SOP_NUMBER: 209.01-att-12
TITLE: Disciplinary Warning Report
REFERENCE_CODE: IIB02-0001
DIVISION: Facilities
TOPIC_AREA: Facilities Control/Discipline/Segregation
EFFECTIVE_DATE: 2017-11-06
WORD_COUNT: 78
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/240076
URL: https://gps.press/sop-data/209.01-att-12/

SUMMARY:
This is the official form used to document disciplinary warnings issued to incarcerated individuals for rule violations within GDC facilities. The form records the offender's information, the charges, details of the alleged offense, and the sanctions imposed (such as verbal reprimand, counselor referral, or writing assignments). The form must be reviewed and signed by a supervisor and becomes part of the offender's institutional file unless the disciplinary action is overturned or dismissed.

KEY_TOPICS: disciplinary warning, inmate discipline, rule violation, sanctions, verbal reprimand, counselor referral, writing assignment, extra duty, institutional file, offender conduct, facility discipline, misconduct reporting

ATTACHMENTS:
  1. Offender Rights Statement
     URL: https://gps.press/sop-data/209.01-att-1/
  2. Disciplinary Investigation Summary
     URL: https://gps.press/sop-data/209.01-att-2/
  3. Offender Appearance Waiver
     URL: https://gps.press/sop-data/209.01-att-3/
  4. Prohibited Acts Offender Disciplinary Charge Codes
     URL: https://gps.press/sop-data/209.01-att-4/
  5. Authorized Disciplinary Sanctions List
     URL: https://gps.press/sop-data/209.01-att-5/
  6. Staff Advocate Form
     URL: https://gps.press/sop-data/209.01-att-6/
  7. Disciplinary Appeal Form
     URL: https://gps.press/sop-data/209.01-att-7/
  8. Use of Witness(s) Hearing Documentation Form
     URL: https://gps.press/sop-data/209.01-att-8/
  9. MH/MR Evaluation for Disciplinary Action
     URL: https://gps.press/sop-data/209.01-att-9/
  10. Negotiated Plea Form
     URL: https://gps.press/sop-data/209.01-att-10/
  11. Disciplinary Report Form
     URL: https://gps.press/sop-data/209.01-att-11/
  12. Disciplinary Warning Report
     URL: https://gps.press/sop-data/209.01-att-12/
  13. Guidelines for Issuing Disciplinary Reports (By Offense)
     URL: https://gps.press/sop-data/209.01-att-13/

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FULL TEXT:
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SOP 209.01
Attachment 12

11/6/17

# **Disciplinary Warning Report**


Offender_________________________________  ID Number__________________________


Charge(s) _________________________________

Date Time of Offense Signature of Reporting Official

Factual Statement: _____________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Sanctions: (Circle One)
Verbal Reprimand     Counselor Referral Writing Assignment (500 words)

Extra Duty: __________________________________

Other: __________________________________

Reviewed and signed by the appropriate Supervisor __________________________________


Supervisor Comments: _____________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

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Retention Schedule: Upon completion, this form shall become part of the offender’s institutional file, except for
those overturned or dismissed, and shall be kept according to the official records retention schedule for institutional
files.