SOP_NUMBER: 104.58-att-4
TITLE: Sample Letter - Drug Dismissal (Unclassified Employee)
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Appearance/Conduct/Evaluations
EFFECTIVE_DATE: 2020-08-19
WORD_COUNT: 246
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/175430
URL: https://gps.press/sop-data/104.58-att-4/

SUMMARY:
This is a template letter used by the Georgia Department of Corrections to formally notify unclassified employees of their dismissal from employment due to illegal drug use or refusal to submit to a required drug test. The letter informs the employee of the effective date of dismissal, notifies them of a two-year disqualification from future State of Georgia employment, and provides instructions for requesting a review of the dismissal within five business days.

KEY_TOPICS: drug dismissal, drug testing, employee termination, unclassified employee, illegal drug use, drug test refusal, adverse action, Medical Review Officer, employment disqualification, disciplinary action, appeal process

ATTACHMENTS:
  1. Sample Letter - Alcohol/Drug Suspension with Pay (Classified/Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-1/
  2. Sample Letter - Alcohol Dismissal (Classified Employee)
     URL: https://gps.press/sop-data/104.58-att-2/
  3. Sample Letter - Alcohol Dismissal (Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-3/
  4. Sample Letter - Drug Dismissal (Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-4/
  5. Sample Letter Drug Dismissal (Classified Employee)
     URL: https://gps.press/sop-data/104.58-att-5/
  6. Alcohol and Drug Test Notification (Random)
     URL: https://gps.press/sop-data/104.58-att-6/
  7. Alcohol/Drug and CDL Drug Testing Log
     URL: https://gps.press/sop-data/104.58-att-7/
  8. Drug Test Awareness Statement/Notification (Pre-Employment)
     URL: https://gps.press/sop-data/104.58-att-8/
  9. On-Site Substance Abuse Screening Documentation Form
     URL: https://gps.press/sop-data/104.58-att-9/
  10. Withdrawal of Employment Offer Due to Positive Pre-Employment Drug Test
     URL: https://gps.press/sop-data/104.58-att-10/
  11. Withdrawal of Employment Offer for Refusal to Test_Failure to Remain or Appear for Pre-Employment Drug Test
     URL: https://gps.press/sop-data/104.58-att-11/
  12. Behavioral/Incident Documentation Form (for Reasonable Suspicion Drug and Alcohol Testing)
     URL: https://gps.press/sop-data/104.58-att-12/

========================================================================
FULL TEXT:
========================================================================

SOP 104.58
Attachment 4

8/19/20

**SAMPLE LETTER**
**DRUG DISMISSAL**
**UNCLASSIFIED EMPLOYEE**


Date


Employee's Name
Address
City/State/Zip

Dear **_______________** :

On **(INSERT DATE)    y** ou were notified that you must report for a drug test.

_**(CHOOSE ONLY ONE OF THE FOLLOWING STATEMENTS):**_


Based on the results of that drug test, the Medical Review Officer has:

Determined that you illegally used the drug   ( **INSERT THE DRUG NAME** )___
# **OR**

You refused to report for the drug test.

Therefore, you are being dismissed from employment as a       ( **INSERT JOB TITLE)** with the
Georgia Department of Corrections effective **(INSERT DATE)** **.** In addition, as a result of this action you
are disqualified from consideration for future employment with the State of Georgia for a minimum
period of two (2) years from the effective date of this action.

**NOTE:** T **he Appointing Authority will determine what action to take on a Non-P.O.S.T. certified**
**employee. The employee will be subject to a disciplinary action, up to and including dismissal.**

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


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