Pay Change Request – Salary Employee Pay Change Request Form - Salary or Commission Employee Manager Making Request: First Last Request Date: MM slash DD slash YYYY Employee Name First Last Location:*SelectAlabasterCaleraCullmanHooverMuscle ShoalsFlorenceFlorence Corporate OfficePrattvilleTuscumbiaDepartment:*Job Role/Title:*Current Salary: (If no salary, enter $0)*Current Draw: (If no draw, enter $0)*Pay Change Effective Date: (Should be a future date; Must be the 1st or 16th of the Month) MM slash DD slash YYYY New Salary: (If no salary, enter $0)*New Commission Rates: (If None, enter "None")*New Draw Amount: (Commissioned Employees Only; Should be equal to or more than the Salary)*Guarantee: (Explain in Detail; If None, enter "None") Guarantee Expiration Date: (Must be Last Day of Expiration Month) MM slash DD slash YYYY Notes: (Anything else we need to know to create the pay plan?)CAPTCHA Δ
