Employee Performance Evaluation Form

In response to adjustments to the Pay for Performance system reflected in the FY 2004 Adopted Budget Plan, the Employee Performance Evaluation Form has been revised for FY 2004. The only change on the form is to page 8 which shows the revised pay and bonus amounts related to a particular numerical rating.

The form is available here in MS Word format. Click on the links below to download the appropriate form. Please note that in order to accommodate performance reviews effective prior to payroll #14 (June 28, 2003) the old evaluation form is still available for download. In addition, for those who have already printed evaluation forms for performance reviews effective with payroll #14, 2003 and beyond, and simply need to replace page 8, that page is available as a separate download.

• Employee Performance Evaluation Form - FY'04 - for evaluations effective P. P. #14, June 28, 2003 and beyond
  
• Page 8 only of the revised Evaluation Form - for evaluations effective P. P. #14, June 28, 2003 and beyond
• FY '02/'03 Performance Evaluation Form - for evaluations prior to P. P. #14, June 28, 2003

• Pay for Performance Calculator FY '04 - For evaluations effective June 28, 2003 and later.
  
  
• Pay for Performance Calculator for evaluations effective prior to June 28, 2003.
  

The revised form:

1. Requires you to type information in section I - Identification and Review Date Boxes
2. Requires information in a footer which begins on page 2 of the form.
   
   To get a 2nd page footer:
1. Go to VIEW
2. Choose HEADER AND FOOTER and the "Header and Footer Tool Bar" appears.
3. On the "Header and Footer Tool Bar" go to the 1ST ICON FROM RIGHT (SHOW NEXT) before Close button. This brings you to the second page where the Footer begins.
4. Go to 3RD ICON FROM RIGHT (SWITCH BETWEEN HEADER AND FOOTER). This brings you to the Footer section.
5. TYPE in all information
6. Hit CLOSE button. This will return you to first page and out of the Header and Footer.Information will appear on all consecutive pages in the footer excluding page 1
   
   
3. Rating categories are listed vertically rather than horizontally.
4. The final two (2) pages have been reordered and section descriptions clarified.

Technical Assistance
If you need assistance in using the "copy" and "paste" features, or have other formatting questions, contact the Technical Support Center via E-Mail at TSCHELP, or call them at 703-222-3535. You may also contact the Department of Human Resources via E-Mail at jobs@fairfaxcounty.gov .