Annual Perfomance Review
Employee Role
*
Please Select
Home Health Aide
Administrator
Webcheck Processor
Employee Name
*
Review Year
*
Teamwork
*
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Teamwork
Teamwork Comments
*
Attendance and Timekeeping
*
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Attendance and Timekeeping
Attendance and Timekeeping
*
Communication and Professionalism
*
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Communication, Presentation and Professionalism
Communication, Presentation and Professionalism
*
Innovation Performance
*
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Innovation Performance
Innovation Performance
*
Final Comments
*
Merit Range
Merit % Awarded
*
New Pay Rate
*
Effective Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Starting Pay Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewer's Role
*
Supervisor
Compliance Admin
Reviewer's Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
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