SOP_NUMBER: 104.32-att-1
TITLE: Certification for Payment of Call Back Pay
REFERENCE_CODE: IVO07-0016
WORD_COUNT: 133
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105238
URL: https://gps.press/sop-data/104.32-att-1/

ATTACHMENTS:
  1. Certification for Payment of Call Back Pay
     URL: https://gps.press/sop-data/104.32-att-1/

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FULL TEXT:
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SOP 104.32
Attachment 1

7/30/19









|FACILITY/OFFICE:|EMPLOYEE ID NUMBER:|
|---|---|
|**EMPLOYEE NAME:**<br> <br>|**TITLE:**|
|**PAYGRADE:**<br> <br>|**HOURLY RATE:**<br>|
|**REGULAR SCHEDULED WORK HOURS:**<br> <br>|**REGULAR SCHEDULED WORK HOURS:**<br> <br>|
|**CALL BACK DATES/TIME:**|**CALL BACK DATES/TIME:**|
|**DATE/DAY**|**TIME**|
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|||
|||
|||
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|**FOR DEPARTMENT OF HUMAN RESOURCES OFFICE USE ONLY**|**FOR DEPARTMENT OF HUMAN RESOURCES OFFICE USE ONLY**|
|**TOTAL # OF CALL BACKS:**<br> <br>**@ $____________________ PER HOUR**|**TOTAL # OF CALL BACKS:**<br> <br>**@ $____________________ PER HOUR**|


I CERTIFY THAT THE ABOVE NAMED EMPLOYEE OF THE GEORGIA DEPARTMENT OF CORRECTIONS MEETS
ALL CRITERIA OUTLINED IN SOP 104.32, AND THEREFORE, IS ELIGIBLE TO BE PAID CALL BACK PAY.

|DATE:|Appointing Authority/Designee:|
|---|---|
|**DATE:**|**Local Human Resources Representative:**<br> <br>|



Retention Schedule: Upon completion, this form shall be permanently retained in official personnel file and retained for six
(6) full months, following payment of Call Back Pay, in the local personnel file.