Request For Review of Rating

Request For Review of Rating

I am requesting a review of my PPR evaluation. The reason I am requesting the review is (check one):

___ I did not receive a rating or a copy of the form on or before my anniversary date, and
I am therefore officially "UNRATED". I am requesting that a rating be granted and made
official by the Reviewer. (Attach copy of front page of PPR form, if available – no further
documentation required)

___ I am in disagreement with my overall rating. I have attached documentation or a statement
(in accordance with Civil Service Rule 10.13) which explains in full the reasons why I
disagree with my overall rating.

________________________________________________________________________
Print Name

________________________________________________________________________
Employee Signature Date

________________________________________________________________________
Agency Name

___	I did not receive a rating or a copy of the form on or before my anniversary date, and I am therefore officially "UNRATED". I am requesting that a rating be granted and made official by the Reviewer. (Attach copy of front page of PPR form, if available – no further documentation required)
___	I am in disagreement with my overall rating. I have attached documentation or a statement (in accordance with Civil Service Rule 10.13) which explains in full the reasons why I disagree with my overall rating.