SOP 209.11-att-2: Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Assignment Memo
Summary
Key Topics
- restrictive housing
- juvenile offender
- administrative segregation
- RHA
- JOAS
- segregation assignment
- placement memo
- juvenile discipline
- case history file
- acknowledgment form
Full Text
Attachment 2
SOP 209.11
04/11/16
Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Assignment Memo
FACILITY: _____________________________________ Date: _____________
RE: Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Assignment
Juvenile Offender: ___________________________________________________GDC #:__________________________
Present Assignment: __________________________________________________________________________________
The above named juvenile offender is being assigned to the Restrictive Housing Assignment – Juvenile
Offender Administrative Segregation for the reasons indicated:
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Date: ___________ Warden’s/Designee Signature: __________________________________________
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|_| I acknowledge the receipt of this Assignment Memo for placement in Restrictive Housing
Assignment – Juvenile Offender Administrative Segregation.
Date: ___________ Juvenile offender’s signature: __________________________________________
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|_| I acknowledge that the offender received the Restrictive Housing Assignment – Juvenile Offender
Administrative Segregation Assignment Memo on this Date.
|_| I acknowledge that the offender received the Restrictive Housing Assignment – Juvenile Offender
Administrative Segregation Appeal form on this Date.
Date: ___________ Staff Signature: __________________________________________
Attachment 2
SOP 209.11
04/11/16
Copies: Juvenile Offender
RETENTION SCHEDULE: Upon completion of this form, it shall be placed in the juvenile offender’s case history file.