Biology Salary Requests – College of Natural Sciences Forms

Requestor Contact Information

Name*

Email*

Phone*

Salary Request Information

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 Meagan Taverner 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

4. 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.