Salary increase request form
A raise request is a proposal for a conversation, not a promise of new pay. This form captures what an employee is asking for and why, so their manager or HR can understand their thinking and discuss it fairly. No algorithm grants the raise; a person reviews your case and decides.
The form beside this text is live. Fill it in and submit it — it validates exactly as it would for a real respondent, and saves nothing.
Justification field starts a real conversation
Asking why the raise is deserved — new certifications, expanded scope, market data — gives your manager or HR the information they need to have a real discussion, not just say yes or no.
This form does not decide the outcome
No form can promise a raise. A person reads your request, evaluates it against budget, performance and market data, and decides. The form is your written proposal, not a commitment.
No card required.
Salary Increase Request Form
Live previewHow to build this form
5 steps in the editor. Nothing here needs a paid plan.
- Add text and email fields for the employee's name and contact info.
- Add a text field for current salary band or level (optional, as not all employees know or feel comfortable stating it).
- Add a dropdown or text field for the amount or percentage being requested.
- Add a required textarea asking the business justification — promotion, market research, new skills, etc.
- Add an optional text field for the manager name so HR can route the request correctly.
Fields in this form
6 fields, using 3 of the 19 field types available.
| Question | Field type | Required |
|---|---|---|
| Your name | Short text | Yes |
| Yes | ||
| Current salary band or level (optional) | Short text | Optional |
| Requested amount or percentage | Short text | Yes |
| Why are you requesting this increase? | Long text | Yes |
| Your manager's name (optional) | Short text | Optional |
What goes wrong with this form
Specific to a salary increase request form, not general advice about forms.
Asking without justification
A bare request ("I want a 10% raise") gives your manager nothing to work with. Explain why — your scope expanded, you have new certifications, the market is higher — so they can have a real conversation with you.
Stating a precise amount without market data
A request for "exactly $120k" reads as a guess. "Based on Glassdoor data for this role in this city, the median is $115k and I'm at $105k" is a different conversation.
Submitting during economic downturns without timing awareness
A raise request during a hiring freeze or layoff signals poor timing. Seasonality and business cycles matter. A good request at a bad time still loses.
Questions about this form
What should I put in the justification?
Explain why you deserve the raise: new responsibilities you have taken on, market research showing others in your role earn more, a promotion or expanded scope, or new skills you have developed. Be specific — your manager evaluates real reasons, not general statements.
Is there a right amount to request?
Research what similar roles earn in your market. Do not guess. Your justification should include that research if you have it. Your manager will discuss what is realistic given the budget.
Who decides if I get the raise?
Your manager and HR discuss your request against the budget, your performance and market rates. They decide together whether a raise is possible and when. The form gets your request in front of them; the decision is theirs to make.