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Employee Raise Form Template

Streamline your pay raise requests with this convenient form

Struggling to formalize pay raise requests for your employees? This Employee Raise Form template is designed specifically for managers and supervisors, helping you submit thorough and professional requests to the relevant department. With features like easy customization, clear guidance on salary reviews, and a streamlined submission process, you can ensure timely evaluations and better communication when it comes to rewarding your standout team members. Elevate your HR practices by exploring the live template now.

Full name
Company email
Job title
Department or team
Manager or supervisor full name
Hire date
Current base compensation (e.g., annual salary or hourly rate)
Date of last compensation change
Compensation type
Salary
Hourly
Commission-based
Contract
Other
Please Specify:
If requesting a percentage increase, enter the percentage
If requesting an amount increase, enter the amount
Proposed effective date
Requested increase format
Percentage increase
Amount increase
Open to discussion
My responsibilities have increased since my last review
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Key achievements and outcomes
Additional responsibilities or scope added
Overall quality of my work relative to expectations
Poor
Below average
Average
Good
Exceptional
Indicate the typical market range found
List sources or notes supporting your market research
I have researched current market pay for my role and location
Yes
No
I am open to the following alternatives if a full raise is not immediately possible
Phased increase over time
One-time bonus
Title change or promotion track
Additional benefits or perks
Flexible timeline for review
Open to discuss other options
None of the above
Preferred discussion method
Email
1:1 in-person meeting
Video call
Phone call
No preference
Type your full name as signature
Date of submission
I affirm the information provided is accurate to the best of my knowledge
True
False
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Paper art illustration depicting an employee raise form template for FormCreatorAI article.

When to use this form

Use this pay raise form when a manager needs to adjust pay after a strong review, match the market, or retain a key employee. HR and finance benefit because you capture the reason, approvals, and budget impact in one place, so payroll can act on a clear record. It also works for promotions that do not require a new position. If the change also affects title, department, or hours, pair it with the Employee change form to keep records clean. If you are adding headcount or moving someone into a brand-new role, submit a New hire request form instead. The result is a faster, auditable decision and fewer back-and-forth emails.

Must Ask Employee Raise Questions

  1. Why are you requesting this raise (performance, market adjustment, retention, promotion)?

    Stating the reason sets the context and ties the request to policy. It helps reviewers apply consistent criteria across teams.

  2. What new base pay are you proposing and is it a percent or dollar increase?

    This quantifies the change and makes budget impact clear. It also creates an audit trail that is easy to compare across requests.

  3. What date should the new pay take effect?

    An effective date aligns payroll timing and approvals. It prevents retro pay issues and avoids errors in the next pay cycle.

  4. What results or evidence support this raise (goals met, metrics, peer benchmarks)?

    Evidence-based requests reduce bias and improve fairness. Reviewers can validate claims quickly and make better decisions.

  5. Does this change include a new title, job level, FLSA status, or hours?

    Capturing role impacts ensures compliance and accurate records. It also signals whether other HR updates are required.

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