SOP_NUMBER: 209.45-att-3
TITLE: Tier II Segregated Transition Education Program (Tier II STEP) 30 Day Review Appeal Form
DIVISION: Facilities
TOPIC_AREA: Facilities Control/Discipline/Segregation
EFFECTIVE_DATE: 2019-04-25
WORD_COUNT: 166
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/535931
URL: https://gps.press/sop-data/209.45-att-3/

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

ATTACHMENTS:
  1. Tier II Segregated Transition Education Program (Tier II STEP) Assignment Memo
     URL: https://gps.press/sop-data/209.45-att-1/
  2. Tier II Segregated Transition Education Program (Tier II STEP) 30 Day Review Hearing Form
     URL: https://gps.press/sop-data/209.45-att-2/
  3. Tier II Segregated Transition Education Program (Tier II STEP) 30 Day Review Appeal Form
     URL: https://gps.press/sop-data/209.45-att-3/
  4. Tier II Segregated Transition Education Program (Tier II STEP) 90 Day Review Hearing Form
     URL: https://gps.press/sop-data/209.45-att-4/
  5. Tier II Segregated Transition Education Program (Tier II STEP) 90 Day Review Appeal Form
     URL: https://gps.press/sop-data/209.45-att-5/
  6. Tier II Segregated Transition Education Program (Tier II STEP) Checklist and 30 or 15 Minute Watch Observation Record
     URL: https://gps.press/sop-data/209.45-att-6/
  7. Tier II Segregated Transition Education Program (Tier II STEP) Performance Recording Sheet
     URL: https://gps.press/sop-data/209.45-att-7/

========================================================================
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.