UAW - REQUEST FORM FOR
PERFORMANCE EVALUATIONS

Name:__________________________________________________________________

Department:____________________________________________________________

Time Period to be Evaluated:___________________________________________

Supervisor:____________________________________________________________


o In accordance with Section 146 of
the UAW contract, I agree to the performace evaluation. I understand the
evaluation will become part of the my personnel file.

o I do not agree to the evaluation
and understand this decision will not adversely affect my status in
present or future positions.



____________________________________________________ Date:_____________
Employee's Signature