SOP 104.58-att-1: Sample Letter - Alcohol/Drug Suspension with Pay (Classified/Unclassified Employee)

SOP 104.58
Attachment 1

8/19/20

# SAMPLE LETTER Alcohol/Drug Suspension with Pay Classified/Unclassified

Date

Employee Name
Address
City/State/Zip

Dear ________________:

This is to inform you that you have been placed on:

_(CHOOSE ONE OF THE FOLLOWING STATEMENTS)_

Suspension with Pay effective: (ENTER MONTH, DAY, AND YEAR HERE) pending
receipt of official notification of drug test results.
_OR_
Suspension with Pay effective: (ENTER MONTH, DAY, AND YEAR HERE) pending
disciplinary action as a result of alcohol test results or refusal to test.

While you are in Suspension status, you will not enter into the working area of
(ENTER FACILITY/CENTER/OFFICE) or any other Georgia Department of Corrections Facility.
Between the hours of 8:00 a.m. through 4:30 p.m., Monday through Friday, you will remain
either at a telephone where you can be contacted or at your place of residence. Every day,
Monday through Friday, between the hours of (ENTER HOURS HERE) you will contact (ENTER
NAME AND TITLE OF PERSON(S) TO BE CONTACTED) by telephone at (ENTER TELEPHONE
NUMBER HERE). Your failure to comply strictly with the above-described provisions will be
considered separate justification for adverse action.

______________________________________ _____________________
Appointing Authority Date

_____________________________________ ____________________
Employee Signature Date

cc: Director, Human Resources
CHRM Adverse Action Coordinator
CHRM Drug Testing Coordinator

Record Retention: Upon completion, this form shall be retained permanently in the employee’s official and local
personnel files.