Supervisor certification of salary adjustment




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STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES

SUPERVISOR CERTIFICATION OF SALARY ADJUSTMENT


GS- 609 (REV 8/00)

TYPE OF ADJUSTMENT


 MERIT SALARY ADJUSTMENT (MSA)

 SPECIAL IN-GRADE SALARY ADJUSTMENT (SISA)

 RANGE CHANGE FROM     TO RANGE    



ABMS NUMBER

     


EMPLOYEE

     


CBID

     


POSITION NUMBER

     


EMPLOYEE’S PERFORMANCE RATING

 Meets the level of quality and quantity expected by the Agency at this stage of an employee’s experience in the position. Therefore, I recommend that the employee be granted the salary adjustment indicated above.


 DOES NOT meet the level of quality and quantity expected by the Agency at this stage of an employee’s experience in the position. Therefore, I recommend that the employee NOT BE granted the salary adjustment indicated above.

NOTE: Employees denied an MSA, SISA or Range Change are required to be notified in writing. In addition, the following documents must be submitted to OHR:



  1. Denied Supervisor Certification of Salary Adjustment (GS 609)

  2. Copy of the written notification to the employee




FOR INTERMITTENT EMPLOYEES ONLY: Please enter the date the employee met the criteria for the adjustment as described below

DATE

     


  • MSA - Date completed 1920 hours

  • SISA - Date completed 960 hours


COMMENTS


     

SUPERVISOR CERTIFICATION

SUPERVISOR SIGNATURE (Required for ALL salary adjustments)



DATE

     






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