SOP 209.01-att-3: Offender Appearance Waiver

SOP 209.01
Attachment 3
11/6/17

OFFENDER APPEARANCE WAIVER

Facility: _________________________________ Disciplinary Report #: ________________________________

Offender’s Name: ___________________________ Offender’s ID#: ___________________________________

You have the right to be present throughout the hearing proceedings except during the deliberations.
However, you may waive the right to be present. If you choose not to be present during the
disciplinary hearing you shall sign this form.

I have read or have had read to me the above rights and I officially request not to be present during
this disciplinary hearing.

___________________________________ ______________________ ________________
Offender’s Signature I.D. Number Date

___________________________________ ______________________ ________________
Witness Title Date

If the offender refuses to sign this waiver form, the Disciplinary Hearing Officer must note "refused

to sign" along with date and time of refusal and his/her signature. The Disciplinary Report Form
must also reflect that the disciplinary hearing was held with the offender absent.

Retention Schedule: (Reproduce locally) Upon completion, this form shall be placed in 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.