SOP_NUMBER: 209.01-att-7
TITLE: Disciplinary Appeal Form
REFERENCE_CODE: IIB02-0001
DIVISION: Facilities
TOPIC_AREA: Policy-Facilities Control/Discipline/Segregation
EFFECTIVE_DATE: 2017-11-06
WORD_COUNT: 117
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105923
URL: https://gps.press/sop-data/209.01-att-7/

SUMMARY:
This form allows inmates to appeal disciplinary decisions issued by facility staff. Offenders must submit their appeal to the Warden/Superintendent within 15 calendar days of their disciplinary hearing, and may file a second appeal to the Inmate Affairs Unit within 5 business days of the Warden's decision. The form documents the reason for appeal, the Warden's initial decision (due within 30 days), and the Executive Assistant's final decision on the second appeal.

KEY_TOPICS: disciplinary appeal, inmate appeal, disciplinary hearing, appeal process, Warden decision, Inmate Affairs Unit, appeal deadline, institutional discipline, offender grievance, appeal form

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 7

11/6/17


DISCIPLINARY APPEAL FORM

Facility: ___________________________________ Disciplinary Report #: ______________________________

Offender’s Name: _____________________________ Offender’s ID#: __________________________________
(Please Print)

TO: WARDEN/SUPERINTENDENT: (Submit within fifteen (15) calendar days after hearing).

REASON FOR APPEAL:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------____________________________________________ _______________________
Offender’s Signature Date

WARDEN'S/SUPERINTENDENT'S DECISION: (Within thirty (30) calendar days of receipt of
appeal).

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------____________________________________________ ______________________
Warden's/Superintendent's Signature Date

**2nd Appeal:** (Within five (5) business days of Warden's Response)

TO: Inmate Affairs Unit
P.O. Box 310
Hardwick, Georgia 31034

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------_____________________________________________ _______________________
Offender's Signature Date

EXECUTIVE ASSISTANT'S DECISION:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------_____________________________________________ _______________________
Executive Assistant's Signature Date

(Reproduce locally)


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.