SOP_NUMBER: 101.05-att-1
TITLE: Request for Representation
REFERENCE_CODE: IG01-0001
DIVISION: Executive
TOPIC_AREA: 101 Policy-Legal Services
EFFECTIVE_DATE: 2023-11-07
WORD_COUNT: 255
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105652
URL: https://gps.press/sop-data/101.05-att-1/

SUMMARY:
This form is used by Georgia Department of Corrections employees to request legal representation from the Attorney General's Office in litigation matters that arose from their official duties. The form collects information about the case, plaintiff, court details, and the requestor's contact information, and must be submitted with all relevant court documents and service papers to the Office of Legal Services.

KEY_TOPICS: legal representation, Attorney General, litigation request, official duties, legal services, employee representation, court action, case documentation, process server, habeas corpus

ATTACHMENTS:
  1. Request for Representation
     URL: https://gps.press/sop-data/101.05-att-1/
  2. Complaint Received (Addressee Not At This Address)
     URL: https://gps.press/sop-data/101.05-att-2/

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FULL TEXT:
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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.