SOP_NUMBER: 104.54-att-1
TITLE: Request for Identification Card Form
REFERENCE_CODE: IVO15-0005
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Records/I.D./Criminal History
EFFECTIVE_DATE: 2003-07-01
WORD_COUNT: 255
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105290
URL: https://gps.press/sop-data/104.54-att-1/
SUMMARY:
This form is used to request Georgia Department of Corrections identification cards for employees, contractors, volunteers, and locators. The form requires the applicant's personal information, employee ID, job title, facility assignment, and appointing authority approval before an ID card can be issued. Personnel office staff use the form to document card issuance, type of card issued, expiration date, and the cardholder's acknowledgment of receipt.
KEY_TOPICS: identification card request, employee ID card, contractor ID, volunteer ID, locator card, ID issuance, ID card form, appointing authority approval, employee identification, cardholder receipt
ATTACHMENTS:
1. Request for Identification Card Form
URL: https://gps.press/sop-data/104.54-att-1/
2. Report for Missing Identification Card Form
URL: https://gps.press/sop-data/104.54-att-2/
3. Notice of Discontinuation Form
URL: https://gps.press/sop-data/104.54-att-3/
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FULL TEXT:
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# **GEORGIA DEPARTMENT OF CORRECTIONS**
**REQUEST FOR IDENTIFICATION CARD**
SOP IVO15-0005
Attachment 1
Revised 7/01/03
|NAME SSN
PHOENIX EMPLOYEE ID/SCRIBE ID (REQUIRED) _________________________________________________________
EMPLOYEE JOB TITLE
FACILITY/UNIT OF ASSIGNMENT
DIVISION_________________________________________________________________________________________________
CONTRACTOR OR ORGANIZATION REPRESENTING|Col2|
|---|---|
|**TYPE OF IDENTIFICATION CARD**
(check applicable lines)
**EMPLOYEE**
**LOCATOR**
**VOLUNTEER**
**CONTRACTOR**
**POSITION TITLE (**division or section):
|**DO YOU HAVE AN I.D. CARD TO TURN IN?**
**YES** **NO**
**LOST/STOLEN________________**
**CARD TYPE**
|
|**IDENTIFICATION CARD WILL NOT BE ISSUED IF EMPLOYEE/SCRIBE I.D. NUMBER AND/OR**
**APPOINTING AUTHORITY APPROVAL IS OMITTED**|**IDENTIFICATION CARD WILL NOT BE ISSUED IF EMPLOYEE/SCRIBE I.D. NUMBER AND/OR**
**APPOINTING AUTHORITY APPROVAL IS OMITTED**|
|
**APPOINTING AUTHORITY’S APPROVAL: _______________________________________________________**
**PRINT NAME:__________________________________________________________Date:____________________________**
**FACILITY/UNIT:TITLE:**|
**APPOINTING AUTHORITY’S APPROVAL: _______________________________________________________**
**PRINT NAME:__________________________________________________________Date:____________________________**
**FACILITY/UNIT:TITLE:**|
|
**(FOR PERSONNEL OFFICE USE ONLY)**
**IDENTIFICATION CARD ISSUANCE**
**CARD TYPE ISSUED (circle all types issued):**
**EMP LOC CON VOL**
** (Signature)**
**EXPIRATION DATE:**
**(Imaging Site)**|
**(FOR PERSONNEL OFFICE USE ONLY)**
**IDENTIFICATION CARD ISSUANCE**
**CARD TYPE ISSUED (circle all types issued):**
**EMP LOC CON VOL**
** (Signature)**
**EXPIRATION DATE:**
**(Imaging Site)**|
|
**IDENTIFICATION CARD ISSUANCE TO CARD HOLDER**
**CARD HOLDER ACKNOWLEDGES RECEIPT OF**
(Signature) (Date)
(Check applicable line)
**EMPLOYEE I.D.**
**VOLUNTEER I.D.**
**CONTRACTOR I.D.**
**LOCATOR CARD**
|
**IDENTIFICATION CARD ISSUANCE TO CARD HOLDER**
**CARD HOLDER ACKNOWLEDGES RECEIPT OF**
(Signature) (Date)
(Check applicable line)
**EMPLOYEE I.D.**
**VOLUNTEER I.D.**
**CONTRACTOR I.D.**
**LOCATOR CARD**
|
Retention Schedule: Retain permanently in local personnel file (official personnel file if made in CPA); copy retained for two (2) years at imaging
site for any employee from a non-imaging site.