"Employee Suggestion Form - '"good Government, Great Employees'" - Merit Award Board" - Nevada

Employee Suggestion Form - '"good Government, Great Employees'" - Merit Award Board is a legal document that was released by the Nevada Department of Administration - a government authority operating within Nevada.

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STATE OF NEVADA
MERIT AWARD BOARD
Employee Suggestion Form
“Good Government, Great Employees”
EMPLOYEE ELIGIBILITY: If you are a State employee, you are eligible to submit your ideas unless you are a department head or specifically assigned the
responsibility as part of your normal job responsibilities.
Name:
Job Title:
Employee ID #:
Date:
Department:
Division:
SUBJECT OF SUGGESTION:
WHAT IS THE PRESENT CONDITION OR PROCEDURE:
HOW DO YOU THINK IT CAN BE IMPROVED:
ESTIMATE SAVINGS OR BENEFIT:
I BELIEVE MY SUGGESTION WILL:
(Please check all that apply)
Increase productivity
Prevent waste
Eliminate duplication
Improve service
Prevent accidents
Reduce costs
Is the suggestion a component of any educational/training/certification program (state or non-state)?
(Please check)
Yes
No
If so, please identify program.
To your knowledge, has the suggestion ever been considered or
(Please check)
Yes
No
addressed previously by the agency or the state?
If so, please identify the circumstance(s):
The use of my suggestion by the State of Nevada will not form the basis of a further claim of any nature
Please Submit To:
upon the State of Nevada by my heirs, assigns, or me.
MERIT AWARD BOARD
Signature of Employee:
Division of Human Resource Management
209 E. Musser Street, Room 101
Home Address:
Carson City, Nevada 89701-4204
Telephone: (775) 684-0144
City:
State:
Zip:
rbaker@admin.nv.gov
Home Phone:
Business phone:
STATE OF NEVADA
MERIT AWARD BOARD
Employee Suggestion Form
“Good Government, Great Employees”
EMPLOYEE ELIGIBILITY: If you are a State employee, you are eligible to submit your ideas unless you are a department head or specifically assigned the
responsibility as part of your normal job responsibilities.
Name:
Job Title:
Employee ID #:
Date:
Department:
Division:
SUBJECT OF SUGGESTION:
WHAT IS THE PRESENT CONDITION OR PROCEDURE:
HOW DO YOU THINK IT CAN BE IMPROVED:
ESTIMATE SAVINGS OR BENEFIT:
I BELIEVE MY SUGGESTION WILL:
(Please check all that apply)
Increase productivity
Prevent waste
Eliminate duplication
Improve service
Prevent accidents
Reduce costs
Is the suggestion a component of any educational/training/certification program (state or non-state)?
(Please check)
Yes
No
If so, please identify program.
To your knowledge, has the suggestion ever been considered or
(Please check)
Yes
No
addressed previously by the agency or the state?
If so, please identify the circumstance(s):
The use of my suggestion by the State of Nevada will not form the basis of a further claim of any nature
Please Submit To:
upon the State of Nevada by my heirs, assigns, or me.
MERIT AWARD BOARD
Signature of Employee:
Division of Human Resource Management
209 E. Musser Street, Room 101
Home Address:
Carson City, Nevada 89701-4204
Telephone: (775) 684-0144
City:
State:
Zip:
rbaker@admin.nv.gov
Home Phone:
Business phone: