SOP 104.58-att-3: Sample Letter - Alcohol Dismissal (Unclassified Employee)
Summary
Key Topics
- alcohol dismissal
- alcohol testing
- employee termination
- unclassified employee
- adverse action
- alcohol test refusal
- employment termination letter
- disciplinary action
- substance testing
Full Text
SOP 104.58
Attachment 3
8/19/20
SAMPLE LETTER
ALCOHOL DISMISSAL
UNCLASSIFIED EMPLOYEE
Date
Employee's Name
Address
City/State/Zip Code
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, you are being dismissed from employment as a (INSERT JOB TITLE) with
the Georgia Department of Corrections effective (INSERT DATE ) .
You may request a review of this dismissal by responding, in writing, within five (5) business days
of the receipt of this letter to:
Commissioner's Designee for Adverse Action
State Office South – Tift Campus
P. O. Box 1529
Forsyth, Georgia 31029
Phone: 478-992-5211
Fax: 478-992-5178
Sincerely,
Name of Appointing Authority
Title
cc: Director, Human Resources
Commissioner's Designee for Adverse Action
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.