Implementation Guide - Paychex
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©2011 Paychex, Inc 79101 Rev. 03/13 Implementation Guide Employee Maintenance Essentials Forms FORM FILED RETENTION New Employee Orientation Employee's Personnel File 3 years following date of separation New Employee Information Employee's Personnel File 3 years following date of separation Change in Personal Data Employee's Personnel File 3 years following date of separation Payroll Deduction Authorization Employee's Personnel File 3 years following the end of the calendar year to which they relate Auto Mileage Reimbursement Voucher According to Company Policy 3 years following the end of the calendar year to which they relate Time Sheets Centralized Payroll File 3 years following the end of the calendar year to which they relate Time Card Exception Report Centralized Payroll File 3 years following the end of the calendar year to which they relate. Position Rate/Change Employee's Personnel File 3 years following date of separation I-9 Instructions Not Applicable Not Applicable I-9 Employment Eligibility Verification Centralized file recommended for easy access in the event of an audit. 3 years after date of hire, or 1 year after separation; whichever is later W-4 Withholding Allowance Certificate Employee's Personnel File 4 years Performance Planning & Appraisal Employee's Personnel File 3 years following date of separation Absentee Record Employee's Personnel File 3 years following the end of the calendar year to which they relate Personnel File Folders should be kept in a restricted access environment for at least 3 years following the employee's date of separation. Note: State law may require a longer retention period than indicated above. To Reorder: 1-800-472-0072
Transcript of Implementation Guide - Paychex
©2011 Paychex, Inc 79101 Rev. 03/13
Implementation Guide
Employee Maintenance Essentials Forms
FORM FILED RETENTION New Employee Orientation Employee's Personnel File 3 years following date of
separation New Employee Information Employee's Personnel File 3 years following date of
separation Change in Personal Data Employee's Personnel File 3 years following date of
separation Payroll Deduction Authorization
Employee's Personnel File 3 years following the end of the calendar year to which they relate
Auto Mileage Reimbursement Voucher
According to Company Policy 3 years following the end of the calendar year to which they relate
Time Sheets Centralized Payroll File 3 years following the end of the calendar year to which they relate
Time Card Exception Report Centralized Payroll File 3 years following the end of the calendar year to which they relate.
Position Rate/Change Employee's Personnel File 3 years following date of separation
I-9 Instructions Not Applicable Not Applicable I-9 Employment Eligibility Verification
Centralized file recommended for easy access in the event of an audit.
3 years after date of hire, or 1 year after separation; whichever is later
W-4 Withholding Allowance Certificate
Employee's Personnel File 4 years
Performance Planning & Appraisal
Employee's Personnel File 3 years following date of separation
Absentee Record Employee's Personnel File 3 years following the end of the calendar year to which they relate
Personnel File Folders should be kept in a restricted access environment for at least 3 years following the employee's date of separation.
Note: State law may require a longer retention period than indicated above.
To Reorder: 1-800-472-0072
New Employee Orientation
Orientation
A formal on-boarding process that begins on the first day of work is an essential component of a successful employment relationship. Without a new employee orientation program, the employee may be compelled to ask others for necessary information which may result in the new employee being misinformed.
A well-organized, formal orientation program enables employers to discuss important facts consistently with all employees, thereby increasing morale, and contributing to a more positive attitude.
( ) Welcome the New Employee (To be completed on the first day of employment) Despite who is assigned to conduct the new employee orientation, it is important for the employee’s immediate supervisor to be available on the first day of work to welcome the new employee and make initial introductions.
( ) Introduction to Team/ Work Group ( ) Introduction to Mentor
( ) Mentor’s Name: _______________________________________
( ) Tour of Facilities (To be completed on the first day of employment)
( ) Coat Closet ( ) Restrooms ( ) Cafeteria/ Kitchen/ Vending Machines ( ) Bulletin Board/Workplace Notices ( ) Tour of Plant (if applicable) ( ) Employee Entrance/ Parking ( ) Smoking Location ( ) Time Clock
( ) Overview of Department (To be completed on the first day of employment)
( ) Purpose ( ) Relationship to Other Departments ( ) Organizational Chart
( ) Overview of Company (To be completed on the first day of employment)
( ) History ( ) Culture ( ) Mission/ Vision Statements ( ) Company Literature/ Video/ DVD ( ) Product(s)/ Service(s) ( ) Resources for Company Information
( ) New Employee Paperwork (To be completed on the first day of employment)
( ) New Employee Information Form ( ) Form W-4 and State/Local Tax Forms ( ) Form I-9 ( ) Non-compete/ Non-disclosure Agreements (if applicable)
( ) Employee Handbook (To be completed within the first week of employment)
( ) Provide copy to employee with instructions to read ( ) Review critical policies with employee (refer to New Employee Orientation slides for critical policies) ( ) Obtain signed receipt page from employee (within one week)
( ) Compensation and Benefits (To be completed within the first week of employment) Review applicable fringe benefits with the employee. Provide employee with necessary paperwork to enroll.
( ) Pay Procedures (e.g., payroll reporting, payday, etc.) ( ) Increases/ Performance Review Process ( ) Incentive/ Bonus Program ( ) Paid and Unpaid Leave ( ) Health/Dental/Vision/Life/Disability Insurances ( ) Section 125 – FSA – Unreimbursed Medical & Dependent Care Expenses ( ) Initial COBRA Notification Letter (must be provided to employees and qualified
beneficiaries within 90 days of becoming covered under the plan) ( ) Retirement Benefits ( ) Stock Purchase Plan ( ) Tuition Reimbursement ( ) Credit Union ( ) Employee Assistance Program ( ) Other
( ) Introduction to the Job (To be completed within the first week of employment)
( ) Work Space ( ) Work Hours, Breaks, Mealtimes, and Other Rules ( ) Equipment (e.g., copier, fax machine, other) ( ) Machinery (if applicable) ( ) Telephone and Fax Numbers ( ) Mail and Overnight Delivery Service ( ) Tools ( ) Keys, ID Badge/Card, etc. ( ) Business Cards ( ) Office Supplies ( ) Company Credit Card(s)/ Cell Phone/ Laptop ( ) Job Description ( ) Purpose, Duties, Responsibilities ( ) Performance Expectations/ Goals
( ) On the Job Training (To be completed within the first week of employment)
( ) Computer System ( ) Log on ( ) E-mail ( ) Software Applications ( ) Telephone System ( ) Voice Mail ( ) Expense Reports
( ) Safety Rules (To be completed within the first week of employment)
( ) Safety/ Emergency Procedures ( ) Emergency Exits ( ) Injury Prevention ( ) Reporting Injuries ( ) Job specific safety training (if applicable)
The above information has been provided to me by my supervisor or designate:
Employee’s Signature
Supervisor/Manager’s Signature
©2011 Paychex, Inc. 01/10
New Employee InformationEmployer Complete
New Hire Rehire Previous Name (if applicable)
EMPLOYMENT DATA
Job Title Date of Hire / /
Rate of Pay Grade
Hourly Salaried
Full-time Part-time Seasonal - Scheduled Days and Hours
Supervisor/Manager Signature Date / /
Employee Complete
PERSONAL DATA
Last Name First Name Initial
Address
City State Zip Code
Telephone Number ( ) - Date of Birth / /
Personal E-mail Address (optional)
EMERGENCY CONTACT INFORMATION
Name Relationship
Emergency Telephone Number ( ) -
Employee Signature Date / /
©2011 Paychex, Inc. 4/11
Change in Personal Data Complete the section(s) below pertaining to your specific change.
Employee Name Date / /
Employee Number Hire Date / /
Name Change*
Previous Name _____________________________________________________________________________
New Name _________________________________________________________________________________
Address Change
Previous Address
City __________________________________________________ State _______ ZIP Code ___________
New Address
City __________________________________________________ State _______ ZIP Code ___________
Telephone Number Change
Previous Telephone Number ( ) -
New Telephone Number ( ) -
Marital Status Change
Previous Status Single Married
New Status Single Married
Emergency Contact Change
Name Relationship __________________________
Emergency Telephone Number ( ) -
Employee Signature Date / /
* Requires new W-4
©2014 Paychex, Inc 152863 3/14
©2011 Paychex, Inc 20002 1/07
Payroll Deduction Authorization
Employee Name Date / /
Department Employee Number
Pay Frequency
Weekly Biweekly Semimonthly Monthly
Effective Date / /
REASON DOLLAR AMOUNT
Medical Insurance (self) $
Medical Insurance (dependents) $
Life Insurance $
Dental Insurance $
Retirement $
Credit Union $
Dependent Care $
TOTAL $ ______________
I hereby authorize the above deductions.
Employee Signature Date / /
©2011 Paychex, Inc 40001 1/07
Auto Mileage Reimbursement Voucher
Employee Name Employee Number
Department Date (M/YY) /
ODOMETER READING DATE PURPOSE OF TRIP/DESTINATION BEGIN END
MILES TRAVELED
MILEAGE AT $ _____ RATE
PARKING/ TOLLS
TOTAL
TOTAL REIMBURSEMENT
Employee Signature Date / /
Manager/Supervisor Signature Date / /
©2011 Paychex, Inc. 152865 1/08
Weekly Time Sheet
Employee Name
Employee Number
Department Week Ending Date / /
DAY/DATE TIME IN
MEAL BREAK START
MEAL BREAK
END
TIME OUT
TOTAL REGULAR
HOURS
TOTAL OVERTIME
HOURS
INDICATE REASON(S) FOR NO HOURS WORKED
OR OVERTIME HOURS
AM BREAK
PM BREAK
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Total
By signing this time sheet, I certify that the above is an accurate reflection of all hours worked and not worked during the indicated time period.
Employee Signature Date / /
Supervisor/Manager Signature Date / /
©2011 Paychex, Inc 152866 1/08
Biweekly Time Sheet Employee Name ______________________________________________________________________________________
Employee Number Department
Period Ending Date / /
DAY/DATE TIME IN
MEAL BREAK START
MEAL BREAK
END
TIME OUT
TOTAL REGULAR
HOURS
TOTAL OVERTIME
HOURS
INDICATE REASON(S) FOR NO HOURS WORKED
OR OVERTIME HOURS
AM BREAK
PM BREAK
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Total
Period Ending Date / /
DAY/DATE TIME IN
MEAL BREAK START
MEAL BREAK
END
TIME OUT
TOTAL REGULAR
HOURS
TOTAL OVERTIME
HOURS
INDICATE REASON(S) FOR NO HOURS WORKED
OR OVERTIME HOURS
AM BREAK
PM BREAK
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Total
Grand Total By signing this time sheet, I certify that the above is an accurate reflection of all hours worked and not worked during the indicated time period.
Employee Signature Date / /
Supervisor/Manager Signature Date / /
©2011 Paychex, Inc. 152867 1/08
Semimonthly Time Sheet Employee Name
Employee Number Department
Period Starting Date / / Period Ending Date / /
DAY/DATE TIME IN
MEAL BREAK START
MEAL BREAK
END
TIME OUT
TOTAL REGULAR
HOURS
TOTAL OVERTIME
HOURS
INDICATE REASON(S) FOR NO HOURS WORKED
OR OVERTIME HOURS
AM BREAK
PM BREAK
Total
By signing this time sheet, I certify that the above is an accurate reflection of all hours worked and not worked during the indicated time period.
Employee Signature _______________________________________________ Date _____ / /
Supervisor/Manager Signature Date / /
©2011 Paychex, Inc 152868 1/08
Time Card Exception Report (Exempt Employees Only)
Department Period Starting Date / /
Period Ending Date / /
NUMBER OF DAYS TAKEN EMPLOYEE SIGNATURE EMPLOYEE NUMBER VACATION FLOATING
HOLIDAYS SICK OTHER
(Specify type of absence) NO EXCEPTIONS
By signing above, employee certifies that the above is an accurate reflection of all exceptions s/he is entitled to use and has used in the indicated time period.
Supervisor/Manager Signature Date / /
©2011 Paychex, Inc. 30003 1/08
Position/Rate Change
Employee Name Date / /______
Employee Number Hire Date / /
EMPLOYEE INFORMATION CURRENT Must be completed to
process changes.
CHANGES EFFECTIVE DATE
Department Name
Reports to (Name)
Cost Center
Position
Grade
Status
Full-Time
Part-Time
Seasonal
Scheduled Days and Hours
Wage
Hourly
Weekly
Biweekly
REASON FOR CHANGE (Check all that apply) Annual Review-Rating Location Transfer Promotion (use for jobs that are an increase in grade level) Department Change Position Transfer (use for jobs that are a lateral or decrease in grade level) Other COMMENTS
Employee Signature ________________________________________ Date ________ /_______ / ______
APPROVALS
1st Level Supervisor_________________________________________ Date ________ /_______ / ______
2nd Level Supervisor ________________________________________ Date ________ /_______ / ______
Human Resource Department _________________________________ Date ________ /_______ / ______
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USCISForm I-9
OMB No. 1615-0047Expires 10/31/2022
Employment Eligibility Verification
Department of Homeland SecurityU.S. Citizenship and Immigration Services
Form I-9 10/21/2019 Page 1 of 3
!START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically,during completion of this form. Employers are liable for errors in the completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) anemployee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because thedocumentation presented has a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later
than the first day of employment, but not before accepting a job offer.)
Last Name (Family Name) First Name (Given Name) Middle Initial Other Last Names Used (if any)
Address (Street Number and Name) Apt. Number City or Town State ZIP Code
Date of Birth (mm/dd/yyyy)
- -
Employee's E-mail Address Employee's Telephone NumberU.S. Social Security Number
1. A citizen of the United States
2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident
4. An alien authorized to work until
(See instructions)
(expiration date, if applicable, mm/dd/yyyy):
(Alien Registration Number/USCIS Number):
Some aliens may write "N/A" in the expiration date field.
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents inconnection with the completion of this form.
I attest, under penalty of perjury, that I am (check one of the following boxes):
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
1. Alien Registration Number/USCIS Number:
2. Form I-94 Admission Number:
3. Foreign Passport Number:
Country of Issuance:
OR
OR
QR Code - Section 1Do Not Write In This Space
Signature of Employee Today's Date (mm/dd/yyyy)
Preparer and/or Translator Certification (check one):I did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of myknowledge the information is true and correct.
Signature of Preparer or Translator Today's Date (mm/dd/yyyy)
Last Name (Family Name) First Name (Given Name)
Address (Street Number and Name) City or Town State ZIP Code
Employer Completes Next Page
Form I-9 10/21/2019 Page 2 of 3
USCISForm I-9
OMB No. 1615-0047Expires 10/31/2022
Employment Eligibility Verification
Department of Homeland SecurityU.S. Citizenship and Immigration Services
Section 2. Employer or Authorized Representative Review and Verification(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. Youmust physically examine one document from List A OR a combination of one document from List B and one document from List C as listed on the "Listsof Acceptable Documents.")
Last Name (Family Name) M.I.First Name (Given Name)Employee Info from Section 1
Citizenship/Immigration Status
List AIdentity and Employment Authorization Identity Employment Authorization
OR List B AND List C
Additional Information
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee,(2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge theemployee is authorized to work in the United States.
The employee's first day of employment (mm/dd/yyyy): (See instructions for exemptions)
Today's Date (mm/dd/yyyy)Signature of Employer or Authorized Representative Title of Employer or Authorized Representative
Last Name of Employer or Authorized Representative First Name of Employer or Authorized Representative Employer's Business or Organization Name
Employer's Business or Organization Address (Street Number and Name) City or Town State ZIP Code
Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)
A. New Name (if applicable)
Last Name (Family Name) First Name (Given Name) Middle Initial
B. Date of Rehire (if applicable)
Date (mm/dd/yyyy)
Document Title Document Number Expiration Date (if any) (mm/dd/yyyy)
C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishescontinuing employment authorization in the space provided below.
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and ifthe employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.
Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Name of Employer or Authorized Representative
QR Code - Sections 2 & 3Do Not Write In This Space
LISTS OF ACCEPTABLE DOCUMENTS
All documents must be UNEXPIRED
Employees may present one selection from List Aor a combination of one selection from List B and one selection from List C.
LIST A
2. Permanent Resident Card or AlienRegistration Receipt Card (Form I-551)
1. U.S. Passport or U.S. Passport Card
3. Foreign passport that contains atemporary I-551 stamp or temporaryI-551 printed notation on a machine-readable immigrant visa
4. Employment Authorization Documentthat contains a photograph (FormI-766)
5. For a nonimmigrant alien authorized towork for a specific employer becauseof his or her status:
Documents that EstablishBoth Identity and
Employment Authorization
6. Passport from the Federated Statesof Micronesia (FSM) or the Republicof the Marshall Islands (RMI) with Form
I-94 or Form I-94A indicatingnonimmigrant admission under theCompact of Free Association Betweenthe United States and the FSM or RMI
b. Form I-94 or Form I-94A that hasthe following:
(1) The same name as the passport;and
(2) An endorsement of the alien'snonimmigrant status as long asthat period of endorsement hasnot yet expired and theproposed employment is not inconflict with any restrictions orlimitations identified on the form.
a. Foreign passport; and
For persons under age 18 who areunable to present a document
listed above:
1. Driver's license or ID card issued by aState or outlying possession of theUnited States provided it contains aphotograph or information such asname, date of birth, gender, height, eyecolor, and address
9. Driver's license issued by a Canadiangovernment authority
3. School ID card with a photograph
6. Military dependent's ID card
7. U.S. Coast Guard Merchant MarinerCard
8. Native American tribal document
10. School record or report card
11. Clinic, doctor, or hospital record
12. Day-care or nursery school record
2. ID card issued by federal, state or localgovernment agencies or entities,provided it contains a photograph orinformation such as name, date of birth,gender, height, eye color, and address
4. Voter's registration card
5. U.S. Military card or draft record
Documents that EstablishIdentity
LIST B
OR AND
LIST C
7. Employment authorizationdocument issued by theDepartment of Homeland Security
1. A Social Security Account Numbercard, unless the card includes one ofthe following restrictions:
2. Certification of report of birth issuedby the Department of State (FormsDS-1350, FS-545, FS-240)
3. Original or certified copy of birthcertificate issued by a State,county, municipal authority, orterritory of the United Statesbearing an official seal
4. Native American tribal document
6. Identification Card for Use ofResident Citizen in the UnitedStates (Form I-179)
Documents that EstablishEmployment Authorization
5. U.S. Citizen ID Card (Form I-197)
(2) VALID FOR WORK ONLY WITHINS AUTHORIZATION
(3) VALID FOR WORK ONLY WITHDHS AUTHORIZATION
(1) NOT VALID FOR EMPLOYMENT
Page 3 of 3Form I-9 10/21/2019
Examples of many of these documents appear in the Handbook for Employers (M-274).
Refer to the instructions for more information about acceptable receipts.
This page intentionally left blank.
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Performance Planning and Appraisal
EMPLOYEE INFORMATION
Employee Name Date / / _________
Department _________________________________________________________________________________
Position
PURPOSE OF REVIEW
3 Months
6 Months
Annual
Other Date / / _________
PROCEDURE
SECTION 1: PERFORMANCE APPRAISAL - describes eight professional criteria associated with job success or failure. Write the corresponding numerical value in the last column for each criterion. Add the numbers to obtain a total value. Check the rating that most closely indicates the level at which the individual has performed.
Transfer the total to the appropriate space at the bottom of the page. This will indicate and support your overall evaluation of the individual’s performance.
SECTION 2: STRENGTHS AND DEVELOPMENT NEEDS - provides space for discussing overall job performance. Refer to Section 1 when completing this section.
SECTION 3: WORK PLAN FOR COMING REVIEW PERIOD - should reflect a mutually agreed-upon work plan for the coming review period. This section enables the supervisor and employee to develop a work plan for accomplishing the future objectives.
SECTION 4: EMPLOYEE COMMENTS AND SIGNATURES - is reserved for the individual’s comments and signatures.
SECTION 1: PERFORMANCE APPRAISAL
PROFESSIONAL CRITERIA
Below Job Requirements Achieved Job Requirements
Performance was below job requirements in one or more important areas and immediate improvement will be required.
Performance met job requirements in all important areas with extra effort evident in one or more of the following: quality, quantity, timeliness, or other important dimensions of performance.
0 1 KNOWLEDGE Consider knowledge of skills, procedures, methods, equipment, and materials required to do the job.
Inadequate job knowledge. Understanding of the skills, procedures, and methods required for job is insufficient.
Understands and effectively completes normal job routine. Needs little additional instruction.
PRODUCTIVITY Consider the amount of work the individual produces during an extended period of time.
Works at extremely slow pace. Rarely meets deadlines. Needs constant follow up.
Works at a steady pace. Output definitely meets requirements. Occasionally completes work ahead of deadlines.
QUALITY Consider the accuracy and thoroughness of employee’s work. Assess work results in terms of rejections, errors, and overall neatness.
Excessive errors and mistakes. Requires constant checking and rework.
Meets standards for accuracy and neatness. Makes some mistakes, but of a tolerable level. Needs normal supervision.
INITIATIVE Consider the degree to which employee is a self-starter, can work with minimum supervision, and seeks new and better methods to do the job.
Shows little initiative. Never volunteers. Must be told to do everything.
Voluntarily solves non-routine job problems when necessary. Effective worker.
COOPERATION Consider the effectiveness of the employee in accomplishing duties by working with others (for example, peers, supervisors, and customers).
Frequently is hostile and uncooperative when working with others to complete an assigned task. Attitude is unacceptable.
Generally cooperative. Willing to accept suggestions and direction. Acceptable relations with others.
DEPENDABILITY Consider the extent to which the employee can be relied upon to be available for work and to complete work properly.
Frequently undependable. Often fails to deliver a complete job. Leaves routine tasks incomplete.
Dependable. Can be relied on to complete all aspects of job. Needs normal supervision.
ORDERLINESS Consider the employee’s ability to organize work and the work area.
Frequently disorganized with work area in disarray. Results in high degree of lost time and inefficiency.
Work is sufficiently organized to efficiently perform job.
ATTENDANCE Consider the employee’s record of being at work regularly and on time.
Unacceptable attendance record. Continual lateness or absences from work.
Occasionally is absent or tardy. Reports absence or tardiness in advance.
COMMUNICATION Consider the employee’s ability to effectively present ideas and information orally and/or in written form.
Unacceptable communication skills. Does not communicate message in a timely manner.
Generally communicates effective with coworkers, management, and clients.
JUDGMENT Consider the extent to which the employee makes good decisions.
Frequently exercises poor judgment. Usually exercises good judgment.
Exceeded Job Requirements
INSERT NUMERIC
VALUE
Performance exceeded the requirements of the job in several important areas.
Performance exceeded the requirements of the job in all major areas. Significant work above and beyond the responsibilities was achieved.
2 3 0-3 Well informed. Completely understands all aspects of this job and related jobs.
An authority on own responsibilities. Knows why job functions are performed and how they relate with other jobs.
Works fast. Produces more than most. Often work is completed ahead of deadlines.
Exceptional producer. Consistently completes work ahead of deadlines.
Consistently high degree of accuracy and neatness. Work can be relied upon. Seldom needs supervision.
Consistently highest level of quality. Final output is virtually perfect.
Seeks new tasks and responsibilities. Resourceful in familiar situations. Self-starter.
Goes out of way to accept responsibility. Highly resourceful and constructive in new situations. Creative and independent worker.
Very cooperative. Usually shows consideration of others’ viewpoints. Often offers assistance. Can be counted on to help.
Always works effectively with others. Shows a keen insight into people. Constantly offers and always is available to help others.
Very dependable and persistent despite possible difficulties. Completes normal work and occasional special projects with little supervision.
Highly motivated and trustworthy. Can be counted on to go beyond limits of duties with little or no supervision when needed.
Highly organized and efficient worker. Exceptionally precise in organization of work. Has immediate access to anything needed. Extremely efficient.
Seldom absent or tardy. Always reports absence or tardiness in advance.
Excellent attendance record. Always at work and on time.
Effectively verbalizes thoughts to coworkers, management, and clients.
Excellent communicator. Effectively expresses thoughts in a verbal and written format.
Regularly exercises good judgment. Able to think quickly and logically under normal situations.
Excellent judgment. Can be counted on to think quickly and logically under pressure.
OVERALL RATING DETERMINATION: Check appropriate box on basis of total points.
TOTAL POINTS
Exceeded Job Requirements in all major areas 27–30 Points Exceeded Job Requirements in several important areas 17–26 Points Achieved Job Requirements 9-16 Points Below Job Requirements 0-8 Points
©2011 Paychex, Inc 31001 11/11
SECTION 2: STRENGTHS & DEVELOPMENT NEEDS
Cite outstanding accomplishments and describe employee’s specific strong points. __________________________________________________________________________________
__________________________________________________________________________________
Describe areas where the employee must improve or training is needed. __________________________________________________________________________________
__________________________________________________________________________________
SECTION 3: WORK PLAN FOR COMING REVIEW PERIOD (if appropriate)
A. List objectives or special projects (in priority) that have been assigned to the employee for the coming review period. State results or standards of performance and target dates mutually agreed upon. (Attach additional page if necessary.) _____________________________________________________________________________
_____________________________________________________________________________
B. Describe the action plan which will be used to achieve the objectives listed above (For example, what staff member, supervisor, or others will do and within what time frame). _____________________________________________________________________________
_____________________________________________________________________________
SECTION 4: EMPLOYEE COMMENTS & SIGNATURES
Employee Comments __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Employee Signature _________________________________________ Date _________ / _______ /_______ (Signature does not imply agreement with contents)
Supervisor Signature _________________________________________ Date _________ / _______ /_______
Management Signature _______________________________________ Date _________ / _______ /_______
©2011 Paychex, Inc 41001 1/07
Absentee Record Employee Name Employee Number
Current Year Job Title
Date of Hire / / Eligible Sick Days Eligible Vacation Days
D = DISCIPLINE J = JURY DUTY O = OTHER V = VACATION F = FUNERAL L = LEAVE OF ABSENCE P = PERSONAL (paid) U = UNEXCUSED H = HOLIDAY (medical/personal) S = SICK W = WORKERS' COMPENSATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Use reverse side of card for clarification of "other" absences and management notes.
©2011 Paychex, Inc 41001 1/07
MONTH DAY REASON FOR OTHER
Management Notes
