SOP 215.18-att-4: Special Parole Review Recommendation Form

IID05-0002
Attachment 4
Page 1 of 2

12/15/07

# Georgia Department of Corrections Special Parole Review Recommendation Form:

Resident’s Name: ______________________________________________

GDC ID Number: __________________________ EF Number: __________________________

(Signature/ Printed Name/ Title) of Classification Committee Member Making Recommendation :

__________________/_______________________/_________________

Date: _________________________

Preliminary Consideration Data:

(Check Yes or No for Questions 1 thru 5)

1. Yes__ No__ Was the above named resident convicted under SB 441?

Note: If the answer (Yes) has been given for question 1, this recommendation should be terminated.

2. Yes__ No__ Has the resident served a minimum of 90% of his/ her sentence at this time? This is

applicable, only if serving time for an offense under the Parole Board’s 90% policy.

3. Yes__ No__ Has the resident served 24 months since their last parole consideration?

4. Yes__ No__ Has the resident committed a sex offense, crime against a child or against law

enforcement?

5. Yes__ No__ Does the resident have documented in his/ her file, exemplary conduct via staff completing

Work Activity Performance Reports (WAPR’s)?

Note: If the answer (No) has been given for any one of questions 3 thru 7, this recommendation should
be terminated.

IID05-0002
Attachment 4
Page 2 of 2

12/15/07
Summary of Exemplary Conduct of Resident:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Note: Attach copies of all supporting documents
(Work Activity Report(s), etc.)

Date submitted to Superintendent: __________________________________

_I. Superintendents Recommendation_ :

(Circle One) Approve / Disapprove

Reason for Disapproval: ____________________________________

Superintendents Signature/ Date:

____________________________________________________________

Date forwarded to Regional Office: _________________________

_II. DC/TC Field Operations Manager._

(Circle One) Approve / Disapprove

Reason for Disapproval: ____________________________________

DC/TC Field Operations Manager Signature/ Date:

____________________________________________________________

Date forwarded to Facilities Division Office: ______________

_III. Facilities Division Recommendation_ :

(Circle One) Approve / Disapprove

Reason for Disapproval: ____________________________________

Facilities Division Director/ Designee Signature/ Date:

_____________________________________________________________

Cc: Inmate File

RETENTION SCHEDULE:   Upon completion, attachments 4 will be will be placed in the
resident institutional file and retained according to the official retention schedule for
that file.