Pay Alteration Request Form
Pay Alteration Request Form
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Pay Alteration Request Form
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E
Please return completed form to payroll, head office.
Employee name:
Present position:
State:
Payroll number:
Paid: (weekly / monthly etc.)
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L
T
E
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N
Proposed position:
Proposed pay per week/annum:
$
Other pay alterations proposed:
$
Present rate per week/annum:
$
Recommended increase per week:
$
Reason for other pay alteration:
$
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P
P
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V
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L
Effective date: (dd/mm/yy)S
Recommended: (Manager)
Approved:(Managing Director)
PAY OFFICE USE
Actioned date: (dd/mm/yy)
Effective week ending: (dd/mm/yy)
Back Pay:
$