Human Resources Department
BROWN UNIVERSITY
EQUITY JUSTIFICATION FORM
Employee Name Social Security Number
Department
Is the funding coming from the equity pool? Yes No
Source of funding for this adjustment (the account numbers to which this adjustment will be
charged):
Account Number Account %
Current Salary New Salary
(salary after merit increase) (salary after merit and equity)
Equity Increase %
(please carry out to five decimal places)
Justification
Authorized Signature Date 3/21/99
Senior Officer Signature Date 3/21/99
Please return this form with the Salary Recommendation Sheets to the
Compensation Section, Human Resources, Box 1879.
Please return this form with the Salary Recommendation Sheets to the
Compensation Section, Human Resources, Box 1879.