Non-Merit/Unclassified

Waiver of Six Month Advancement Request

Pursuant to 101 KAR 3:045, an unclassified employee’s six-month salary advancement may be delayed by the appointing authority but must be granted no later than the first day following twelve months of service; however, an employee may voluntarily request to waive the six month salary advancement. In that event, this form is available for that purpose.

Request Date:
Employee Name: / PERNR or Emp ID:
Position Title: / Date of Hire:
Agency Name:
By signing below, I voluntarily request to waive my six-month salary advancement, due as a result of my appointment to this position.
Employee Signature / Date
Please submit signed forms to your agency HR office.

PC/DHRA/DEM

MAY 2015