Fill and Sign the Suggestion Form

Employee Suggestion Form Employee Name: Date: Position/Title: Dept: ( Use extra paper where necessary) CONCERN: Please state the nature of your suggestion, including how it improves your job, the job of others, value to the customers, and the concern being addressed (lost time, misuse of materials, loss of revenue, return of goods, inefficiency, morale, etc.): _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Resources Needed: Please explain how the company can help to support your suggestion. Please include estimates of labor, materials, capital, equipment, or other resources needed: Labor Needed: __________________________________________________________ Materials Needed: _______________________________________________________ Equipment Needed: ______________________________________________________ Capital (Money) Needed: __________________________________________________ Other Resource Needed (Please specify): _____________________________________ _______________________________________________________________________ Total Estimated Cost to Address Concern: $________________ Desired Benefit: Please explain the anticipated total benefit to the Company: _________________________________________________________________________ _________________________________________________________________________ Total Estimated Financial Benefit to Company: $ ________________ Planning: Please outline the steps needed and the individuals/departments that must be involved to accomplish the suggestion set forth above: 1. ______________________________________________________________________ 2. ______________________________________________________________________ 3. ______________________________________________________________________ 4. ______________________________________________________________________ Total Estimated Time to Completion : _______________________ _________________________ (Printed Name of Employee) Date: _______________ _________________________ (Signature of Employee)