SOP 104.61-att-3: Reviewing Official Response Form

Division:
Administrative & Finance
Effective Date:
April 20, 2021
Reference Code:
IVO16-0001
Topic Area:
104 Policy-HR Appearance/Conduct/Evaluations
PowerDMS:
View on PowerDMS
Length:
163 words

Summary

This form is used by reviewing officials to document their response when an employee requests a review of their performance plan or performance evaluation. The reviewing official must indicate whether relief is granted or denied and provide an explanation for their decision. The form requires notification to the employee of the final determination and must be distributed to the local HR office, the employee, and Corrections Human Resources Management.

Key Topics

  • performance evaluation review
  • performance plan dispute
  • employee grievance
  • reviewing official response
  • relief granted
  • relief denied
  • performance management
  • employee appeal
  • HR review process
  • personnel file

Full Text

SOP 104.61
Attachment 3

4/20/21

|REVIEWING OFFICIAL RESPONSE FORM|Col2|
|---|---|
|NAME OF EMPLOYEE REQUESTING REVIEW:

|SOCIAL SECURITY# |
|EMPLOYEE DISAGREE WITH: (check one)

________Performance Plan _________Performance Evaluation

|EMPLOYEE ID#

|
|DECISION|DECISION|
|(Check one)
________________Relief Granted _______________Relief Denied

EXPLANATION: (as determined necessary by Reviewing Official)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________


|(Check one)
________________Relief Granted _______________Relief Denied

EXPLANATION: (as determined necessary by Reviewing Official)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________


|
|NOTIFICATION OF FINAL DETERMINATION|NOTIFICATION OF FINAL DETERMINATION|
|
Employee notified of decision: _________________________________





(Date)

______________________________________________________________________ ____________________
(Signature of Reviewing Official) (Date)

|
Employee notified of decision: _________________________________





(Date)

______________________________________________________________________ ____________________
(Signature of Reviewing Official) (Date)

|
|
REVIEWING OFFICIAL:


LOCALHR OFFICE:
1) MAIL ORIGINAL FORM(WITH ATTACHMENTS) TO THE LOCALHR OFFICE
2) MAIL COPY TO THE EMPLOYEE

1) MAIL COPY OF FORM(WITH ATTACHMENTS) TO CORRECTIONS HUMAN RESOURCES
MANAGEMENT

|
REVIEWING OFFICIAL:


LOCALHR OFFICE:
1) MAIL ORIGINAL FORM(WITH ATTACHMENTS) TO THE LOCALHR OFFICE
2) MAIL COPY TO THE EMPLOYEE

1) MAIL COPY OF FORM(WITH ATTACHMENTS) TO CORRECTIONS HUMAN RESOURCES
MANAGEMENT

|

Retention Schedule: Upon completion, this form shall be retained permanently (with the ANNUAL REVIEW) in the employees local
and official personnel file.

Attachments (3)

  1. Performance Management - Notice to Employee (344 words)
  2. Request for Review of Performance Plan or Performance Evaluation (35 words)
  3. Reviewing Official Response Form (163 words)
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