Single format · FV01-X2-2

Board evaluation summary report and the Board's report disclosure

A single format from the Board Evaluation pack. s.134(3)(p) · Rule 8(4) · s.178(2) · Schedule IV paras VII, VIII · LODR Reg 17(10), 25(4).

Length
9 pages
Blanks to fill
518
Files
Word, PDF and Excel
Law as at
30 October 2026
Last reviewed
30 October 2026

What it covers

  1. 1Board evaluation summary report and the Board's report disclosures.134(3)(p) · Rule 8(4) · s.178(2) · Schedule IV paras VII, VIII · LODR Reg 17(10), 25(4)518 blanks · also an Excel workbook that calculates

Not included

What you will still need outside this format:

  • Terms of engagement for an external board evaluation facilitator.
  • The NRC's terms of reference, the remuneration policy and the Board skills matrix.
  • The full Board's report and corporate governance report: The Board's Report (FV01-H6).
  • The independent director's letter of appointment (FV07-E12) and the special resolution for re-appointment to a second term.
  • The familiarisation programme for independent directors and its website disclosure.
  • Advice on remuneration benchmarking or on removing a director following the evaluation.

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

[Name of the Company] · Annual evaluation for the financial year [Financial year evaluated]

BOARD EVALUATION: SUMMARY REPORT

Prepared by: [Name of the person collating the responses] · For: [Nomination and Remuneration Committee / Board] · Date: [Date of the summary report]
Manner of evaluation specified by the NRC on: [Date of the NRC meeting specifying the manner] · Mode: [Questionnaires / Questionnaires and interviews / External facilitator]
Questionnaires returned: [Number of questionnaires returned] of [Number of directors]

This report collates the questionnaires in the format “Board evaluation questionnaires” of this pack. Enter ratings of 1 to 5 (leave NA blank). Averages, changes, lowest ratings and counts of low ratings compute in the Excel version. Sections 1 to 3 and 6 go to the Board; sections 4 and 5 stay with the NRC and the Chairperson, and individual results are given to each director privately.

1. The Board as a whole: question by question

49 more paragraphs and tables follow in the full format.

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