Effective Dates (paydates)
Effective Dates (1st and 16th)
Deadline Dates
Georgia Department of Juvenile Justice
Office of Residential and Community Based Services
A resource provided by The Administrative Applications Team of OTIS
Having trouble with this site? Contact ORCBS:
Monday-Friday 8am-5pm at 678-350-4809
Racquel Watson, Director
DJJ Web Site


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Location:
Alternate Contact Information
Prefix:
Name (Last, First):
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Your Home Location Information
Final Office Name:
Primary Phone #:
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City, State Zip
City
Subject Location
Final Office Name:
Primary Phone #:
Address:
City, State Zip
City
Location Contact Info
Location director
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(override email address)
Location Asst directorNone specified
Other
(override email address)

LocationApproverNames:

LocationApproverEmails:

Org -Division/Office   (Important: Controls Division approvers for this request)
Division:
Office:
DivisionApproverNames :

DivisionApproverEmails:
ACName:
ACEmail:

Region
Primary Region
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to show Regions. Select III for Central
District
Primary District:
 Click the button to the right
to show Districts. Select 3B for Central
Requirements
Requirement Details:

Request Summary
Summary of important elements of the request:
Approvers
Approving Name:
Name of Supervisor, Director, or Division Head
Approver Email Address
Approver Telephone
Detailed Notes
Provide Detailed notes or any other information below:
Narrative
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To:
Subject:
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Clear and Reload New
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About This Request Type
E-No Category
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venDeptvendor
venAppType : Question
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ProviderGeneralAdmissionsPrimary Site
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State
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Owner Contact Information :

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First
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Email

Executive Director Contact Information:
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NOTE: Please review the document links below to ensure you submit a complete application. Links will open in a new tab/window.

Requirements for Question

PREA Policy checklist
DJJ PREA Policy (For Reference Only)

Please download, complete and attach to this application the W-9 Form and the Vendor Management Form.
Links provided below.
Instructions for filling out VMF Form
Vendor Management form
W-9 form










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