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

the url to open the agent in the current database
the url to open the agent in the current database
the url to open the agent in the current database

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Effective Dates (paydates)
Effective Dates (1st and 16th)	01/03/22 01/18/22 02/01/22 02/16/22 03/01/22 03/16/22 04/01/22 04/18/22 05/02/22 05/16/22 06/01/22 06/16/22 07/01/22 07/18/22 08/01/22 08/16/22 09/01/22 09/16/22 10/03/22 10/17/22 11/01/22 11/16/22 12/01/22 12/16/22 01/03/23 01/17/23 02/01/23 02/16/23 03/01/23 03/16/23 04/03/23 04/17/23 05/01/23 05/16/23 06/01/23 06/16/23 07/03/23 07/18/23 08/01/23 08/16/23 09/01/23 09/18/23 10/02/23 10/16/23 11/01/23 11/16/23 12/01/23 12/18/23 01/02/24 01/16/24 02/01/24 02/16/24 03/01/24 03/18/24 04/01/24 04/16/24 05/01/24 05/16/24 06/03/24
Deadline Dates

Georgia Department of Juvenile Justice

Office of Human Resources

A resource provided by The Administrative Applications Team of OTIS

Having trouble with this site? Contact HR:

404-294-3431

Montaeya Dixon
DJJ Web Site

Formula Tool :

Yes

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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
Education Level:
Additional Education Info:

Job Opening Selection
Job Selection:
Additional Education Info:

Current Position or Title

Job Title:

On Behalf Of

Person to Contact:			Tel / Contact #:

Location Category:			Title:
			Email:
Location:

Alternate Contact Information

Prefix:	Name (Last, First):	,


Tel/Contact#:	Email:

Location Information

Location Category
Select Location:
Final Office Name:			Primary Phone #:
Address:

City, State Zip			City

Location Contact Info

Location director

Other (override email address)

Location Asst director		None 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

Click the button to the right
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

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
Recruitment

Hostile Work Environment
Other Complaint
Retaliation
Sexual Harassment Complaint
Unlawful Discrimination
Unlawful Harassment

ER Complaint

Clear and Reload New
Clear and Reload Current (Direct)

Err

Quick Note To Requester


	*Email Control*
	*Email Control*
	Requester(s)?	Do Not Send To Requester
	Additional To:
	Additional CC:	On Behalf of Alternate Contact Assigned
	Other CC:
	Include Link to This Record Do Not Email

Description of Retaliation
(Click to expand):

Retaliation occurs when an employer takes an adverse action against an employee for engaging in or exercising their rights that are protected under the law. Some examples of retaliation might include:

Demotion – Losing status, responsibilities or seniority privileges associated with a position, or being assigned a lower-ranking position
Termination – Being let go from employment
Salary reductions or loss of hours – Receiving a pay cut or losing regularly scheduled hours
Exclusion – Being intentionally kept out of staff meetings, trainings, or other activities made available to fellow employees
Reassignment – Being reassigned duties or rescheduled in a way that cause undue hardship

Other common retaliatory tactics include sudden unwarranted negative performance reviews, warnings, or performance improvement plans (to build the case for eventual termination), and likewise, citing poor performance as a reason to deny a deserved promotion.

APPLICANTS

ER Complaint - Retaliation :

WHICH PA TABLE:DOUBLE

IMPORTANT : Please complete information below.
Date position became vacant
Desired date of employment with unit
Number of employees in the affected work environment in the job at salaries below the requested salary

Statement of recruitment efforts

Statement supporting the selection of candidates & justification for hiring at an advanced increment

Information about the applicant pool and the ranking of applicants

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;

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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.

Request For Interview


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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?	Yes No
Date of occurrence (NOTE: Must be within 10 days of filing)
Have you discussed this issue with your supervisor?	Yes No
List specific problem(s)/issue(s) *(Descibe what happened, when and where, how your employment has been unfavorably affected, and indicate names of others involved.*
Relief Requested *Indicate the action(s) that would resolve your complaint*
Has any conduct been reported to an outside entity? *Attorney, Law Enforcement agency, etc.*	YES NO UNKNOWN
Are there concerns that the agency cannot fairly or impartially investigate the complaint?	YES NO

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

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who can see this?	Matthew Smith Eugene Gaultney Vincent Bush Barry Ogletree
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Retain original submit info : Yes