SOP_NUMBER: 104.23-att-4
TITLE: Transitional Employment Tracking Form
REFERENCE_CODE: IVO04-0003
DIVISION: Administrative & Finance
TOPIC_AREA: HR Programs/Support/Assistance
EFFECTIVE_DATE: 2019-10-08
WORD_COUNT: 69
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/206544
URL: https://gps.press/sop-data/104.23-att-4/

SUMMARY:
This form is used to track employees during their transitional employment period, recording their work unit assignment, transitional period dates, follow-up medical appointments, any work conditions or restrictions, and related assignments or actions. The form is maintained by the local HR Office for three years after completion and is used to monitor and document employee transitions within the Department of Corrections.

KEY_TOPICS: transitional employment, employee tracking, work restrictions, medical follow-up, HR records, employee assignment, transitional period, employment documentation, work unit assignment, medical conditions

ATTACHMENTS:
  1. WC-240a Job Analysis Form
     URL: https://gps.press/sop-data/104.23-att-1/
  2. Activity Analysis Form
     URL: https://gps.press/sop-data/104.23-att-2/
  3. Transitional Employment Plan
     URL: https://gps.press/sop-data/104.23-att-3/
  4. Transitional Employment Tracking Form
     URL: https://gps.press/sop-data/104.23-att-4/

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FULL TEXT:
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SOP 104.23
Attachment 4

10/8/19
# **Department of Corrections** **TRANSITIONAL EMPLOYMENT TRACKING FORM**


**Month/Year of __________________**












|Employee Name<br>Job Title|Work Unit|Transitional Period|Col4|Follow-up<br>Medical Appt.|Conditions/<br>Restrictions|Assignment/<br>Action/Comments|
|---|---|---|---|---|---|---|
|**Employee Name**<br>**Job Title**|**Work Unit**|**Start Date**|**End Date**|**End Date**|**End Date**|**End Date**|
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Record Retention: Upon completion, this form shall be maintained for three (3) years in the local HR Office reports file.