Substitute Pay Increase Form

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This form is for current licensed PSD substitutes only.

Forms received by the last calendar day of the month will be considered for evaluation for the upcoming pay period. For example, if a submission is received by September 30th and is approved, the sub could expect an increase in pay for jobs starting on October 16th.

Questions regarding this form can be directed to subs@psdschools.org

First Name *

Last Name *

Employee ID Number *

PSD Email Address *

I am submitting for an increase in pay because: *

I have worked 20+ assignments in the 2025-2026 school year

I have worked 80+ assignments in the 2025-2026 school year

I worked 80+ assignments in the 2024-2025 school year

I am a PERA retiree

I have a 5 year sub authorization or active teacher license

Other:

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