Effective Dates (paydates)
Effective Dates (1st and 16th)
Deadline Dates
Georgia Department of Juvenile Justice
Office of Human Resources
A resource provided by The Administrative Applications Team of OTIS
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404-294-3431
Katrina Patterson, Director
DJJ Web Site
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Request

Request Contact Information
First Name: Last Name:
Phone Number: Email Address:
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Current Position or Title
Job Title:
On Behalf Of
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Location:
Alternate Contact Information
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Location Information
Location Category
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Address:
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City
Location Contact Info
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Location Asst directorNone specified
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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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District
Primary District:
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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
Provide a narrative below:
Inbound Email Information
Email Below is from inbound email:
From:
To:
Subject:
Body of incoming email

Request Origin
Origin/Source:
Request Type Selection




ER Complaint
Clear and Reload New
Clear and Reload Current (Direct)
Quick Note To Requester
Email Control
Requester(s)?
Additional To:
Additional CC:

Other CC:
Description of Hostile Work Environment
(Click to expand):

A hostile work environment is a workplace in which the conduct of supervisors or coworkers has created a discriminatory environment that a reasonable person would find so abusive or intimidating that it impacts the ability to work. Typically, a hostile work environment is defined by behavior is discriminatory against gender, race, religion, age, orientation, disability, or nation of origin when:

  • A reasonable person would find the work environment hostile or abusive
  • The conduct has become a pervasive and long-lasting problem
  • The employer has failed to investigate and address the issue
  • The victim’s desire or ability to work has been affected
  • The employer knew about the hostile behavior but did not adequately intervene

ER Complaint - Hostile Work Environment :




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Instructions...

Refer to DJJ Policy 3.23 regarding filling a complaint and for a list of grievable issues.

Is this complaint about an employee? + Your Browser does not support SVG
Date of occurrence + Your Browser does not support SVG
(NOTE: Must be within 10 days of filing)
Have you discussed this issue with your supervisor? + Your Browser does not support SVG
List specific problem(s)/issue(s) + Your Browser does not support SVG
(Descibe what happened, when and where, how your employment has been unfavorably affected, and indicate names of others involved.
Relief Requested + Your Browser does not support SVG
Indicate the action(s) that would resolve your complaint
Has any conduct been reported to an outside entity? + Your Browser does not support SVG
Attorney, Law Enforcement agency, etc.
Are there concerns that the agency cannot fairly or impartially investigate the complaint? + Your Browser does not support SVG





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