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Compensation
Compensation Change Authorization Form
A form to document and approve changes to employee salary, title, or compensation structure with current and proposed details, reason, and multi-level approvals.
COMPENSATION CHANGE AUTHORIZATION FORM
Employee Name: [Full Name] | Employee ID: [Number]
Department: [Department] | Effective Date: [Date]
CHANGE TYPE
☐ Salary Increase ☐ Promotion ☐ Title Change
☐ Structure Change ☐ Bonus ☐ Equity ☐ Other: [Specify]
CURRENT
Title: [Current Title] | Grade: [Grade]
Base Salary: [Amount] per [year/month]
Pay Frequency: [Monthly/Bi-Weekly]
Other Comp: [Current bonuses, commissions, allowances]
Last Increase: [Date] | Amount: [Amount/Percentage]
PROPOSED
Title: [New Title] | Grade: [New Grade]
Base Salary: [New Amount] per [year/month]
Change Amount: [+/- Amount] | Change %: [+/- %]
Other Comp Changes: [Details]
Type details:
☐ Promotion: [Current Title] → [New Title]
☐ Market Adjustment — Source: [market data]
☐ Performance-based — Rating: [Rating]
☐ Equity/Parity — [Explanation]
☐ Structure Change — [Description]
REASON/JUSTIFICATION
[Detailed justification with performance highlights, market data, equity rationale]
BUDGET
Cost Centre: [Code] | Budget available: ☐ Yes ☐ No
TOTAL COMP IMPACT
Current: [Amount] | Proposed: [Amount] | Increase: [Amount] ([%])
APPROVALS
Manager: ___________________ Date: _______
Dept Head: ___________________ Date: _______
HR: ___________________ Date: _______
Finance: ___________________ Date: _______
Executive (over [Amount]): ___________________ Date: _______
EMPLOYEE NOTIFICATION
Communicated: [Date] | Acknowledged: ☐ Yes ☐ No
HRIS updated: ☐ Yes — by [Name] on [Date] | Payroll updated: ☐ Yes