701 A3 Sample Performance Evaluation Review Determination Memorandum

Georgia State Seal

Georgia Department of Human Services
Human Resources Policy #701 A3

Sample Performance Evaluation Review Determination Memorandum

Date

MEMORANDUM

To: Employee’s Name and Title

From: Supervisor’s Name and Title

Subject: Performance Evaluation Review Determination

I received your request for a Performance Evaluation Review on ___________. Your performance evaluation documents, ________, ________ have been reviewed.

After careful review of the documentation, the assigned rating of “Unsatisfactory Performer” (is not supported or is supported) and (will not or will) be upheld. The rating on your FY _______ Performance Evaluation will (be changed to “Successful Performer” or remain “Unsatisfactory Performer“).

You will receive an updated Performance Evaluation by close of business on _______________(if needed).

c: OHR
Personnel File