Local Government Salary Plan Submission

Local Government Salary Plan Submission

Date Submitted

Agency Information

County/Agency/LME Name

Please select all agencies that are covered by this salary plan.

Select

Representative completing the salary plan.*

Representative e-mail.*

Representative phone number.*

Enter the number of employees for each agency represented on line four of the Salary Plan Reporting Form.

DSS Employee Population

Public Health Employee Population

LME-MCO Employee Population

Please check the boxes below and upload a signed/completed Salary Plan Reporting Form and the Salary Plan Excel Spreadsheet.

Salary Plan Reporting Form

Salary Plan Excel SpreadSheet

File Upload*

Drag and drop files here or

Send me a copy of my responses

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