SOP_NUMBER: 109.01-att-3
TITLE: Sample Request For Identification Card
REFERENCE_CODE: VF01-0001
DIVISION: Inmate Services
TOPIC_AREA: 109 Policy-Volunteer Services
EFFECTIVE_DATE: 2020-06-30
WORD_COUNT: 272
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/629213
URL: https://gps.press/sop-data/109.01-att-3/
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
ATTACHMENTS:
1. Volunteer Service Agreement
URL: https://gps.press/sop-data/109.01-att-1/
2. GDC Volunteer Application - Personal Data Sheet
URL: https://gps.press/sop-data/109.01-att-2/
3. Sample Request For Identification Card
URL: https://gps.press/sop-data/109.01-att-3/
4. Volunteer Services GCIC_NCIC Consent Form
URL: https://gps.press/sop-data/109.01-att-4/
5. Visiting Volunteer Waiver of Liability
URL: https://gps.press/sop-data/109.01-att-5/
6. Annual Volunteer Services Evaluation
URL: https://gps.press/sop-data/109.01-att-6/
7. Volunteer Application Processing Checklist
URL: https://gps.press/sop-data/109.01-att-7/
8. Volunteer ID Renewal Certification Validation Form
URL: https://gps.press/sop-data/109.01-att-8/
9. GDC OPS Background Screening Packet
URL: https://gps.press/sop-data/109.01-att-9/
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FULL TEXT:
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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.