TO:
RE: SYSTEMS ACCESS / PENALTY ACKNOWLEDGEMENT STATEMENT
I decline to sign the acknowledgement of “Agency Policy for Systems Access,
Table of Penalties for Violations”. My reasons for refusing to sign include:
1. The acknowledgement violates my due process rights by forcing me to
agree in advance to certain penalties even though I have done nothing wrong.
2. The Table of Penalties violates Article 23 of the Collective Bargaining
Agreement. This Article deals with progressive discipline allowing for oral
warnings and written reprimand BEFORE a suspension is imposed on any
employee.
3. SSA is asking me to acknowledge certain laws, regulations and OMB
circulars without providing me with copies and the duty time to familiarize
myself with them.
4. It is unclear to me which relationships the Agency could deem
“unauthorized.”
Please place a copy of this in my SF 7B file.
_______________________________
Employee
_______________________________
Date Submitted
SSA SYSTEMS ACCESS VIOLATIONS DISCLAIMER
I incorrectly signed the Acknowledgement Statement regarding SSA's policy
regarding systems access violations. I was asked to sign this statement
without a thorough explanation or definition of the terms "family", "friend",
"acquaintances", "co-workers" and/or "coaching".
Check all that apply:
_____ I request a written definition of the following terms:
____ "family"
____ "friend"
____ "acquaintances"
____ "co-workers"
____ "coaching"
I request that the Acknowledgement Statement that I signed be removed
from my 7B extension file and returned to me, and that management provide
me with an opportunity to sign the form after I have been provided with the
above written definitions and have achieved a thorough understanding of the
terms listed above.
____________________________________
________________
Employees Name
CC: 7B extension file
Date
TO:
RE: SYSTEMS ACCESS / PENALTY ACKNOWLEDGEMENT STATEMENT
I have signed the sanctions statement before realizing that the agency may
consider my signature as my acknowledgement that I totally understand the
“Agency Policy for Systems Access, Table of Penalties for Violations”. The
sanctions can be confusing and I do not waive my right to progressive
discipline, as is my right under Article 23 of the Union Contract.
1. The acknowledgement violates my due process rights by forcing me to
agree in advance to certain penalties even though I have done nothing wrong.
2. The Table of Penalties violates Article 23 of the Collective Bargaining
Agreement. This Article deals with progressive discipline allowing for oral
warnings and written reprimand BEFORE a suspension is imposed on any
employee.
3. SSA is asking me to acknowledge certain laws, regulations and OMB
circulars without providing me with copies and the duty time to familiarize
myself with them.
4. It is unclear to me which relationships the Agency could deem
“unauthorized.”
Please place a copy of this in my SF 7B file.
_______________________________
Employee
_______________________________
Date Submitted
TO:
RE: Safeguarding Personally Identifiable Information (PII) Acknowledgement
Statement
I decline to sign the “Safeguarding Personally Identifiable Information (PII)”
Acknowledgement Statement.
My reasons for refusing to sign include:
1.
SSA is asking me to acknowledge certain law, regulations, and other policies
without providing me with copies and/or duty time to familiarize myself with
them.
2.
The Reminder is not clear about employee responsibilities to safeguard PII.
3.
The Reminder is not clear about management’s responsibilities to safeguard
PII.
4.
It is unclear to me what would be considered a PII violation.
5.
The Reminder is not clear about penalties an employee could be subject to for
PII violations.
6.
The Reminder is not clear about what information is considered to be PII.
7.
Other reason (optional): __________________________________________
Please place a copy of this statement in my 7B file.
___________________________
Employee
________________________
Date