701 A1 Sample Performance Plan Review Request Memorandum

Date

MEMORANDUM

To: Employee’s Name and Title

From: Supervisor’s Name and Title

Subject: Performance Plan Review Request

This is to inform you that you have the right to request a review of any job and individual responsibilities and/or performance expectations on your performance plan that you believe to be arbitrary, capricious, non-job-related, or unrealistic. You have five (5) workdays from receipt of your copy of the performance plan to submit a written request for a review to the designated Reviewing Official listed below:

Name/Title

Organizational Unit

Address

City, State, Zip

The Reviewing Official, upon receipt of your request, will review the performance plan and may meet with you and/or me, if deemed appropriate. Within fifteen (15) workdays of receipt of your request, the Reviewing Official will issue a written response to either uphold the performance plan or direct that the plan be revised.

The decision rendered by the designated Reviewing Official is final. Issues concerning the performance management system are not grievable.

c: OHR
Personnel File