Bureau of Human Resources
State of Maine #4 State House Station
Augusta, Maine 04333-0004
Employee Suggestion Awards Application
Tel: (207) 624-7761
Last Name First M.I. TAMS Number
Department Bureau Location
Work Telephone Number E-Mail Address
Important instructions for Completing Employee Awards Program Application
This application must be complete and legible or it may be returned for further information. Print, using
ink to fill in the required information in the spaces provided. When using extra paper to complete your
suggestion, reference the question number and number of pages you are attaching to the suggestion. This
will assure that your suggestion will get the full attention it deserves and that all pages are followed
throughout the process. Use a separate application for each suggestion. Sign the suggestion application
and forward it directly to the State Employee Suggestion Awards Program Administrator at the Bureau of
Human Resources # 4 State House Station, Augusta, Maine 04333-0004.
If so requested, the name of the employee with the suggestion will be treated confidentially by the Agency
Coordinator, Employee Suggestion Evaluation Committee and Board and any other person handling the
suggestion until a final decision is made by the Board.
I request my suggestion be treated as confidential:____ Yes ____ No
Subject of Suggestion. Give a short title to the suggestion that best describes the subject.
Suggestion applies to what agency or agencies? Indicate whether your idea affects a single or multiple
departments and agencies.
Present Situation. Explain the existing situation, method or condition.
Suggestion. Give enough information that the evaluators will have concise information without having to
request additional information.
1 of 2
Solution. Explain the advantages that will result from your suggestion. If it is a cost savings solution, give as
much detailed information on the projected amount saved as possible. If it affects a form, attach a copy of
the latest version and a copy of the changes you made to it.
Overall Benefit of Suggestion. This is your chance to convince the evaluators that your idea will definitely benefit
the State of Maine if it is adopted.
Will your suggestion save the State money? Projected amount?
Employee Signature _________________________________ Date ___________________________
Human Resource Information Only
Referring Department and Agency____________________________________________________________
Final Results _____________________________________________________________________________
Efficiency Suggestion ____ Yes ____ No Cost Savings Suggestion ____ Yes ____ No
BHR Date Stamp Date Sent to Agency Date Returned to BHR
2 of 2