Georgia Layoff & Closure Notification Form – TCSG | Technical College System of Georgia

This form serves at the Worker Adjustment and Retraining Notification (WARN) Filing Portal for the State of Georgia.

Federal law, known as the Worker Adjustment and Retraining Notification Act or WARN Act, offers protection to workers, their families and communities by requiring employers to provide notice 60 days in advance of plant closings, mass layoffs and/or sale of a business.

Georgia employers that are reducing their workforce, conducting layoffs, or closing their businesses are required to report this information via a WARN filing to the State of Georgia, through the Technical College System of Georgia (as of January 1, 2023).

Georgia employers must complete this form to submit a WARN filing.

Additional letters and correspondence may be mailed to:

Office of Workforce Development

ATTN: State Rapid Response Unit

Technical College System of Georgia

1800 Century Place NE, Suite 150

Atlanta, Georgia 30345-4304

Contact Information

Contact Person(Required)

Contact Job Title(Required)

Phone(Required)

Email(Required)

Alternate Contact Person(Required)

Alternate Contact Job Title(Required)

Alternate Phone(Required)

Alternate Email(Required)

Affected Details

Trade Affected Layoff or Closure(Required)

Type of Layoff or Closure(Required)

Affected Dates

Number of Expected Dates Associated with WARN Event(Required)

Add up to 6 dates

First Date of Separation(Required)

MM slash DD slash YYYY

Add Second Date?(Required)

Yes

Second Date of Separation(Required)

MM slash DD slash YYYY

Add Third Date?(Required)

Yes

Third Date of Separation(Required)

MM slash DD slash YYYY

Add Fourth Date?(Required)

Yes

Fourth Date of Separation(Required)

MM slash DD slash YYYY

Add Fifth Date?(Required)

Yes

Fifth Date of Separation(Required)

MM slash DD slash YYYY

Add Sixth Date?(Required)

Yes

Sixth Date of Separation(Required)

MM slash DD slash YYYY

Affected Locations

Number of Locations Associated with WARN Event(Required)

Add up to 6 locations

First Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Enter Second Address?

Yes

Second Location

Second Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Enter Third Address?(Required)

Yes

Third Location

Third Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Enter Fourth Address?(Required)

Yes

Fourth Location

Fourth Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Enter Fifth Address?(Required)

Yes

Fifth Location

Fifth Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Enter Sixth Address?(Required)

Yes

Sixth Location

Sixth Location Address(Required)

Street Address Address Line 2 City State

Zip Code(Required)

Total Employees at Worksite(Required)

Please enter a number from 1 to 99999.

Number of Employees Affected(Required)

Please enter a number from 1 to 99999.

Employees Represented by a Union Affected

Are any Employees Represented by a Union Affected?(Required)

Yes

Affected Positions

Titles / Descriptions of Impacted Positions(Required)

Title(s) of Impacted Position(s)

Brief Description of Impacted Position(s)

Additional Documents Upload

Upload any Pertinent Documentation, if Necessary

Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, xls, xlsx, Max. file size: 3 MB.

Additional Information and Acknowledgement

Total Number of Affected Employees

Additional Comments/Questions for WARN Staff

Public Notice Acknowledgement(Required)

I confirm and acknowledge this is a Public Notice

All WARN notices are public information and shall be displayed on www.tcsg.edu/WARN no less than sixty (60) calendar days before the layoff date. Check one of the below choices:

WARN Notice Selection(Required)

Request for increased notice – An employer may choose to have the notice made public on an earlier date, beyond the required 60-day mandate. Providing earlier notice may allow for better deployment of resources to better assist transition for the employer as well as its employees.

Employer does not request increased notice beyond the 60-day mandate.

Not applicable as the expected date of separation is within the next 60 days.

Submitter Information

By entering the below submission information (name, title, phone number), you are indicating that you are authorized by the employer listed on this notice to submit on their behalf and are authorizing TCSG staff to contact you or the employer. If you are not authorized to perform this submission and have further questions, please do not perform the submission and contact us at WARN@tcsg.edu.

Submitter Name(Required)

Submitter Title(Required)

Submitter Phone Number(Required)

Submitter Email(Required)

Enter Email Confirm Email

Unique ID

This form serves at the Worker Adjustment and Retraining Notification (WARN) Filing Portal for the State of Georgia.

Georgia employers must complete this form to submit a WARN filing.

Company Information

Contact Information

Affected Details

Affected Dates

Affected Locations

Second Location

Third Location

Fourth Location

Fifth Location

Sixth Location

Employees Represented by a Union Affected

Affected Positions

Additional Documents Upload

Additional Information and Acknowledgement

Submitter Information