Merit Awards

Any incomplete nomination will be returned to the nominating individual/group.

* Required Field

Employee Name(s): *

Department/Division: * - Select -Commissioner's OfficeDesign & ConstructionEnergy OfficeFleet Management ServicesGovernment Business ServicesInformation/Welcome CentersOperations & MaintenancePolicy, Planning & UtilizationPostal Center & Print ShopPurchasing & ContractingSafety & SecurityVermont State Curator's Office

Nominator Name: *

Comprehensive Justification: *

Recommended Award: * - Select -Merit Cash BonusOne Step Merit IncreaseTwo Step Merit IncreaseTime Off Award

Amount Requested: *

$ or hours

Performance Evaluation Date:

Day Day12345678910111213141516171819202122232425262728293031

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year Year201620172018201920202021

Rating: - None -OutstandingExcellentSatisfactoryUnsatisfactory

Director Approval: - None -ApprovedDisapproved

Director Comment:

HR Approval: - None -ApprovedDisapproved