SALARY
ADJUSTMENT
FOR
COST-OF-LIVING
For
the year commencing on __________ (date), the ______ salary schedule will be
adjusted by the cost of living factor plus _____________ percent (_____%). The percentage amount is defined by the
percentage change in the Consumer Price Index for the region of _______, for
the period from ____________ (date) to __________ (date), as published by the
United States Department of Labor, Bureau of Labor Statistics.
___________________________ _______________________
Signature
Date
___________________________ _______________________
Signature
Date
___________________________ _______________________
Witness Date
