Fillable Employee Suggestion Form

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Employee Suggestion Form

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  • 8 check-boxes
  • 11 other fields

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EMPLOYEE SUGGESTION FORM
Mail to:
Suggestion Program Coordinator
Little Rock Human Resources
500 West Markham – Suite 130W
Little Rock, Arkansas 72201-1428
FOR ESP OFFICE USE ONLY
Suggestion No.
Date/Time Received: Department(s) Affected: Notification Date:
My idea concerns: (Check One)
Improve Operations Save time, labor, materials, or reduce cost
Increase efficiency or productivity Improve service to the public
Improve safety conditions Improve working conditions
Name(s) (Print) Office Telephone
Your Department
Home Address
Check where you wish the acknowledgment sent: Office Home
Here's the problem or area needing improvement: (Please be specific)
Here's what should be done: (Provide enough information to clearly explain and support
your idea. Attach additional sheets as needed.)
Here's how the City will benefit: ( Specific supporting evidence such as hours, dollars, or
materials saved, etc. would be helpful.)
PLEASE READ ELIGIBILITY RULES ON THE BACK (attached) BEFORE
SUBMITTING THIS FORM; AND ANSWER THE FOLLOWING QUESTION:
Is this idea the result of a direct assignment? Yes No
Please read the following information before submitting your suggestion
I hereby (1) Authorize the City to adopt and implement, for unlimited duration, my
suggestion submitted under the terms and conditions of the Employee Suggestion
Program; (2) Agree on my behalf and on behalf of my heirs, successors, and assigns, to be
bound by the terms and conditions of the Employee Suggestion Program and (3)
Understand that the only compensation I, or my heirs, successors or assigns, will be
entitled to receive from the City as a result of the adoption and implementation of my
suggestion will be the cash award, if any, approved by the City Manager in accordance
with the terms and conditions of the Program.
VALID ONLY IF SIGNED BY ALL SUGGESTION ORIGINATORS
Date Signature(s)
EMPLOYEE SUGGESTION PROGRAM (ESP) GENERAL RULES
AWARDS
Tangible Suggestion: suggestions for which a measurable dollar savings or increases in revenues
can be calculated may be eligible for a cash award from a minimum of $50 up to a maximum of
$750, for an individual, and up to a maximum of $750 for team suggestions.
Intangible Suggestion: Suggestions for which dollar savings cannot be calculated, but which
result in significant improvements in City operations may be eligible for a cash award from a
minimum of $50 up to a maximum of $200.
A cash award will only be made after the suggestion has been approved for adoption by the City
Manager.
A cash award granted for a suggestion submitted by a team will be distributed equally among the
individuals whose signatures appear on this form.
When duplicate suggestions are submitted, only the first suggestion to be received by the Human
Resources Department will be eligible for consideration.
All cash awards are subject to federal, state, FICA tax deductions.
ELIGIBILITY
All City employees below the level of Department Director are eligible to participate in this
program.
Examples of Eligible Suggestions: (suggestion must not reduce level of service to public)
Improve operations
Save time, labor, materials, or reduce cost
Increase efficiency or productivity
Improve service to the public
Improve safety conditions
Improve working conditions
Examples of ineligible Suggestions:
A duplicate of a suggestion that has already been submitted
Those that only present a problem, but provide no solution.
Increasing City fees
Those that propose changes in compensation or benefits
Improvements to new equipment or processes which are still in the testing stages.
Proposed changes and/or improvement already under consideration, in effect, or subject
to regular management review.
DISCLAIMER
The City of Little Rock has the exclusive right to determine award policy and structure, and
retains the right to revise the terms and conditions of the Employee Suggestion Program, or to
terminate the program at any time without notice. Notwithstanding the above, an employee's
suggestion will be processed in accordance with the terms and conditions of the Program in
effect on the date that the suggestion is received.
The above Employee Suggestion Plan rules represent a summary only. Other eligibility
requirements may apply. Please check with the Employee Suggestion Program staff/Department
of Human Resources for current policy and rules by calling 371-4576.
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Employee Suggestion Form

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Completed 20 March 2020

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