SOP_NUMBER: 104.61-att-3
TITLE: Reviewing Official Response Form
REFERENCE_CODE: IVO16-0001
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Appearance/Conduct/Evaluations
EFFECTIVE_DATE: 2021-04-20
WORD_COUNT: 163
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/242239
URL: https://gps.press/sop-data/104.61-att-3/
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
ATTACHMENTS:
1. Performance Management - Notice to Employee
URL: https://gps.press/sop-data/104.61-att-1/
2. Request for Review of Performance Plan or Performance Evaluation
URL: https://gps.press/sop-data/104.61-att-2/
3. Reviewing Official Response Form
URL: https://gps.press/sop-data/104.61-att-3/
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FULL TEXT:
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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.