Wage Adjustment Request Form

Wage Adjustment Request (WAR) Form

To be filled out by manager
Requesting Manager:

First NameLast Name
Email
example@example.com
Plato's Closet BarboursvillePlatos Closet Charleston
Employee:

First NameLast Name
PromotionDemotionReclassification (same role, completion of training)Reclassification (same role, school year weekday daytime availability -- @ least 2 M-Th weekdays before 12 PM)Merit basedLength Of ServiceOther
Current position of employee:
New position of employee (if applicable):
Supporting Information:
Provide specific details to support the need for a Wage Adjustment below:
If wage adjustment includes increase for school year daytime availability, please note times employee is available on Monday - Thursday weekdays at or before 12 PM:
Requested date of wage adjustment (must be future-dated start of a pay period):

MonthDayYear
Date
Current hourly pay rate of employee (via WIW):
Requested new hourly pay rate of employee:
If left blank, pay rate will be assessed via our current pay tables per position in the store.
Should be Empty:

Wage Adjustment Request (WAR) Form