REQUEST FOR IN-Grade Increase

Kansas Department of Administration, Division of Personnel Services

Request for In-grade Pay Increase

IMPORTANT NOTICES:

1. If you have delegated classification authority, have you reviewed this position for possible reallocation? (Yes ) (No ) (N/A )

2. If you do not have delegated classification authority, have you contacted Lois Ryan, Division of Personnel Services, 785/296-4274, to review the position reallocation? (Yes ) (No ) (N/A )

Agency Information

Agency Name Agency Number

Agency Contact Phone

Contact Email

Employee Information
Employee Name Employee ID

Position Number Job Title

Pay Grade Current Step Current Rate of Pay

Requested Step Requested Rate of Pay

Type of Increase
(Permanent, Temporary, Extend Temporary, Change Temporary to Permanent, Transfer)

Requested Effective Date

End Date if Temporary Increase

Please provide a clear explanation of the reason(s) for the in-grade pay increase, attaching additional explanation/justification if necessary. (Pay inequity, Counter-offer, Market Adjustment, Licensure, Responsibility change, Employment Condition, Geographic or Language Differential, Retirement adjustment)

How is this increase budget neutral for current and future fiscal years?

If a cost savings is realized, please explain and provide a dollar savings amount.

Is this position a represented by a PERB unit? If so, please identify.