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HR - Salary Review Request

DD slash MM slash YYYY
Please indicate one option for which you’re applying, by checking a box below.(Required)
A. Statement indicating business rationale for the request (All options)

B. Statement to demonstrate change in responsibilities within Job Description (Option 1 only)

C. Current Job Description and Revised Job Descriptions (Options 2 and 3)
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    Clear Signature
    DD slash MM slash YYYY

    * The HR Committee meets quarterly and this request will be reviewed at the next meeting.

    *Any salary increase decision is at the discretion of the HR Committee and is final.
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    Needs to go to Clarissa