HTML Preview State Employee Suggestion Form page number 1.
ESAB form - July 2009
State Employee Suggestion Program
Suggestion Form
Name: E-mail:
Address: Telephone:
Agency: Job Title:
Please describe your suggestion completely with as much detail as possible. Explain what the present practice is,
and the change that you suggest. Additional pages can be added for more explanation, also feel free to attach other
explanatory material, if needed, such as sample forms, diagrams, or sketches.
This suggestion will affect the following agency:
The present practice, method, or condition is:
The following suggestion is offered as a solution:
The implementation of this suggestion will result in:
Estimated savings for one year:
I hereby agree that the above suggestion will become the property of the State of West Virginia:
Signature Date
Mail completed suggestion to:
Employee Suggestion Award Board
Building 1, Room W-314
State Capitol Complex
Charleston, WV 25305