UPGRADE REQUEST FORM
Name: ______________________________________________________
Date: ______________________________
Union: ______________________________
Current Job Title: _____________________________________________
(Attach job description)
Range/Step: ____________________
Hourly Rate: ____________________ Annual Rate: __________________
Attach new job description, put line through duties no longer done and add in BOLD new
duties.
I agree that the attached is an accurate description.
___________________________________ ______________________________
Supervisor Title
______________________________
Date
__________________________________ ______________________________
Department Head Title
_________________________ ______________________________
Date
Date received by Department Head (have it stamped in). I Department Head you respond
in 30 days of above stamped date. I agree/disagree or have made changes to the attached
job description and have sent it to Marci Nogueira.
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