SOP 215.18-att-2: Classification Committee Form (Attachment 2)

Division:
Facilities
Effective Date:
December 15, 2007
Reference Code:
IID05-0002
Topic Area:
215 Policy-Transitional Center
PowerDMS:
View on PowerDMS
Length:
115 words

Summary

This form documents the classification committee's evaluation and placement decisions for residents at transitional centers. The form captures resident demographic information, criminal history, disciplinary records, medical and educational profiles, and program recommendations. Classification committee members use this form to record their initial classification or reclassification decisions and recommendations for resident security level and program placement.

Key Topics

  • Classification committee
  • resident classification
  • reclassification
  • security level
  • transitional center
  • resident assessment
  • disciplinary history
  • program recommendations
  • institutional file
  • criminal history
  • gang affiliations
  • medical profile
  • educational assessment

Full Text

IID05-0002
Attachment 2

12/15/07

INITIAL _____________ RECLASSIFICATION_____________

CLASSIFICATION COMMITTEE FORM

Date: ____________ Counselor: ______________________ Arrived From: __________________

Resident: _________________________ GDC ID#: _______________ EF#: _______________

Race: __________ DOB: __________ Dorm: __________ MH/MR: Y / N

Date of Arrival: ____________ Security: ______________ TPM: __________ MRD: __________

County of Conviction: _______________ # of Prior Incarcerations: _______

Crime/Sentence: _______________________________________________ Sex Offender Y/ N

Criminal History: _________________________________________________________________

________________________________________________________________________________

Gang Affiliations: ______________________________________________ Pass Eligible Y/ N

Disciplinary History: ______________________________________________________________

________________________________________________________________________________

Medical Profile/Date/Limitations: ____________________________________________________

Job Skills: _______________________________________________________________________

Education: _______________ WRAT/TABE Scores: IQ: ______ M: ______ R: ______ S: ______

Recommended Programs: ___________________________________________________________

Counselor Comments/Recommendations: ______________________________________________

Classification Committee Action
Recommendations: ________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Classification Committee Decision

Date: __________ Chairperson Comments: __________________________________________

________________________________________________________________________________

Approved / Disapproved

___________________ ___________________ ___________________ ___________________
C/T MEMBER CHAIRPERSON SECURITY MEMBER SUPERINTENDENT

RETENTION SCHEDULE: `Upon completion, attachments 2 will be will be placed in the`

resident institutional file and retained according to the official retention schedule for
that file.

Attachments (5)

  1. Classification Committee Stamp (Attachment 1) (47 words)
  2. Classification Committee Form (Attachment 2) (115 words)
  3. Classification Appeal Form (97 words)
  4. Special Parole Review Recommendation Form (287 words)
  5. Initial File Review Form (178 words)
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