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Salary Adjustment Confirmation Form

This document is a remittance advice form from an agency listing employee salary adjustments. It requests confirmation of correct monthly salary amounts and effective dates for adjusted salaries. The form includes fields for employee number, name, salary, effective date, position and employment status. No supporting salary adjustment notices need to be attached.

Uploaded by

Marvin Darius Lagasca
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1K views1 page

Salary Adjustment Confirmation Form

This document is a remittance advice form from an agency listing employee salary adjustments. It requests confirmation of correct monthly salary amounts and effective dates for adjusted salaries. The form includes fields for employee number, name, salary, effective date, position and employment status. No supporting salary adjustment notices need to be attached.

Uploaded by

Marvin Darius Lagasca
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Agency Name:

Agency BP Number:

FOR AGENCY REMITTANCE ADVICE

FORM C. List of employees with salary adjustments for confirmation as


to correct amount of monthly salary and effectivity date to be supplied below.

Member BP Employment
Number Last Name First Name Suffix MI Salary Effectivity Date Position status

Note: No need to attach the Notice Of Salary Adjustment (NOSA) and Notice of Salary Increase (NOSI)

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