PROMOTIONAL INCREASE REQUEST:
ADDITIONAL STEPS
HR Personnel Records Form
Employee: / Employee OR#:
Position No.: / HR Manager:
Supervisor: / Work Unit:

Current Classification: Promotional Classification:

Classification: / Classification:
Working Title: / Working Title:
Repr/Class #: / Repr/Class #:
Salary Range: / Step: / Salary Range: / Step:
Base Salary: / Base Salary:
SED:

Specifically state the outstanding qualities and/or performance of this employee to justify why additional steps upon promotion should be given. If differentials will be rolled into the base salary, please specify the justification (how long differentials were received, why they should be included in new base, etc.).

Approved/Denied:

Approved Denied
Assistant Director / Date:
Division
Approved Denied
Director of Human Resources / Date:

C: Personnel Records, Working File CD 1508 Revised 03/2016