Salary reviewform

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Salary reviewform

  1. 1. Salary Increase Proposal G #Employee Name: Position #: Old Salary $ Department: Salary Recommendation $ Requested Effective Date: $ Amount of Increase % increase Rationale for Salary Increase Proposal AUTHORIZATIONS: Name, Title, and Mail Stop of Requestor Phone Date HR Liaison/Alternative Confidential Contact (optional) APPROVALS: Office of the Dean: __________________________________________________ ____________ Date Executive Council Member:____________________________________________ ____________ Date Salary Review Committee:_____________________________________________ ____________ Date

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