Pay Raise Form Home / Employee Pay Raise Name* First Last Pin Job TitleManager*Is this a Department Change?*Select OneYesNoNew DepartmentHire Date Date Format: MM slash DD slash YYYY Last Pay Increase Date Date Format: MM slash DD slash YYYY Present Rate of PayNew Rate of PayEffective as of Date Format: MM slash DD slash YYYY Evaluation/ReasonSigned by*Date* Date Format: MM slash DD slash YYYY CAPTCHA