Form 13 at a glance
What it is: Form 13 is the Employee Performance Appraisal of the State of Alabama Personnel Department.
Who signs: The Rating Supervisor, the Employee and the Reviewing Supervisor sign. All signatures are mandatory.
A filled-in Form 13 example: a rating supervisor appraises an employee
How to fill out Form 13, box by box
Employee, agency and period covered
Enter the Employee Name and the Social Security Number after XXX-XX-.
Enter the Agency, Division, Classification, Class Code and Position #.
Enter Period Covered From, To, and Annual Raise Effective.
This employee's work
“Does Not Meet Standards (6.6 or below)”, “Partially Meets Standards (6.7 - 16.6)”, “Meets Standards (16.7 - 26.6)”, “Exceeds Standards (26.7 - 36.6)” or “Consistently Exceeds Standards (36.7 - 40)”: this employee's work.
Mandatory documentation is to be maintained in the agency's personnel files if a “Does Not Meet” or “Consistently Exceeds” rating is given.
Work habits and the explanation for Unsatisfactory
The Work Habit areas are Attendance, Punctuality, Cooperation with Coworkers and Compliance with Rules.
Check the appropriate space for each Work Habit area, Unsatisfactory or Satisfactory. Work Habits pertain to conduct occurring in this Appraisal period.
Provide an explanation for marking any work habit as “Unsatisfactory.” Attach additional sheets if necessary. No disciplinary action has to be taken to mark a Work Habit "Unsatisfactory."
Appraisal signatures
Signatures are to be provided after the form has been completed. Signatures denote supervisor and employee discussion and receipt of form. Employee signature does not denote agreement. All signatures are mandatory.
Rating Supervisor: SSN, Rater Signature, Rater Printed Name, Date. Employee: Employee Signature, Date. Reviewing Supervisor: SSN, Reviewer Signature, Reviewer Printed Name, Date.
Initial if comments attached
Initial if comments attached: Rater, Employee and Reviewer.
Responsibilities and ratings
List an abbreviated version of the employee's responsibilities as documented on and discussed during the Preappraisal.
Record the appropriate rating in the box for each responsibility.
The ratings are 0 Does Not Meet Standards, 1 Partially Meets Standards, 2 Meets Standards, 3 Exceeds Standards and 4 Consistently Exceeds Standards.
Rating(s) of appropriate responsibilities should reflect any disciplinary action(s) that has been taken during this appraisal period.
Performance Appraisal Score
Locate the Responsibility Score on the back of this form and write it in the appropriate space. Locate the Disciplinary Score, also on the back of this form, and write it in the appropriate space. The Disciplinary Score is subtracted from the Responsibility Score to derive the Performance Appraisal Score.
RESPONSIBILITY SCORE: Total of Ratings ÷ Number of Responsibilities/Results = Average Responsibility Rating x 10 = Responsibility Score.
Disciplinary actions and Disciplinary Score
Any disciplinary action taken with the employee during this appraisal period is to be documented.
Provide the number of disciplinary actions and steps taken with the employee during the appraisal year, in Warning, Reprimand, Suspension and Demotion. If no disciplinary action has been taken, a “0” should be marked in each block provided.
Attach a copy of the warning(s), reprimand(s), suspension(s) or demotion to the Appraisal.
DISCIPLINARY SCORE: This section should include the use of the discipline steps of reprimand, suspension, and demotion only. The Disciplinary Score does not include scores for counseling and warnings.
To calculate the Disciplinary Score, identify the most severe step of discipline taken with the employee during this appraisal period.
If the most severe step was one or more reprimands, the Disciplinary Score will be 7. If one or more suspensions, 17. If the most severe step taken with the employee in the appraisal year was one or more demotions, 24. Otherwise, the Disciplinary Score will be 0.
Sources
[1] Form 13 Employee Performance Appraisal (01/2006), State of Alabama Personnel Department (the Official source link on this page).