Request For Review Form Page 3

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PERFORMANCE RATING REQUEST FOR REVIEW
Part III:
REASON FOR REQUESTING A RATING REVIEW
(Type your justification for requesting the performance rating review).
PART IV: HEARING
An employee eligible for submitting a performance rating review, who receives an overall performance
rating of Inadequate Performer or Marginal Performer, is entitled to a formal performance rating review
hearing conducted by the Reconsideration and Resolution Committee. A formal hearing may include
representation for both parties (employee and agency), which includes, but is not limited to attorneys,
union representatives, or other personnel. The RRC committee will notify the employee when the hearing
will be held and what additional information may be submitted. Performance rating reviews for other
ratings received will consist of the RRC’s panel review of the case materials submitted, The RRC
Committee will notify the employee when the hearing or review will be held and inform the employee
what additional information may be submitted.
The employee requesting a performance rating review (either the full hearing or a paper review) is
required to submit four (4) copies of this form, together with any attachments, to the RRC Committee
upon notification of a scheduled hearing/review by the committee.
_________________________________
Signature of Employee
_________________________________
Date
3

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