SOP_NUMBER: 104.54-att-3
TITLE: Notice of Discontinuation Form
REFERENCE_CODE: IVO15-0005
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Records/I.D./Criminal History
EFFECTIVE_DATE: 2003-07-01
WORD_COUNT: 138
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105292
URL: https://gps.press/sop-data/104.54-att-3/

SUMMARY:
This form is used to document when an individual discontinues employment or business with the Georgia Department of Corrections and fails to return their official departmental photo identification card. The form captures substitute photo identification information and basic personnel details to maintain accurate records of terminated employees or contractors. Original documents are retained permanently in local personnel files, with copies kept in the Internal Investigations Section for one year.

KEY_TOPICS: photo identification card, employee termination, discontinuation notice, personnel records, ID card return, contractor separation, employee departure, identification tracking

ATTACHMENTS:
  1. Request for Identification Card Form
     URL: https://gps.press/sop-data/104.54-att-1/
  2. Report for Missing Identification Card Form
     URL: https://gps.press/sop-data/104.54-att-2/
  3. Notice of Discontinuation Form
     URL: https://gps.press/sop-data/104.54-att-3/

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FULL TEXT:
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**SOP IVO15-0005**

**Attachment 3**
**Revised 7/01/03**


**GEORGIA DEPARTMENT OF CORRECTIONS**
**HUMAN RESOURCES DIVISION**
**CENTRAL PERSONNEL ADMINISTRATION**

# **`NOTICE OF DISCONTINUATION`**

_The individual featured below has discontinued or ceased doing business with the Georgia Department_ _of Corrections._ _The_
_individual named below did not relinquish his/her official departmental photo identification card at the time of departure._
_Therefore, note the substitute photo identification in the box below._


**(Place drivers license or other photo I.D. here and photocopy before returning photo I.D. to holder)**


**NAME                                SSN**

**PHOENIX EMPLOYEE I.D./SCRIBE I.D.________________________________________________________________________**

**HOME ADDRESS**

**CITY/STATE** **ZIP CODE**

**HOME PHONE** **WORK PHONE**

**FACILITY/UNIT OF ASSIGNMENT**

**EMPLOYEE JOB TITLE**

**DIVISION ___________________________________________________________________________________________________**

**CONTRACTOR OR ORGANIZATION REPRESENTED**


**Card Holder Signature** **Date**


**SOP IVO15-0005**

**Attachment 3**
**Revised 7/01/03**
Retention Schedule: Retain permanently in local personnel file. Copy retained for one (1) year in Internal Investigations Section .