HomeMy WebLinkAboutFC-04 - Idea$ Pay Form
Date Received:
Ideas No.:
Problem Statement: (Please print or type)
Solution:
Savings/Benefits/Effect:
(Additional documents may be attached.)
Fill in Completely
Name
Title
Phone No.
Department
(Do Not Write In This Space)
The use by the City of Fresno of my/our idea above stated, shall not form the basis of a further claim of any nature upon the City by me/us, my/our heirs or assigns. (Idea will not
be accepted if firm is unsigned.)
Date:
Signature:
Date:
Processed for Analysis
Analysis Completed
If team-based idea, all signatures are required:
Action by Committee
Approved
Disapproved
Action by CAO
Award Made