Department of Human Resources

Pay Increase/Augmentation Request Form

No Civil Service employee shall receive a pay increase (in-range, market adjustment, merit, retention) or augmentation until there is approval from UMD HR.

To submit a request for a pay increase or augmentation, fill in the information below and click the "Send it" button.

*Name of employee to receive increase/augmentation
*Empl ID of employee to receive increase/augmentation
*Department name
*Job Code Number
*Working Job Title
*Percentage of Appointment
*Total hours per week
* Current pay rate, hourly
*Requested pay/augmentation rate
*Begin Date
End Date (for augmentation only)
*Supervisor's Name
*Supervisor's Empl ID#
*Supervisor's Telephone Number
*Supervisor's e-mail address(____@d.umn.edu)

*Please check which applies:

In-Range
Market Adjustment
Merit Increase
Retention
Augmentation

*Reason for Increase/Augmentation (Be Specific)


*Current Job Duties (Include Percentages)


*New Job Duties (Include Percentages)
Please note/asterisk which duties are out of class

*Contract/Rule Book/Policy that applies to request


*Article or rule that applies to request

*What is your first and last name?
*What is your campus telephone number?
*What is your complete email address?(____@d.umn.edu)
*Contact person's first and last name
*Contact person's telephone number
*Contact person's complete e-mail address(____@d.umn.edu)
*Department campus address

*Approvals

Comments

*REQUIRED FIELD---NEED TO BE FILLED OUT BEFORE SENDING

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Questions? Call (218) 726-6740