Effective Dates for all Request types which are ALWAYS 1st and 16th

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Effective Dates (paydates)
Effective Dates (1st and 16th)
Deadline Dates
Georgia Department of Juvenile Justice
Office of Human Resources
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Montaeya Dixon
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Request

WARNING...MORE THAN ONE REQUEST WITH THIS REQUEST ID. CONTACT MATT AND/OR GENE
Request Contact Information
First Name:   Last Name:
Phone Number: Email Address:
Contact Address
Address:
City, State Zip: ,
Education Information
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Job Opening Selection
Job Selection:
Current Position or Title
Job Title:
On Behalf Of
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Location:
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Location Information
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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:
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DivisionApproverNames :

DivisionApproverEmails:
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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:
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Subject:
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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

APPLICANTS


ER Complaint - Hostile Work Environment :



WHICH PA TABLE:DOUBLE



The identified employee is eligible for the salary supplement(s) indicated below. The employee understands:

  • The supplement does not change the employee’s base pay;
  • The supplement is temporary and will only be effective during the period the employee meets all appropriate terms and conditions;
  • The supplement will not be included in the computation of salary increases, promotion, demotion, transfer, or reappointment;
  • The supplement will not be included in the calculation of retirement benefits nor in the calculation of terminal leave pay;
    • <li></li>
  • The supplement will be included in the calculation of any Fair Labor Standards Act overtime pay for which the employee may be eligible.

The supplement will be effective the first of the pay period following receipt in the Office of Human Resources unless the effective date indicated below is later.


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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

Medical Leave Info :
Is this employee on any type of medical leave?
Please explain below Comment required


Attachments..
Attachments: Copy of investigation results must be attached
DO NOT FORGET : attach the Food Service Worker Classification Questionnaire




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