Salary Increase Refusal

Date:

To:

From:

RE: Salary Increase Refusal

This is to confirm our conversation concerning the recent evaluation of my work performance and the salary increase awarded to me, effective ________________. I am requesting that this salary
increase not be awarded to me, due to personal reasons.


I understand that declining this salary increase means that I cannot request that the salary increase be reinstated at a future date or accounted for in future salary increases.


I understand by declining this merit increase that the basic benefits for which I am eligible may also be impacted, such as Life Insurance, annuity, pension, and other benefits provided by the City of
Greensboro.


I understand that declining this salary increase will not impact my next eligibility for a salary increase, based on merit guidelines in effect at that time


Thank you

Your name