Office Performance Commitment and Review Form

OFFICE PERFORMANCE COMMITMENT AND REVIEW FORM

I, __________________________________, Head of the _________________commit to deliver and agree to be rated on the attainment of the following Targets in the
accordance with the indicated measures for the period ____________ to ________________________.

_____________________
Head of Office
Date: ________________

Approved by: Date:

5.0 - Outstanding
4.0 - 4.99 - Very Satisfactory
3.0 - 3.99 - Satisfactory
2.0 - 2.99 - Unsatisfactory
Head of Agency 1.0 – 1.99 - Poor

Performance
Division/ Individuals Actual Rating
Output Indicators Allotted Budget Remarks
Accountable Accomplishment
(Target + Measures) Q1 Q2 T3 A4

Average Rating:

IPCR – Legend 1- Quantity 2- Quality 3- Timeliness 4- Average

 Category Output Rating Remarks

Total Overall Rating

Final Average Rating

Adjectival Rating

Assessed by: Date Date Final Rating by: Date

Planning Office PMT Head of Agency

IPCR – Legend 1- Quantity 2- Quality 3- Timeliness 4- Average