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Request for

Faculty Off-Cycle Salary Increase

Faculty salary increases are to be awarded through the faculty merit process, the “on-cycle” salary increase process. This form should, therefore, only be used to request a salary increase that is an exception to the merit process.Prior to completing this form,Faculty Compensation: Factors for Consideration for instructions. Also prior to completing this form, the Department Head must ensure the salary being requested is within the respective faculty pay structure for Teaching and Research (T&R) faculty. If the request is for Administrative and Professional (A&P) faculty, VCU Human Resources will be consulted by the respective Vice President (VP) office for salary comparisons prior to approval by the VP. It is the responsibility of those in a position of making faculty salary decisions to prevent inequities and discriminatory practices. Upon approval, a copy of the completed form and a copy of the faculty contract should be submitted to VCU Human Resources.This form also serves as a PAF.NOTE:Salary increases cannot be retroactive prior to the date of Department Head/Chair approval.

fACULTY V-ID #

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FACULTY NAME (LAST, FIRST, MIDDLE INITIAL)

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DURATION

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FACULTY APP’T. TYPE

Select OneBase Pay IncreaseTemporaryOther: explain in "Justification" section / Select OneTeaching or ResearchAdministrativeProfessional
CURRENT FACULTY RANK / WORKING TITLE
PROPOSED FACULTY RANK / WORKING TITLE (if applicable)
PROPOSED EFFECTIVE
DATE / PROPOSED END DATE
(if applicable) / HOME DEPARTMENT / SCHOOL NAME / SUPERVISOR’S V-ID # /

CURRENT SALARY

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PROPOSED SALARY

/ PERCENT INCREASE
$ / $ / %
SELECT TYPE OF INCREASE (ACTION)
NOTE: If multiple reasons, choose primary one
Select OneAdmin or Salary Supplement-Temporary: (FSR)Admin or Salary Supplement-Extension: (SRR)Change in Duties/Title: (FOC)Competitive Salary Increase: (FCE)Equity Adjustment: (FOE)Retention: (FOR)
JUSTIFICATION FOR SALARY INCREASE
Justification must include why salary is being requested as an exception to the merit process. Attach documentation to support any base pay salary adjustment such as revised job description if change in duties or additional duties; list of salaries for comparable positions; copy of offer from another academic institution if reason is for a competitive salary offer; etc.
For Temporary Pay Increase Request - use section below(space expands as you type)or attach justification
For Base Pay Increase Request (or combination of base pay & temporary pay) - use section below(space expands as you type)or attach justification
Printed name and signature of DEPARTMENT HEAD / Date
Approved Disapproved
Funding Approval: Printed name and signature of dean-level FISCAL ADMINISTRATOR (if applicable) / Date
Approved Disapproved
Printed name and signature of DEAN / Date
Approved Disapproved
Printed name and signature of VICE PRESIDENT / PROVOST / Date
Approved Disapproved
Signature of PRESIDENT / Date
Approved Disapproved

Request for Faculty Off-Cycle Salary Increase(continued)

FACULTY NAME (LAST, FIRST, MIDDLE INITIAL)

JOB SUFFIX / POSITION # / JOB FTE / JOB TYPE / PAY TYPE / HOME DEPT ORG # / DEPT TIMESHEET ORG #
Select OneOverloadPrimarySecondary (special rate) / Salaried

COMPLETE THIS SECTION FOR TEMPORARY PAY (IN BANNER AS A SPECIAL RATE)

ECLASS / PAY TYPE / # PAYS / # MONTHS / SPECIAL RATE
(amount to be paid each pay period – equal to total supplement amount divided by number of pays)
Salaried / $
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
SPECIAL RATE NOTES: Special rates can only be for up to one year and must have an end date. A special rate may be extended up to one year by submitting a PAF to HR with an action code of "SRR" (Faculty Special Rate Renewed). The PAF must be accompanied by either a copy of an existing "off-cycle" form that allows for continuation of the special rate (e.g., where the approval is for multiple years) or a new, approved "off-cycle" form extending the special rate.
If the special rate is to end prior to the end date in Banner, submit a PAF to HR with action code SRE (Faculty Special Rate End).

COMPLETE THIS SECTION FOR BASE PAY INCREASE:

ECLASS / PAY TYPE / # PAYS / # MONTHS / PAY RATE
(pay rate of new base pay per pay period)
Salaried / $
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
CONTACT NAME / CONTACT PHONE # / CONTACT E-MAIL
@vcu.edu
COMMENTS FOR HR PROCESSING- attach additional sheet if necessary

Office of Faculty Recruitment and Retention/Academic and Faculty Affairs/Office of the Provost and Vice President for Academic Affairs

901 W. Franklin St., Suite 107 • Richmond, VA 23284-2527 • (804) 828-5948 • Fax (804) 827-0779

Revised September 2015Page 1 of 2