MERIT INCREASE RATING FORM
SOURCE OF RATING
Performance Feedback Summary Rating
Work Plan Goals and Objectives Rating
*At end of the appraisal period, ensure source and % weight are consistent with the
provided to employee previously in the appraisal period.
MERIT INCREASE RATING*
RATING (column 2
Work Plan Goals and
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 /
Department Director Signature / Date