Employee Suggestion Program Evaluation Form

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Employee Suggestion Program
Evaluation Form
Suggestion Eligibility
If the suggestion concerns any of the following, indicate which and explain:
____ Personal grievance or complaint
____ Classification and pay
____ Unclear or non-specific method
____ Established procedures not being followed
____ Matters that are the result of studies,
____ Other
audits, surveys, etc.
Does the suggestion accurately describe the current method or situation?
____ Yes
____ No (If no, what is the actual method or situation?)
Can the suggestion be implemented either fully or partially?
____ Yes
____ No (Explain giving specifics, attach a separate page if needed.)
Has this suggestion previously been proposed or under consideration?
____ Yes
____ No (If yes, what action was taken or is being taken?)
Evaluation of Cost Savings
Agency estimated cost reduction, please describe and show calculations:
Agency Action
____ Adopted
____ Not Adopted
Reset Form
Employee Suggestion Program
Evaluation Form
Suggestion Eligibility
If the suggestion concerns any of the following, indicate which and explain:
____ Personal grievance or complaint
____ Classification and pay
____ Unclear or non-specific method
____ Established procedures not being followed
____ Matters that are the result of studies,
____ Other
audits, surveys, etc.
Does the suggestion accurately describe the current method or situation?
____ Yes
____ No (If no, what is the actual method or situation?)
Can the suggestion be implemented either fully or partially?
____ Yes
____ No (Explain giving specifics, attach a separate page if needed.)
Has this suggestion previously been proposed or under consideration?
____ Yes
____ No (If yes, what action was taken or is being taken?)
Evaluation of Cost Savings
Agency estimated cost reduction, please describe and show calculations:
Agency Action
____ Adopted
____ Not Adopted

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