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Raise Request

Who is this raise request for:(Required)
Please enter the name of the staff member you are requesting the raise be applied to
If the staff member performs various duties, which position are you requesting the raise be applied?
Be as descriptive as possible. Do NOT write, they are good at their job...
To the best of your knowledge, has this staff member had any disciplinary actions in the last 90 days?
To the best of your knowledge, has this staff member been late, or absent from any shifts in the last 90 days?
To the best of your knowledge, has this staff member violated any policies or procedures in the last 90 days?
What is the dollar amount you are requesting for wage increase. Enter $0.?? for increase amounts less than a full dollar.
Person requesting wage increase(Required)
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