Salary Increase Request Form

Employee Information

First Name

Last Name

Employee ID

Job Title

Department

Date of Hire

Email

Current Salary

Employment Status

Full-Time

Part-Time

Temporary/Contract

Request Information

Effective Date

New Salary

Salary Percentage Increase

Reason for Request

Supporting Document

Choose a file or drop it here

Supporting Document

Choose a file or drop it here

Supporting Document

Choose a file or drop it here

Supporting Document

Choose a file or drop it here

Manager Approval

Final Approval

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