State Form 5723 - Employee Performance Appraisal Comments Sheet
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1* Social Security Number
EMPLOYEE PERFORMANCE APPRAISAL
COMMENTS SHEET
* Social Secutity Number request is mandatory
per ic 4-1-8-1 (5)
State Form 5723 (R3 / 9-00)
Employee name
Class / Title
Type of appraisal
Agency
Date
INITIAL UPON REVIEW
Employee
Evaluator
Superior
Appointing Authority
DISTRIBUTION: White - Personnel; Canary - Agency; Pink - Employee; Goldenrod - Supervisor
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Parent category: Legal