REQUEST FOR REVIEW FORM

Any request for reclassification, retitlement, or salary review as defined by Board Policy 3700/4700 Employee Compensation and its R&P must be submitted on this form.

Please mark type of request. 

   Reclassification:  occurs when all employees of a specific job title are moved from one pay range to another.

   Retitlement:   occurs when an employee’s title is changed from one Board approved position to another based on a review of the employee’s duties.  A person will need to demonstrate that s/he is performing the duties of another titled position in order to be considered for retitlement.  Retitlement is not appropriate when an employee is promoted to a vacant position.

  Salary Review: occurs when an employee believes that the salary administrative guidelines have been misapplied for his/her position.  A salary review shall not include any reconsideration of an employee’s performance evaluation ratings.

The following documentation must be attached to this Request for Review Form:

q                               Rationale for the request

q                               Job description and applicable licensing requirements

q                               Completed Job Evaluation Questionnaire

q                               Position history and/or pay history

1.      Name:_________________________________________ SSN: _____________________

2.      Address: _________________________________________________________________

3.      Home Phone: (____)____________________  Work Phone:_______________________

4.      Position Title:_____________________________________________________________

5.      School/Department: _______________________________________________________

6.      Supervisor Name: _____________________________  Work Phone:_______________

7.      Current Salary: _____________________ Current Salary Grade/Step: ____________

8.      Budget Code: ____________________________________________________________

9.      Employee Signature: ________________________________  Date: ________________

10.  Supervisor Signature: _______________________________  Date: ________________

Approved    Denied       Reason Denied: __________________________________

11.  Cabinet/Principal Signature: __________________________  Date: _______________

Approved   Denied*     Reason Denied: __________________________________

                                    (*Requires letter to employee with explanation of decision.)

Employee Signature: ___________________________________________ Date to HR:____________________