"Salary Review Request Form"

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Salary Review Request
Employee Name
Department
Title
Please accept this as my formal request for a salary review.
Current Salary
Date of Last Raise
I am requesting the following change to my salary:
I believe this change to be acceptable and fair because:
Date
Employee Signature
------------------------------------------------------------------------------------------------------------------------------
Supervisor's Comments:
Date
Supervisor Signature
www.BusinessFormTemplate.com
Salary Review Request
Employee Name
Department
Title
Please accept this as my formal request for a salary review.
Current Salary
Date of Last Raise
I am requesting the following change to my salary:
I believe this change to be acceptable and fair because:
Date
Employee Signature
------------------------------------------------------------------------------------------------------------------------------
Supervisor's Comments:
Date
Supervisor Signature
www.BusinessFormTemplate.com