M E M O R AN D U MFROM: Janice Austin, Human Resource Manager Please visit the DCH website @ http://www.health.state.ga.us/phil/ to view the DCH Health District 2 Sexual Harassment Policy. In order to ensure that all new employees have received a copy of this policy, you are required to sign the acknowledgement below. Please bring your signed form to the District 2 Human Resources Office when you report for orientation.
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This is to certify that I have received a copy of and read the
DCH Health
District 2 Sexual Harassment Policy. I understand that sexual harassment is a violation of this policy and is
a basis for disciplinary action.
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DATE
EMPLOYEE SIGNATURE ______________________
SOCIAL SECURITY NUMBER
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