EQUITY INCREASE JUSTIFICATION AND APPROVAL RECORD Please print or type. Date of Request: ________________ Employee Name:______________________________________________ Employee ID: _____________________ Title Code:__________ Payroll Title:_________________________ Check one:__ Represented __Unrepresented VC:_______________ Department:________________________________________________________________ Request Date:___________ Old Rate: _____________ Requested Rate: ___________Effective date: ________ Approved by: _______________________________________ Phone: ______________Date Approved: ________ (Name and Title) Reason for Equity Increase (Check one or more of the following categories) _____ Internal inequity between two or more positions (List Names, Grade and Salary) NAME GRADE SALARY HIRE DATE APPOINT. DATE $ $ Explanation: _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ _____ Assignment of higher-level functions that do not warrant reclassification to a higher salary grade. (Updated job description required. Previous jd #_____________ New jd # _____________) _____ Position-related skill acquisition that represents more than normal job growth (List newly acquired skills that warrant additional compensation) ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ _____ External market factors Survey source: ___________________________________________________________________________________________ Market rate: _____________________________________________________________________________________________ _______Retention (Describe competing offer) ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ UCSD Human Resources Department Revised 7/17/08