SOP_NUMBER: 209.55-att-3
TITLE: Special Management Unit – Tier III Segregated Transition Education Program (Tier III STEP) 30 Day Review Appeal Form
DIVISION: Facilities
TOPIC_AREA: 209 Policy-Facilities Control/Discipline/Segregation
EFFECTIVE_DATE: 2019-04-25
WORD_COUNT: 169
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/536180
URL: https://gps.press/sop-data/209.55-att-3/

SUMMARY:
This form allows incarcerated individuals in the Tier III STEP program to appeal decisions made by the Classification Committee during their 30-day review hearing. Offenders must submit their appeal reason to their assigned counselor within three business days of receiving their hearing decision, and the counselor forwards it to the Warden for final review and decision.

KEY_TOPICS: Tier III STEP, segregation, special management unit, appeal process, 30-day review, classification committee, disciplinary appeal, inmate appeal, Warden review, segregated transition education

ATTACHMENTS:
  1. Special Management Unit – Tier III Segregated Transition Education Program (STEP) Assignment Form
     URL: https://gps.press/sop-data/209.55-att-1/
  2. Special Management Unit – Tier III Segregated Transition Education Program (STEP) 30 Day Review Hearing Form
     URL: https://gps.press/sop-data/209.55-att-2/
  3. Special Management Unit – Tier III Segregated Transition Education Program (Tier III STEP) 30 Day Review Appeal Form
     URL: https://gps.press/sop-data/209.55-att-3/
  4. SMU Tier III STEP Unit 90 Day Review Hearing Form
     URL: https://gps.press/sop-data/209.55-att-4/
  6. Special Management Unit – Tier III Segregated Transition Education Program (STEP) Checklist and 30 or 15-Minute Watch Observation Record
     URL: https://gps.press/sop-data/209.55-att-6/
  7. Special Management Unit – Tier III Segregated Transition Education Program (STEP) Performance Recording Sheet
     URL: https://gps.press/sop-data/209.55-att-7/

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FULL TEXT:
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Attachment 3

SOP 209.55

04/25/19


**Special Management Unit – Tier III Segregated Transition Education Program (Tier III 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 III 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 III 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.