SOP 209.45-att-3: Tier II Segregated Transition Education Program (Tier II STEP) 30 Day Review Appeal Form

Division:: Facilities
Effective Date:: April 25, 2019
Topic Area:: Facilities Control/Discipline/Segregation
PowerDMS:: View on PowerDMS
Length:: 166 words

Summary

This form allows offenders in the Tier II Segregated Transition Education Program (STEP) to appeal the decision made by the Classification Committee during their 30-day review hearing. Offenders must submit their written appeal to their assigned counselor within three business days of receiving their review decision, and the counselor forwards it to the warden for final review and determination. The form documents the offender's reason for appeal, the warden's decision, and acknowledgment signatures from all parties.

Key Topics

Tier II STEP
segregation appeal
30-day review
classification committee
disciplinary appeal
transition education program
offender appeal
warden review
segregated housing
program advancement

Full Text

Attachment 3

SOP 209.45

04/25/19

Tier II Segregated Transition Education Program (Tier II STEP)

30 Day Review Appeal Form

I. Offender: _________________________ GDC #: __________________

Phase: __________ Bed Assignment__________ Date _____________

II. Appeal of 30-Day Review Hearing

I wish to appeal the decision of the Tier II STEP Classification Committee regarding my 30-Day
Review:

REASON FOR APPEAL (submit to the assigned counselor within three (3) Business Days from date of
receipt of final 30-Day Review Hearing Form (Attachment 2). Assigned counselor shall forward to the
Warden).
__________________________________________________________________________

__________________________________________________________________________

______________________________ _________________
Offender’s Signature Date

Date appeal received: ______________ By: _____________________________(COUNSELOR)

Offender Acknowledgment Appeal Received by Counselor: _____________________________
_Signature/Date_
Date Appeal Sent to Warden: ____________________ _(Send within 3 calendar days of receipt of Appeal)_

III. Warden’s Review

Warden’s Receipt of Appeal: _____________________ Warden’s Decision on Appeal:

I concur / disagree with the Tier II STEP Classification Committee's 30-Day Review and the
following recommendation(s) has been made in this case:

_______________________________________________________________________________________________

_______________________________ _________________
Warden Date

IV. Offender Acknowledgment of Appeal: ____________________________________

_Signature/Date_

Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file.

Attachments (7)

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