Employee Pay Increase Form

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Employee Pay Increase Form

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Today's Date:

This field is required.Please enter value Date format is invalid, please check it again The value must be greater than or equal to -21474836487 The value must be less than or equal to 2147483647

Employee Name:

First Name

Last Name

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Employee ID #:

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Job Title:

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Employment Status:

Full-Time
Part-Time
Temporary/Contract

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Current Salary:

This field is required.Please enter value The value allows only numbers !. The value must be greater than or equal to -21474836487 The value must be less than or equal to 2147483647

Salary % Increase:

This field is required.Please enter value The value allows only numbers !. The value must be greater than or equal to -21474836487 The value must be less than or equal to 2147483647

Recommended Salary:

This field is required.Please enter value The value allows only numbers !. The value must be greater than or equal to -21474836487 The value must be less than or equal to 2147483647

Effective Date:

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Justification for Salary Increase:

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Supervisor Signature:

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Request Approved:

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Reason - if denied:

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Signature:

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