SOP_NUMBER: 104.73-att-1
TITLE: Withdrawal of Employment - Applicant (Medical and Physical Examination)
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Applicant/Vacancy/Hiring/Position
EFFECTIVE_DATE: 2019-12-26
WORD_COUNT: 194
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/122379
URL: https://gps.press/sop-data/104.73-att-1/

SUMMARY:
This is a template letter used by the Georgia Department of Corrections to notify job applicants that their employment offer has been rescinded due to failure to pass the required pre-employment medical and physical examination. The letter informs applicants of their right to appeal the decision to the Director of Human Resources within 15 calendar days in accordance with State Personnel Board rules.

KEY_TOPICS: employment offer withdrawal, rescinded job offer, failed medical examination, failed physical examination, pre-employment medical clearance, physical examination failure, employment offer denial,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

ATTACHMENTS:
  1. Withdrawal of Employment - Applicant (Medical and Physical Examination)
     URL: https://gps.press/sop-data/104.73-att-1/

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FULL TEXT:
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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will be rescinded for failure to meet the pre-employment physical guidelines based on the requirements of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_