RES 96067 - Laserfiche WebLink

'Date &Time Received ~,,v~ City of Pleaseton Suggestion Number Suggestion Award Program Form 1. Title or subject of suggestion. 2. Present method or situation, and why it should be changed. (Give details: where, who, what, when. What problems result. Sketches, charts, etc., may be submitted on a separate sheet.) 3. Suggested method or procedure. (Give details, sketches, etc.) YOU MAY ATTACH ADDITIONAL PAGES, SKETCHES, SAMPLES, ETC., IF YOU WANT. 4. How the suggestion will benefit the City. (Tangible savings: labor, time, materials saved. Intangible savings: improvements in safety, services, working conditions.) Be specific. 5. Occasionally, an evaluator may wish to discuss the suggestion with the suggester. If you would be willing to have the Suggestion Award staff give the evaluator your name, check here: 6. 'I/WE agree, for Myself/Ourselves and My/Our heirs and assigns, that the City of Pleasanton shall be entitled to implement, use and put into operation and effect the suggestion hereinabove submitted without paying any royalties or any other monies whatever for the privilege of so doing, and I/We furlher agree that by submitting the suggestion hereinabove contained, I/We shall be deemed to have agreed to the above. I/We further agree, for Myself/Ourselves and My/Our heirs and assigns, to be bound by all terms, conditions and provisions of the City's adminisa'ative policy with respect to the above suggestion and any and all rights and privileges arising or resulting therefrom. I have read the general rules of the system on the back of this form, and agree to be bound by them.' Suggester's Signature Date YOUR SUGGESTION IS NOT ACCEPTABLE IF IT IS UNSIGNED. 7. Job Title: 0. Suggester's Division: 8. Work Phone Number: 11. Suggester's Department: 9. Suggester's Name: 2. Supervisor's Name: BE SURE TO READ THE RACK OF THIS FOR~N!