or position. Provide accurate details about the current role, proposed classification, duties, and supporting documents.
Requestor and Position Information
Requestor Name
*
First Name
Middle Name
Last Name
Requestor Job Title / Role
*
Department
*
Please Select
Human Resources
Finance
Operations
Information Technology
Sales
Marketing
Customer Service
Other
Work Location
*
Please Select
Headquarters
Remote
Hybrid
Branch Office
Other
Requestor Email
*
example@example.com
Requestor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employee Name
*
First Name
Middle Name
Last Name
Current Position Title
*
Current Department
*
Please Select
Human Resources
Finance
Operations
Information Technology
Sales
Marketing
Customer Service
Other
Current Supervisor / Manager
*
Request Type
*
New Position
Reclassification of Existing Position
Review of Current Role
Job Classification Request Details
Proposed Job Title
*
Proposed Department
*
Please Select
Human Resources
Finance
Information Technology
Operations
Sales
Marketing
Customer Service
Administration
Other
Proposed Job Level / Grade / Classification
*
Please Select
Entry Level
Level I
Level II
Level III
Senior
Lead
Supervisor
Manager
Director
Other
Proposed FLSA Status
Please Select
Exempt
Non-Exempt
Not Sure
Other
Effective Date Requested
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Request
*
Detailed Summary of Duties
*
Percentage of Time Spent on Major Duties
*
Rows
Percent of Time
Core technical duties
1
Administrative / clerical duties
2
Customer / stakeholder support
3
Supervisory / people management
4
Projects / process improvement
5
Other duties
6
Supervisory Responsibilities
Please Select
None
Indirect oversight only
Leads projects or workgroups
Supervises employees
Manages supervisors
Other
Number of Direct Reports
Budget / Funding Source
Please Select
Operating Budget
Grant Funding
Departmental Budget
Project Budget
Cost Center
Other
Supporting Review and Submission
Position Description Attachment
*
Upload a File
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Choose a file
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of
Org Chart Attachment
*
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of
Supporting Documentation Attachment
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of
Additional Comments or Special Considerations
Acknowledgement
*
I confirm that the information provided is complete and accurate.
Submit Request
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