Biology Salary Requests – College of Natural Sciences Forms

Requestor Contact Information

Name*

Email*

Phone*

Salary Request Information

Is this a summer salary request for more than one individual?*

Yes
No

Are you requesting hourly rate increases for multiple individuals?*

Yes
No

9-month employee’s full name	CSU ID	Faculty or Grad Student?	Which class will they teach? Or, is pay for research?	Account(s) and % if applicable	Which summer month(s)?	Total pay for this assignment

Employee full name	CSU ID	New hourly pay rate	Reason for increase	Account Number(s)	When should pay increase take effect?

Salary request is for:*

CSUID#*

CSUID of the person this salary request is for

Use pulldown to select type of salary request*

Which term is this request for?*

Who will be hired to replace you?*

Which account# should pay the teaching buyout charges?*

Actual account number please!

Per department policy, do you agree to provide 1/6th of your 9-month salary + fringe per course to the department to accommodate your request? These funds support the cost of hiring a replacement instructor to cover your course(s).

Yes
No

New hourly rate*

New annual salary*

Justification: time of service increase, merit based increase, other – please explain:*

Account# and sub account, if applicable:

For the person this request is for, is the regular appointment 9-month or 12-month?*

9-Month
12-Month

If you are on a 12- month appointment and are expecting additional summer salary, please email the Department Chair and cc Tyler Heyne regarding your situation. They will submit these requests when appropriate.

Purpose/Reason	Please provide…
Associate Chair	N/A – You may leave the ACCOUNT NUMBER field blank.
Online Instruction	N/A – You may leave the ACCOUNT NUMBER field blank.
Research	Full account number+upload budgetary approval (if you aren't the responsible PI)
Start-Up/Retention	Full account number+upload budgetary approval (if you aren't the responsible PI)
Other	Account type (ex, DEPARTMENT ACCOUNT) + upload budgetary approval email

If you’re not the PI for this account, please upload budgetary approval here:

Accepted file types: pdf, Max. file size: 40 MB.

Requesting salary for May 16 - May 31?*

Yes
No

List*

Amount (May 16 - May 31)	Purpose/Reason (May 16 - May 31)	Account Number (SEE CHART ABOVE) (May 16 - May 31)

Hidden

Amount (May 16 - May 31)*

Hidden

Purpose/Reason (May 16 - May 31)*

Hidden

Please input the 53- account number (May 16 - May 31)*

If you’re not the PI for any of these accounts, please upload budgetary approval here (May 16 - May 31)

Drop files here or

Accepted file types: pdf, Max. file size: 40 MB.

Hidden

Use Summer session account (May 16 - May 31)*

Hidden

Use DCE account (May 16 - May 31)*

Hidden

Start-up/retention account# (May 16 - May 31)*

Hidden

Account# and sub account, or type DEPT ACCOUNT when applicable (May 16 - May 31)*

Hidden

Are you the PI overseeing this funding? (May 16 - May 31)*

Yes
No

Hidden

Please upload emailed correspondence that authorizes this request (May 16 - May 31)*

Accepted file types: pdf, Max. file size: 40 MB.

Requesting salary for June 1 - June 30?*

Yes
No

List*

Amount (Jun 1 - Jun 30)	Purpose/Reason (Jun 1 - Jun 30)	Account Number (SEE CHART ABOVE) (Jun 1 - Jun 30)

Hidden

Amount (Jun 1 - Jun 30)*

Hidden

Purpose/Reason (Jun 1 - Jun 30)*

Hidden

Please input the 53- account number (Jun 1 - Jun 30)*

If you’re not the PI for any of these accounts, please upload budgetary approval here (Jun 1 - Jun 30)

Drop files here or

Accepted file types: pdf, Max. file size: 40 MB.

Hidden

Use Summer session account (Jun 1 - Jun 30)*

Hidden

Use DCE account (Jun 1 - Jun 30)*

Hidden

Start-up/retention account# (Jun 1 - Jun 30)*

Hidden

Account# and sub account, or type DEPT ACCOUNT when applicable (Jun 1 - Jun 30)*

Hidden

Are you the PI overseeing this funding? (Jun 1 - Jun 30)*

Yes
No

Hidden

Please upload emailed correspondence that authorizes this request (Jun 1 - Jun 30)*

Accepted file types: pdf, Max. file size: 40 MB.

Requesting salary for July 1 - July 31?*

Yes
No

List*

Amount (Jul 1 - Jul 31)	Purpose/Reason (Jul 1 - Jul 31)	Account Number (SEE CHART ABOVE) (Jul 1 - Jul 31)

Hidden

Amount (Jul 1 - Jul 31)*

Hidden

Purpose/Reason (Jul 1 - Jul 31)*

Hidden

Please input the 53- account number (Jul 1 - Jul 31)*

If you’re not the PI for any of these accounts, please upload budgetary approval here (Jul 1 - Jul 31)

Drop files here or

Accepted file types: pdf, Max. file size: 40 MB.

Hidden

Use Summer session account (July 1 - Jul 31)*

Hidden

Use DCE account (Jul 1 - Jul 31)*

Hidden

Start-up/retention account# (Jul 1 - Jul 31)*

Hidden

Account# and sub account, or type DEPT ACCOUNT when applicable (Jul 1 - Jul 31)*

Hidden

Are you the PI overseeing this funding? (Jul 1 - Jul 31)*

Yes
No

Hidden

Please upload emailed correspondence that authorizes this request (Jul 1 - Jul 31)*

Accepted file types: pdf, Max. file size: 40 MB.

Requesting salary for August 1 - August 15?*

Yes
No

List*

Amount (Aug 1 - Aug 15)	Purpose/Reason (Aug 1 - Aug 15)	Account Number (SEE CHART ABOVE) (Aug 1 - Aug 15)

Hidden

Amount (Aug 1 - Aug 15)*

Hidden

Purpose/Reason (Aug 1 - Aug 15)*

Hidden

Please input the 53- account number (Aug 1 - Aug 15)*

If you’re not the PI for any of these accounts, please upload budgetary approval here (Aug 1 - Aug 15)

Drop files here or

Accepted file types: pdf, Max. file size: 40 MB.

Hidden

Use Summer session account (Aug 1 - Aug 15)*

Hidden

Use DCE account (Aug 1 - Aug 15)*

Hidden

Start-up/retention account# (Aug 1 - Aug 15)*

Hidden

Account# and sub account, or type DEPT ACCOUNT when applicable (Aug 1 - Aug 15)*

Hidden

Are you the PI overseeing this funding? (Aug 1 - Aug 15)*

Yes
No

Hidden

Please upload emailed correspondence that authorizes this request (Aug 1 - Aug 15)*

Accepted file types: pdf, Max. file size: 40 MB.

Please upload SALX approval form, or emailed correspondence authorizing this increase. This raise will be processed once all CSU approvals are obtained.*

Accepted file types: pdf, Max. file size: 40 MB.

Is there anything else you would like to add about this request? This should be used for clarification purposes only.