SOP 104.73-att-1: Withdrawal of Employment - Applicant (Medical and Physical Examination)
Summary
Key Topics
- employment offer withdrawal
- rescinded job offer
- failed medical examination
- failed physical examination
- pre-employment medical clearance
- physical examination failure
- employment offer denial
- applicant notification
- hiring process
- appeal rights
Full Text
SOP 104.73
Attachment 1
12/26/19
Timothy C. Ward
_Commissioner_
Brian Kemp
_Governor_
# GEORGIA DEPARTMENT OF CORRECTIONS
_CORRECTIONS HUMAN RESOURCES MANAGEMENT_
_P.O. Box 1529_
_Forsyth, Georgia 31029_
_478-992-5211_
_FAX 478-992-5207_
WITHDRAWAL OF EMPLOYMENT - APPLICANT
MEDICAL AND PHYSICAL EXAMINATION
(Date)
Applicant Name/SSN
Address
City, State, Zip Code
Dear (INSERT APPLICANT NAME):
On (INSERT THE DATE APPLICANT WAS OFFERED EMPLOYMENT), you were offered the
position of (INSERT TITLE OF POSITION OFFERED) at INSERT THE NAME OF THE SITE. This
employment offer was contingent upon passing Medical and Physical Examination Program.
Based on the results of your physical examination, it has been determined that your offer of employment
will be rescinded for failure to meet the pre-employment physical guidelines based on the requirements of
the Medical and Physical Examination Program.
If you feel this is in violation of the Rules of State Personnel Board, Section 478-4-.06, you may file an
appeal in writing to the Director, Human Resources within fifteen (15) calendar days of the date of the
notification of denial.
Director, Human Resources
P. O. Box 1529
Forsyth, Georgia 31029
(478) 992-5211
_________________________________________________ ________________________________
Appointing Authority Date
_________________________________________________ ________________________________
Applicant Signature Date
(Acknowledges receipt of letter only)
cc: Director, Human Resources
_Equal Opportunity Employer_