Salary Review Request Form Template

What is the salary review request form template?

A salary review request form gives an employee a clear, structured place to make the case for a pay increase, regrade or market adjustment, instead of an informal conversation that's easy to under-prepare for or a request that gets lost in a busy manager's inbox. It asks for role changes, achievements and evidence, in that order, so the strongest case gets made every time.

A quick chat in a corridor rarely captures the full picture, and a manager juggling several requests can struggle to compare them fairly without something written down. A form creates a consistent, dated record of exactly what was asked for and why, which is fairer for the employee and easier for HR to process alongside other requests.

This template runs on FileIt's Forms app, included on every FileIt account including the free plan. Employees fill it in themselves, and the request — along with any supporting documents — is automatically saved as a PDF and filed in your vault, ready for a manager or HR to review confidentially.

Who uses a salary review request form?

• An employee whose responsibilities have grown significantly since their last review
• Someone requesting a market-rate adjustment after researching comparable roles
• An employee asking for a regrade or promotion alongside a pay increase
• A team member documenting key achievements ahead of an annual pay review cycle
• An employee attaching performance feedback or certificates as supporting evidence
• HR standardising how every pay review request is submitted and considered across the company

Questions on this salary review request form

23 questions over 4 pages · includes file upload, conditional questions, multiple pages, consent checkbox.

The salary review request form, page by page

1 About you

The form opens with Your name, Work email, an optional Employee ID, Department, and Line manager — enough for HR to route the request to the right approver without extra back-and-forth.

2 Your role today

Current job title, Grade or band, In this role since and Last pay change or review establish the baseline the request is being measured against. Current salary is optional, since HR can look it up instead, and Has your role or responsibilities grown since your last review? opens a required field describing new duties, people managed, budgets or skills whenever the answer is yes — the core evidence behind most successful requests.

3 Your case

What are you asking for? offers a pay increase, a regrade or promotion, a market-rate adjustment, or a change of job title, and Your case for a review plus Key achievements since your last review are both long-answer fields designed to hold specific, concrete examples rather than general statements. Have you looked at market pay data for similar roles? opens a field for what was found and where, and Salary you're asking for is optional but gives the reviewer a clear number to consider. Have you discussed this with your manager? closes the page.

4 Documents & declaration

Supporting documents lets the employee attach feedback, results, market data or certificates, and Would you like a meeting to talk it through? flags whether they'd prefer a conversation alongside the written request. The form ends with a declaration confirming the information given is accurate and that the request will be considered under the pay review process without guaranteeing a change.

Make the template yours

• Add a field for the employee's most recent performance rating if your HR system tracks one
• Route requests into a private, restricted-access folder so only HR and the relevant manager can open them
• Turn off the employee's own copy if your policy is to keep requests confidential until a decision is made
• Add a closing date if pay reviews are only considered during a set annual window
• Adjust the currency on the salary fields to match your primary market
• Add a checkbox confirming the employee understands your standard pay review timeline

Tips for a better salary review request form

• Encourage employees to lead with specific achievements and numbers rather than general statements
• Ask for market data where it exists, since it gives a review a stronger, evidence-based footing
• Keep every submitted request confidential and share it only with people directly involved in the decision
• Respond within a set timeframe, even if the answer is that the request needs more time to consider
• Compare requests fairly across the team, especially when several arrive around the same review cycle
• Record the outcome of every request so managers can see the full history at the next review

Salary review request form: frequently asked questions

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Templates are a starting point. Check that the questions and any wording about consent, privacy or terms suit your situation and the rules where you are. Page last reviewed 2026-09-26.