Request For Review Form
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3PERFORMANCE RATING REQUEST FOR REVIEW
INSTRUCTIONS FOR COMPLETING THE REQUEST FOR REVIEW OF PERFORMANCE
RATING
Completion of this form will provide valuable information to the Reconsideration and
Resolution Committee (RRC) when a Request for Review is filed. Employees who use this
form must complete all parts. Information may be typed in the form in its Microsoft Word
format, the form may be typed on a typewriter or completed in a legible handwriting.
The RRC has the authority to determine whether a performance rating should be sustained or
increased. As the first step of the rating review process, this Request for Review of
Performance Rating and supporting documentation must be submitted to the agency director,
or designee, within ten (10) days of participating in the year-end performance rating review
discussion with the supervisor.
STEPS
1.
Complete this form in its entirety.
2.
Attach a copy of the Performance Evaluation and Tracking Form (performance evaluation
form) to this document.
3. Supporting documentation may be included with this form. Note: the supporting
documentation must pertain to the rating period for which a review is requested.
4. Submit this Request for Review of Performance Rating, including supporting
documentation, to the agency director or designated official within ten (10) calendar days
of participating in the performance rating review discussion with the supervisor.
5. Keep a copy of this form.
6. Be sure to include only relevant information that supports this Request for Review and the
requested performance rating.
7. Employees who complete this form manually or type it on a typewriter must complete all
forms of the form paper and include with the form. If necessary, additional sheets of paper,
or attachments, may be submitted with the form.
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