Employee Suggestion Form Page 2
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4Here's how the City will benefit: ( Specific supporting evidence such as hours, dollars, or
materials saved, etc. would be helpful.)
PLEASE READ ELIGIBILITY RULES ON THE BACK (attached) BEFORE
SUBMITTING THIS FORM; AND ANSWER THE FOLLOWING QUESTION:
Is this idea the result of a direct assignment?
Yes
No
Please read the following information before submitting your suggestion
I hereby (1) Authorize the City to adopt and implement, for unlimited duration, my
suggestion submitted under the terms and conditions of the Employee Suggestion
Program; (2) Agree on my behalf and on behalf of my heirs, successors, and assigns, to be
bound by the terms and conditions of the Employee Suggestion Program and (3)
Understand that the only compensation I, or my heirs, successors or assigns, will be
entitled to receive from the City as a result of the adoption and implementation of my
suggestion will be the cash award, if any, approved by the City Manager in accordance
with the terms and conditions of the Program.
VALID ONLY IF SIGNED BY ALL SUGGESTION ORIGINATORS
Date
Signature(s)
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Parent category: Business