Name: Last Name:
1) Describe the present
situation, condition, method or procedure to be
improved. Please be specific.
2) What is your suggestion?
(Please be specific) Describe the improvement and tell
how it can be made. (If more space needed, please use
back of form)
3) How will your
suggestion improve the present situation or benefit
McLaren Port Huron in total?
4) If money will be saved or
generated, provide estimates of savings or revenues (if
Is this suggestion being made by more than one employee?
If yes, list all
employees involved with suggestion below:
By submitting this form, I certify that I am an(a): Employee Physician Volunteer
at McLaren Port Huron. I have read and understand the
eligibility requirements and rules stated on the Employee
Suggestion Program page, and I agree that McLaren Port Huron
shall have the right to make full use of my suggestion.
McLaren Port Huron • 1221 Pine Grove Avenue • Port Huron, Michigan 48060 • 810.987.5000
Copyright © McLaren Port Huron 2014
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