SOP 101.05-att-1: Request for Representation
Summary
Key Topics
- legal representation
- Attorney General
- litigation request
- official duties
- legal services
- employee representation
- court action
- case documentation
- process server
- habeas corpus
Full Text
SOP 101.05
Attachment 1
11/07/23
GEORGIA DEPARTMENT OF CORRECTIONS
REQUEST FOR REPRESENTATION
Date: _________________
Georgia Department of Corrections
Office of Legal Services
P.O. Box 1529
Forsyth, Georgia 31029
Telephone - (478) 992-5240
Facsimile - (478) 992-5241
RE: Plaintiff Name & I.D.#: __________________________________________
Case No: _________________________________________________________
Court: ___________________________________________________________
Legal Services:
I hereby request that the Attorney General’s Office represent me in the above-referenced action.
Name ___________________________________Position: _________________________________
Institution where incident arose (or if Habeas, where the offender is located):
_________________________________________________________________________________
Requestor’s Present Address: _________________________________________________________
Present Telephone No: ___________________________ (Best number for your attorney to reach you)
Date Received: __________________________________
Check One-Received by: a) Mail __________
b) Personal service__________
If received by personal service, provide the name of the individual who actually accepted the papers from
the process server: _________________________________________
Enclosed are the complaint, service forms, and all documents received by me in this action. I also
included one copy of the original papers for your administrative purposes. (If a Habeas, then no copy is
necessary.) This litigation arose out of the performance of my official duties as an employee of the
Georgia Department of Corrections. I understand that the Attorney General will furnish services as legal
counsel for me under the terms and conditions allowed by law. I understand further that I may withdraw
my request for representation at any time by properly notifying the Attorney General's Office.
Sincerely, ________________________________
Name of Individual who processed
this form (Please print or type)
____________________________
Signature Telephone No. of Processor
Retention Schedule: Upon completion, a copy will be placed in the GDC Case Litigation File and a copy will be
forwarded to the Attorney General's Office.