About this template
This Performance Improvement Request Form is designed for supervisors, managers, and human resources professionals who need a structured, objective way to document employee performance concerns and initiate formal support or development paths. By establishing a clear record of specific areas needing growth, expected milestones, and agreed-upon timelines, organizations can provide targeted guidance while maintaining fair, transparent documentation.
The form collects essential details including employee information, supervisor observations, specific areas for improvement, required action steps, and target dates for review. It ensures that all necessary context is captured upfront, minimizing misunderstandings and helping HR and leadership teams track progress effectively.
Built for seamless deployment via Doc2Form, this template allows you to instantly generate a ready-to-use Google Form. Customize questions, adjust timelines, and securely route requests to your HR department to streamline workplace performance management.
Key features
- Standardize performance documentation across departments
- Clearly outline specific behavioral or skill-based improvement goals
- Track review dates and follow-up milestones in one place
- Maintain secure, confidential records for HR review
- Instantly convert into a live Google Form with Doc2Form
Use cases
- Initiating a formal Performance Improvement Plan (PIP) with HR guidance
- Documenting ongoing performance concerns prior to quarterly reviews
- Requesting specialized training or coaching resources for team members
- Establishing clear expectations and timelines for role transitions
What this form collects
- Supervisor Full Name (Short answer)Enter your first and last name.
- Supervisor Email Address (Short answer)Enter your work email address.
- Department (Dropdown)Select your department.
- Employee Full Name (Short answer)Enter the full name of the employee who is the subject of this request.
- Employee Job Title (Short answer)Enter the employee's current title or role.
- Submission Date (Date)Select today's date.
- Description of Performance Concern (Paragraph)Provide specific examples of the performance gaps, missed expectations, or behavioral issues observed.
- Previous Support Provided (Paragraph)Describe any prior coaching, informal feedback, or training already given to the employee.
- Proposed Improvement Goals (Paragraph)List clear, measurable objectives the employee needs to achieve.
- Target Review Date (Date)Select the date by which progress will be formally re-evaluated.
- Supporting Documentation (Paragraph)Please paste a link to any relevant files (e.g., performance reviews, logs, emails) or describe the documents you wish to attach.
- Additional Comments (Paragraph)Share any additional context or recommendations for HR review.
FAQ
What is the purpose of a performance improvement request form?
It provides supervisors with a structured way to document specific employee performance issues, outline clear expectations for improvement, and formally request HR support or initiate a development plan.
Who should fill out this form?
This form is typically completed by a direct supervisor or manager who has observed performance gaps and wishes to collaborate with HR on a constructive improvement strategy.
Can I customize the questions for my company's specific standards?
Yes! Once you convert this template into Google Forms using Doc2Form, you can fully edit, add, or remove any questions to match your organization's unique evaluation framework.
How does Doc2Form help me use this template?
Doc2Form instantly transforms this template structure into a fully functional Google Form, saving you time on manual setup and letting you start collecting responses right away.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.