Performance Review Pass Request Form
Submit a request for a pass or exception related to your performance review period.
Employee Full Name
*
First Name
Last Name
Employee ID Number
*
Department
*
Please Select
Human Resources
Finance
Sales
Marketing
IT
Operations
Customer Service
Other
Manager/Supervisor Name
*
First Name
Last Name
Manager/Supervisor Email
*
example@example.com
Review Period
*
Please Select
Q1
Q2
Q3
Q4
Annual
Other
Reason for Pass Request
*
Please upload any supporting documentation (if applicable)
Upload a File
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Choose a file
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of
Previous Performance Review Rating (if known)
Please Select
Outstanding
Exceeds Expectations
Meets Expectations
Needs Improvement
Unsatisfactory
Not Applicable / New Employee
Manager/Supervisor Comments
Preferred Contact Method for Follow-up
*
Email
Phone
Other
Submit Request
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