SOP 104.58-att-2: Sample Letter - Alcohol Dismissal (Classified Employee)

Division:
Administrative & Finance
Effective Date:
August 19, 2020
Topic Area:
104 Policy-HR Appearance/Conduct/Evaluations
PowerDMS:
View on PowerDMS
Length:
175 words

Summary

This is a template letter used by the Georgia Department of Corrections to formally notify a classified employee of their dismissal from employment due to alcohol test results showing 0.02 percent or greater alcohol content or refusal to submit to an alcohol test. The letter informs the employee of their separation effective date and provides instructions for filing an appeal with the Office of State Administrative Hearings within ten days of receiving the notice.

Key Topics

  • alcohol dismissal
  • alcohol testing
  • employee termination
  • classified employee
  • alcohol test refusal
  • State Personnel Board Rule 21
  • adverse action
  • separation letter
  • drug testing
  • employee discipline

Full Text

SOP 104.58
Attachment 2

8/19/20

SAMPLE LETTER ALCOHOL DISMISSAL LETTER CLASSIFIED EMPLOYEE

Date

Employee's Name
Address
City/State/Zip

Dear ________________:

On __ ( INSERT DATE ) you were notified that you must report for an alcohol test.

_(CHOOSE ONLY ONE OF THE FOLLOWING STATEMENTS_ _):_

The results of that alcohol test indicated the presence of .02 percent or greater of alcohol.
# OR

You refused the alcohol test.

Therefore, in accordance with State Personnel Board Rule 21, you are being dismissed from employment as a
___( INSERT JOB TITLE) with the Georgia Department of Corrections effective (INSERT DATE ) .

If you believe this separation is in violation of State Personnel Board Rules and Regulations, you may file an
appeal in writing to the Office of State Administrative Hearings at the following address within ten (10) days of
receipt of this letter.

Office of State Administrative Hearings
225 Peachtree Street, NW, #400
Atlanta, Georgia 30303

Sincerely,

Name of Appointing Authority
Title

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.

Attachments (12)

  1. Sample Letter - Alcohol/Drug Suspension with Pay (Classified/Unclassified Employee) (223 words)
  2. Sample Letter - Alcohol Dismissal (Classified Employee) (175 words)
  3. Sample Letter - Alcohol Dismissal (Unclassified Employee) (166 words)
  4. Sample Letter - Drug Dismissal (Unclassified Employee) (246 words)
  5. Sample Letter Drug Dismissal (Classified Employee) (254 words)
  6. Alcohol and Drug Test Notification (Random) (270 words)
  7. Alcohol/Drug and CDL Drug Testing Log (82 words)
  8. Drug Test Awareness Statement/Notification (Pre-Employment) (220 words)
  9. On-Site Substance Abuse Screening Documentation Form (38 words)
  10. Withdrawal of Employment Offer Due to Positive Pre-Employment Drug Test (167 words)
  11. Withdrawal of Employment Offer for Refusal to Test_Failure to Remain or Appear for Pre-Employment Drug Test (190 words)
  12. Behavioral/Incident Documentation Form (for Reasonable Suspicion Drug and Alcohol Testing) (150 words)
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