IN-RANGE PROGRESSION (IRP) REQUEST FORM Please use this form to request an In-Range Progression. Forward the signed completed form to Office of Human Resources, UN Room 165, ext. 2101. Information on the policies and conditions governing in-range progression request is available in the Collective Bargaining Agreements and the personnel manuals of each auxiliary organization. IRP salary determinations are made jointly by Human Resources, College/Department management, and the Division VP or designee. The incumbent’s salary history, internal salary equity, and budgetary constraints are always taken into account when considering salary actions. Request submitted by: Employee Manager: Employee Name: _______ Department ID: Department Name: Job Code / Grade Level: / Position Number: BARGAINING UNIT: Employee ID: Classification: Working Title: Unit 1 CSUEU (2,5,7,9) Unit 4 Unit 6 Unit 8 C99 (Confidential) Select the Basis of the Request and Answer the Questions SIGNIFICANT INCREASE IN RESPONSIBILITIES (including ongoing “lead” or project coordination) . Must be ongoing, essential to the job, and consistent with the current classification. Attach an updated position description, incorporating the new responsibilities, if applicable. Describe the increased level of on-going responsibilities or duties: Do the duties of the position include on-going lead or project coordination responsibilities, not included in the classification standard? Yes No Yes No EMPLOYEE PERFORMANCE (not available for Unit 6). In what way is the employee’s performance exceptional? Does the employee have at least one (1) official performance review(s) with overall rating of “Exceeds Expectations” or “Outstanding”? EQUITY. Internal equity (within Department/College/Division/University) or Market/external equity. Requesting employee or department does not have to provide any salary data. Explain the reasons that support the IRP Request Form (cont’d) request for an equity review. NEW OR ENHANCED SKILLS Must be substantive in nature, essential to the job, and consistent with the current classification for the position. Attach an updated position description, incorporating the new or enhanced skills, if applicable. Describe the substantive new skills and how they are critical in carrying out the requirements of the current position. RETENTION (CSUEU only). Describe the impact upon the University if the incumbent left. Please attach documentation of any pending offer. Signatures Print Name of Requestor Signature Date Extension Print Name of Supervisor/Department Chair Signature Date Extension Print Name of Director/Dean/MAR/Fin. Mgr. Signature Date Extension HR Recommendations Comments: Does support request: Recommended %: Current Base: Effective Date: New Base: Does not support request Print Name of Human Resources Manager Signature Date Extension Signature Date Extension Vice President Approval Comments: Print Name of Vice President For HR Processing Use Only Record #: New Comp Salary: Action/Reason Code $ Effective Date: New Base Salary: $ IRP %: Comments: Authorized Sig. OHR 10-17 02/2008 Rev. 3/2011 Date: HRIS Process: Date: Page 2 of 2