Employee Suggestion Form

Title

Last Name

Please enter Last Name of employee submitting the suggestion.

First Name

Please enter first name of employee submitting the suggestion.

Employee Agency

Enter the agency of the employee that is submitting the suggestion.

Employee Email

Employee Phone Number

Subject

Please use no more than 50 characters

Initiative Impacted

Save Money

Save Time

Improve Safety

Increase Revenue

Other Impact

Indicate the strategic initiatives your idea impacts the most.

Suggestion Impact

Agency Specific

State Wide

Not Sure

Present Situation

Describe the present situation of the current practice which should be changed.

Suggestion

State your idea as clearly as possible.

Benefits

What will your suggestion accomplish? List the benefits of your solution.

Implementation

List the steps for implementing your idea. Tell how and where it may be used.

Costs

What are the costs associated with implementing your suggestion?