SOP 109.01-att-3: Sample Request For Identification Card

Division:
Inmate Services
Effective Date:
June 30, 2020
Reference Code:
VF01-0001
Topic Area:
109 Policy-Volunteer Services
PowerDMS:
View on PowerDMS
Length:
272 words

Summary

This form is used to request the issuance of Georgia Department of Corrections identification cards for employees, volunteers, contractors, and locator card holders. The form collects personal and employment information from the requestor and requires approval from an appointing authority before an ID card will be issued. Personnel office staff use the form to document which type of card was issued and track expiration dates.

Key Topics

  • identification card request
  • employee ID
  • volunteer ID
  • contractor ID
  • locator card
  • ID card issuance
  • appointing authority approval
  • personnel office
  • GDC identification
  • card types

Full Text

SOP 109.01
Attachment 3

6/30/20

|GEORGIA DEPARTMENT OF CORRECTIONS SAMPLE REQUEST FOR IDENTIFICATION CARD|Col2|
|---|---|
|

NAME



EMPLOYEE ID/SCRIBE ID (REQUIRED)



EMPLOYEE JOB TITLE



FACILITY/UNIT OF ASSIGNMENT



DIVISION



CONTRACTOR OR ORGANIZATION REPRESENTING





|

NAME



EMPLOYEE ID/SCRIBE ID (REQUIRED)



EMPLOYEE JOB TITLE



FACILITY/UNIT OF ASSIGNMENT



DIVISION



CONTRACTOR OR ORGANIZATION REPRESENTING





|
|
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/DESIGNEE
APPROVAL:



PRINT NAME:

Date:



FACILITY/UNIT:

TITLE:


|
APPOINTING AUTHORITY/DESIGNEE
APPROVAL:



PRINT NAME:

Date:



FACILITY/UNIT:

TITLE:


|
|(FOR PERSONNEL OFFICE USE ONLY)
IDENTIFICATION CARD ISSUANCE

CARD TYPE ISSUED (circle all types issued):
EXPIRATION DATE:



EMP
LOC
CON
VOL









(Signature)
(Imaging Site)
|(FOR PERSONNEL OFFICE USE ONLY)
IDENTIFICATION CARD ISSUANCE

CARD TYPE ISSUED (circle all types issued):
EXPIRATION DATE:



EMP
LOC
CON
VOL









(Signature)
(Imaging Site)
|
|IDENTIFICATION CARD ISSUANCE TO CARD HOLDER

CARD HOLDER ACKNOWLEDGES RECEIPT OF
(Check applicable line)




EMPLOYEE I.D.





VOLUNTEER I.D.





CONTRACTOR I.D.






LOCATOR CARD



(Signature)
(Date)









|IDENTIFICATION CARD ISSUANCE TO CARD HOLDER

CARD HOLDER ACKNOWLEDGES RECEIPT OF
(Check applicable line)




EMPLOYEE I.D.





VOLUNTEER I.D.





CONTRACTOR I.D.






LOCATOR CARD



(Signature)
(Date)









|

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.

Attachments (9)

  1. Volunteer Service Agreement (1,352 words)
  2. GDC Volunteer Application - Personal Data Sheet (336 words)
  3. Sample Request For Identification Card (272 words)
  4. Volunteer Services GCIC_NCIC Consent Form (132 words)
  5. Visiting Volunteer Waiver of Liability (222 words)
  6. Annual Volunteer Services Evaluation (186 words)
  7. Volunteer Application Processing Checklist (89 words)
  8. Volunteer ID Renewal Certification Validation Form (152 words)
  9. GDC OPS Background Screening Packet (1,936 words)
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