Printable Business Form Templates
Salary Review Request Business Form Template

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

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