Employee Recognition Nomination Form

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Employee Recognition Nomination Form

Date: {{current_date}}

Section 1: Nominator Information

Nominator's Name: {{nominator_name}}

Department: {{nominator_department}}

Job Title: {{nominator_job_title}}

Contact Email: {{nominator_email}}

Contact Phone: {{nominator_phone}}

Section 2: Nominee Information

Nominee's Name: {{nominee_name}}

Department: {{nominee_department}}

Job Title: {{nominee_job_title}}

Employee ID (if applicable): {{nominee_employee_id}}

Section 3: Reason for Nomination

Please provide a detailed description of the nominee's outstanding contribution or performance. Be specific and include examples of how their actions have positively impacted the company, team, or clients. (Minimum 150 words)

{{reason_for_nomination}}

Section 4: Impact and Desired Recognition

How has the nominee's contribution impacted the company's goals, values, or success?

{{impact_description}}

What type of recognition do you believe is most appropriate for this nominee? (e.g., formal award, public acknowledgment, bonus, certificate, team recognition)

{{desired_recognition}}

Section 5: Supporting Evidence (Optional)

Please list any supporting documents, data, or testimonials that could further strengthen this nomination (e.g., project reports, performance metrics, client feedback).

{{supporting_evidence}}

Section 6: Nominator Declaration

I, {{nominator_name}}, confirm that the information provided in this nomination form is accurate and true to the best of my knowledge. I believe that {{nominee_name}} is deserving of recognition for their exceptional efforts and contributions to {{company_name}}.

Signature: __________________________

Date: {{declaration_date}}