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Salary Adjustment For Cost-Of-Living

The following shall be considered a legally binding amendment to the agreement made between __________ and ____________, dated ________________:

For the year commencing on __________ (date), the ______ salary schedule will be adjusted by the factor of cost of living plus ____ percent. The percentage change of the cost of living is defined as 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

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Signature Date

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Signature Date

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Witness Date