Any incomplete nomination will be returned to the nominating individual/group. * Required Field You must have JavaScript enabled to use this form. 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 Year201720182019202020212022 Rating: - None -OutstandingExcellentSatisfactoryUnsatisfactory Director Approval: - None -ApprovedDisapproved Director Comment: HR Approval: - None -ApprovedDisapproved