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REQUEST FOR REVIEW FORM
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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.
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Please
mark type of request.
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Reclassification: occurs when all employees of a
specific job title are moved from one pay range to another.
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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.
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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.
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The following documentation must be attached to this
Request for Review Form:
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q
Rationale for the
request
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q
Job description and
applicable licensing requirements
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q
Completed Job Evaluation Questionnaire
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q
Position history
and/or pay history
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1.
Name:_________________________________________
SSN: _____________________
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2.
Address:
_________________________________________________________________
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3.
Home Phone:
(____)____________________ Work
Phone:_______________________
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4.
Position
Title:_____________________________________________________________
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5.
School/Department:
_______________________________________________________
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6.
Supervisor Name:
_____________________________ Work
Phone:_______________
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7.
Current Salary:
_____________________ Current Salary Grade/Step: ____________
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8.
Budget Code:
____________________________________________________________
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9.
Employee
Signature: ________________________________
Date: ________________
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10. Supervisor Signature:
_______________________________ Date:
________________
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Approved Denied Reason Denied:
__________________________________
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11. Cabinet/Principal Signature:
__________________________ Date:
_______________
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Approved Denied* Reason Denied:
__________________________________
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(*Requires letter to employee with explanation of
decision.)
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If the employee disagrees with the principal’s or
Cabinet member’s determination, s/he may seek an additional review by
submitting this form and all required documentation to the Assistant
Superintendent of Human Resources/Staffing and Development within 15 business
days of the principal’s or Cabinet member’s written response.
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Employee Signature:
___________________________________________ Date to HR:____________________
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