Page 1 of 2 Pay Review Form Feb 2018

Salary Review Form

Job Title of post to be reviewed:

Department:

Name of Employee(s)

Have you included:-

1. A copy of the current Job Description

2. Existing and proposed departmental organisational chart

3. An up to date annual review for the post-holder

Reasons for salary review request Please list the key reasons for the review of the post (i.e. increased levels of responsibility or authority)

Changes to the Job Description Please list the key changes to the current Job Description needed and reasons why these changes have arisen

Page 2 of 2 Pay Review Form Feb 2018

Impact on other departmental/ College roles Please explain if the changes needed impact on any other posts in the department or College.

Impact on departmental pay budget Please detail both the current salary for the post (with on-costs) and the proposed salary change (with on-costs). Give both the scale point and the salary amount for both current and proposed amounts.

Signed ______________________________________ Date _________________

Head of Department