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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Contact HR:
404-294-3431
Dana Kilpatrick, Director
DJJ Web Site



Sexual Harassment Complaint Reporting Form

Per Governor Kemp's Executive Order 01.14.19.02, each executive branch agency shall promptly review all complaints of sexual harassment and/or retaliation and immediately report any complaint made directly to the Office of the State Inspector General utilizing the form below.

Designee Information
Full Name:
First: Last:
Full Name:
Office Tel/Contact#:
Work Email:
)
Current Position or Title
Job Title:
Affected Location
Final Office Name:
Primary Phone #:
Address:
City, State Zip
City
Location Contact Info
Location director
Other
(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
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:
Request Origin
Origin of Complaint:
See Instructions
 
    Sexual Harassment Complaint-Steps...
  • Complete all of the text fields with a red dot
  • Click on the SUBMIT BUTTON at the bottom right of this page once
        all fields are filled in. and note any WARNINGS in RED at the top
  • Once there are no warnings the SUBMIT BUTTON will succeed
After submission, you will be taken to the main Dept of Juvenile Justice page





Complainant Information (individual who allegedly experienced sexual harassment or retaliation)

Prefix + Your Browser does not support SVG
First Name + Your Browser does not support SVG
Last Name + Your Browser does not support SVG
Phone Number + Your Browser does not support SVG
Email Address
Job Title + Your Browser does not support SVG
Facility
Facility Work Address
    Respondent Information (individual whom the complaint is about)
    Prefix + Your Browser does not support SVG
    First Name + Your Browser does not support SVG
    LastName + Your Browser does not support SVG
    Phone Number
    Job Title
    Relationship to Complainant + Your Browser does not support SVG
    If you need to select multiple options, please select "OTHER" and describe in the box below
    Complaint Information
    Has any conduct been reported to a law enforcement agency? + Your Browser does not support SVG
    Are there concerns that the agency cannot fairly or impartially investigate the complaint? + Your Browser does not support SVG


    If "Yes", please explain concerns: + Your Browser does not support SVG

    If "No", type N/A in the box




    DO NOT FORGET TO SUBMIT>>>>



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    Key : hr-Sexual Harassment Complaint
    SQueue : Triage
    MQueue : SH Triage
    defaultstartqueue : SH Triage
    QPathway : Other
    ReqQueue : SH Triage
    :
    :
    :
    :