Compensation+Adjustment+Request+ Rationale+Memo+
+
To:
CC:
From:
Date:
Compensation Adjustment Request Summary
Employee:
E-Class:
Position#:
Requested Amount:
Reason:
Funding Source
Fund:
Account:
Rationale Summary (please attached supporting documentation)
Select Adjustment Reason
Compensation+Adjustment+Request+ Rationale+Memo+
+
Immediate Supervisor
Date
Grants Accounting, if applicable
Date
Director, Compensation and
Employment
Date
Dean/Dept Head/Director
Date
Divisional Executive
Date
President
Date
+ + + + + +