"Performance Management Level Iii Recommendation Form" - Colorado

Performance Management Level Iii Recommendation Form is a legal document that was released by the Colorado Department of Military and Veterans Affairs - a government authority operating within Colorado.

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Department of Military & Veterans Affairs
Performance Management
Human Resource Services
Level III Recommendation
Supervisors/Reviewers must only use this form for Level 3 Recommendations. Level 3 ratings represent consistently exceptional
and documented performance or consistently superior achievement beyond the expected assignment as identified within their
position description. Employees make exceptional contribution(s) that have a significant and positive impact on the performance
of the unit or the organization and may materially advance the mission of the organization. The Employee provides a model for
excellence and helps others to do their jobs better. Peers, immediate supervision, higher-level management and others can readily
recognize such a level of performance.
Please outline how the individual’s job performance this past year meets the definition in the preceding paragraph to qualify this
Employee for a Level 3 award. Be specific. As a supervisor, you should enumerate extraordinary accomplishments or
performance above those listed as duties in their position description. Such indicators could be: special assignments/projects that
the individual took upon his or her own or accepted and accomplished above their normal assignments and/or were significant to
the organization; or an individual’s innovation which improved processes and/or saved DMVA money (unless saving money is
an inherent part of the assignment). The contribution should be easily recognizable as a Level 3 achievement. If this section is
not adequately completed, a Level 3 award cannot be considered. (Two or more Core Competency factors rated as “Needs
Improvement” and/or a Technical Factor rating of 84 or below will preclude an Employee from eligibility for a Level 3
Recommendation.)
Employee Name:
This recommendation is for:
Performance (i.e. consistently exceptional performance that has a significant/positive impact on the performance
of unit/organization)
Achievement (i.e. innovation, beyond regular assignment, advanced mission of the organization)
Please describe how this achievement was extraordinary or what was done consistently and beyond the regular assignment to
achieve a Level III:
How and why is this outside the scope of the position or beyond the regular assignment?
Did this assignment require additional time outside the normal work hours? If so, please explain.
What benefit did this have to DMVA in terms of time, dollars, and/or results?
If this employee did not perform this function, who would assume the responsibility and/or what would the impact be to the
agency had he/she not completed the function or task?
Has this person received funds or awards (i.e. acting pay) to perform this added assignment? If so, when?
____________________________________________________________________ __________________________________
Supervisor Signature
Date
____________________________________________________________________
_________________________________
Reviewer Signature
Date
Department of Military & Veterans Affairs
Performance Management
Human Resource Services
Level III Recommendation
Supervisors/Reviewers must only use this form for Level 3 Recommendations. Level 3 ratings represent consistently exceptional
and documented performance or consistently superior achievement beyond the expected assignment as identified within their
position description. Employees make exceptional contribution(s) that have a significant and positive impact on the performance
of the unit or the organization and may materially advance the mission of the organization. The Employee provides a model for
excellence and helps others to do their jobs better. Peers, immediate supervision, higher-level management and others can readily
recognize such a level of performance.
Please outline how the individual’s job performance this past year meets the definition in the preceding paragraph to qualify this
Employee for a Level 3 award. Be specific. As a supervisor, you should enumerate extraordinary accomplishments or
performance above those listed as duties in their position description. Such indicators could be: special assignments/projects that
the individual took upon his or her own or accepted and accomplished above their normal assignments and/or were significant to
the organization; or an individual’s innovation which improved processes and/or saved DMVA money (unless saving money is
an inherent part of the assignment). The contribution should be easily recognizable as a Level 3 achievement. If this section is
not adequately completed, a Level 3 award cannot be considered. (Two or more Core Competency factors rated as “Needs
Improvement” and/or a Technical Factor rating of 84 or below will preclude an Employee from eligibility for a Level 3
Recommendation.)
Employee Name:
This recommendation is for:
Performance (i.e. consistently exceptional performance that has a significant/positive impact on the performance
of unit/organization)
Achievement (i.e. innovation, beyond regular assignment, advanced mission of the organization)
Please describe how this achievement was extraordinary or what was done consistently and beyond the regular assignment to
achieve a Level III:
How and why is this outside the scope of the position or beyond the regular assignment?
Did this assignment require additional time outside the normal work hours? If so, please explain.
What benefit did this have to DMVA in terms of time, dollars, and/or results?
If this employee did not perform this function, who would assume the responsibility and/or what would the impact be to the
agency had he/she not completed the function or task?
Has this person received funds or awards (i.e. acting pay) to perform this added assignment? If so, when?
____________________________________________________________________ __________________________________
Supervisor Signature
Date
____________________________________________________________________
_________________________________
Reviewer Signature
Date