Employee NameDate MM slash DD slash YYYY Current ClassificationCurrent Pay rateHire Date MM slash DD slash YYYY Last increase date/amountAmount of IncreaseChange of Status reasonEffective Date MM slash DD slash YYYY New Pay RateSupervisory ApprovalSuperintendent's Approval Yes No NameForeman's Approval Yes No NameMichael Fischer ApprovalChris Mancini ApprovalComments