Attachment 2
MERIT INCREASE RATING FORM
Employee #:
Employee Name:
Job Title:
Dept.:
Appraisal Period: to
Date of Rating:
SOURCE OF RATING
SOURCE*
% WEIGHT PER SOURCE
Performance Feedback Summary Rating
Work Plan Goals and Objectives Rating
*At end of the appraisal period, ensure source and % weight are consistent with the
notification
provided to employee previously in the appraisal period.
MERIT INCREASE RATING*
Column 1
Column 2
Column 4
SOURCE
% WEIGHT
RATING PER
WEIGHTED
RATING (column 2
Xs column 3)
Performance Feedback
Summary Rating
Work Plan Goals and
Objectives Rating
MERIT INCREASE RATING (Sum of Column 4)
**
*Attach completed rating forms for each source utilized.
**Merit Increase Rating below 2.6 is not eligible for a merit increase. Written
documentation is required for merit increase ratings of 1 or 4.
_____________________
_______________________________
Employee Signature / Date Immediate Supervisor Signature /
Date
______________________________
Department Director Signature / Date
Employee Comments:
Supervisor Comments: