SOP_NUMBER: 215.07-att-1 TITLE: Resident Pass Application and Authorization REFERENCE_CODE: IID03-0004 DIVISION: Facilities TOPIC_AREA: 215 Policy-Transitional Center EFFECTIVE_DATE: 2020-05-27 WORD_COUNT: 331 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106210 URL: https://gps.press/sop-data/215.07-att-1/ SUMMARY: This form is used by transitional center residents to request approval for temporary passes to leave the facility for visits with family or other authorized purposes. The resident must provide detailed information about their destination, transportation, and duration of the pass, and must acknowledge the conditions of the pass including compliance with all laws, submission to searches and drug testing upon return, and understanding of escape consequences. Multiple staff members (counselor, security, employment specialist, and superintendent) must approve the pass before it is granted. KEY_TOPICS: transitional center pass, resident pass application, temporary leave, furlough, work release pass, pass authorization, resident leave, facility pass, transportation authorization, pass conditions, escape consequences, drug testing ATTACHMENTS: 1. Resident Pass Application and Authorization URL: https://gps.press/sop-data/215.07-att-1/ 2. Resident Activity Pass Authorization Form URL: https://gps.press/sop-data/215.07-att-2/ ======================================================================== FULL TEXT: ======================================================================== SOP 215.07 Attachment 1 5/27/20 **GEORGIA DEPARTMENT OF CORRECTIONS** **TRANSITIONAL CENTER RESIDENT PASS APPLICATION/AUTHORIZATION** Dorm/Bed:__________________________________ Counselor:_________________________ Name: ________________________________ Cell Phone #: ___________________________ GDC#: _______________ Date of Pass: ____________ Total Hours: _______ Departure: ________ Return: _____________ **Destination: ________________________________________________________________________________________** ___________________________________________________________________________________________________ Name Relationship Address Phone No. Arr. Time Dep. Time **** Call Center upon arrival and departure **** Person(s) who will provide transportation to and from the Center: ________________________________________________________________________________________ Name Relationship Address Phone No. If granted this pass, I pledge that I will at all times conduct myself in a responsible manner that will not bring adverse community reactions to myself, the Department of Corrections, or to the community facility program. Furthermore, I have read or have had read to me the conditions governing this pass and understand them fully. Should I fail to return at the prescribed time, I understand that the established escape fee will be taken from my account, and that severe disciplinary consequences may result. I also understand that I may be charged with the criminal offense of escape and I hereby waive all rights of extradition. I agree to submit to search of my body and possessions upon return from pass, I am prohibited from consuming alcohol/drugs while on pass and I will submit to alcohol/drug testing if so instructed upon my return. Date: _______________ Resident's Signature: _______________________________ The resident meets eligibility requirements for the following pass: W-R 30-day (6hr) W-R 60 Day (9hr) ____ W-R 90 Day (12hr) Approved / Disapproved ___________________________Approved / Disapproved___________________________ Counselor Security Approved / Disapproved ___________________________Approved / Disapproved___________________________ Employment Specialist Assistant Superintendent Approved / Disapproved_____________________________________Date_________________________________ Superintendent Comments: ____________________________________________________________________________________ Under provisions of Georgia Law, the Department of Corrections has granted this leave for the purpose or period outlined above. Any deviation from this or violation of local or State laws should immediately be reported to the Superintendent or the Center. **RETURN** Prescribed Time: ____________________ **RETURN** Actual Time: _____________________________ Violations: ( ) Yes ( ) No _ Contraband Search _ Alcohol Test _ Drug Screen _ Other Comments: _______________________________________________________________________________________________________ Correctional Officer: _______________________________________________ Date: __________________ Retention Schedule: Upon completion, this form shall be placed in the resident’s institutional file and maintained according to the official retention schedule for that file.