SOP_NUMBER: 215.22-att-4
TITLE: Out of State Work Travel Permit
REFERENCE_CODE: IID05-0003
DIVISION: Facilities
TOPIC_AREA: 215 Policy-Transitional Center
EFFECTIVE_DATE: 2020-01-23
WORD_COUNT: 717
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106256
URL: https://gps.press/sop-data/215.22-att-4/
SUMMARY:
This form is used to authorize and document work-related travel outside of Georgia for individuals under the custody or supervision of the Georgia Department of Corrections at transitional centers. The permit requires the inmate or resident to provide personal identification, travel details, employment information, and to sign a waiver of extradition rights. The individual must carry the permit at all times while traveling out of state and present it to law enforcement upon request.
KEY_TOPICS: out of state travel, work travel permit, transitional center, work release, inmate travel, extradition waiver, travel authorization, employment travel, Georgia Department of Corrections, out of state work
ATTACHMENTS:
1. Transitional Resident Data Form
URL: https://gps.press/sop-data/215.22-att-1/
2. Employer Job-Site Visits Form
URL: https://gps.press/sop-data/215.22-att-2/
3. Transitional Center Employment Agreement
URL: https://gps.press/sop-data/215.22-att-3/
4. Out of State Work Travel Permit
URL: https://gps.press/sop-data/215.22-att-4/
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FULL TEXT:
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SOP 215.22
Attachment 4
1/23/20
**GEORGIA DEPARTMENT OF CORRECTIONS**
Facilities Operations, State Offices South
300 Patrol Road
Forsyth, Georgia 31029
**Phone** (Type in Applicable Center Number ) **- Fax:** (Type in Applicable Fax Number **)**
**OUT OF STATE WORK TRAVEL PERMIT**
|Full Name:|Col2|Col3|Col4|Col5|GDC#:|Col7|Col8|
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**Center Address:**|
**Center Address:**|||||||
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**Destination**|
**Name:**|
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**Street:**|
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**City:**|
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**State:**|
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**Phone #:**|
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**Purpose of Trip:**|
**Purpose of Trip:**|||||||
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**Employer:**|
**Employer:**|
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**Supervisor:**|
**Supervisor:**||||
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**Work site #:**|
**Work site #:**||
**Supervisor #:**|
**Supervisor #:**|
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**Departure Date:**|
**Departure Date:**||
**Return Date:**|
**Return Date:**||||
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**Method of Travel:**|
**Method of Travel:**|||||||
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**Offense:**|
**Offense:**||
**Sentence:**|
**Sentence:**||||
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**Special Instructions:**|
**Special Instructions:**|
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**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Travel Permit Waiver of Extradition:** I do hereby waive extradition to the State of Georgia from any State of the Union, and
from any territory of the United States. I also agree that I shall not contest any effort to return me to the State of Georgia with
full knowledge of the nature of my rights, and with a desire to be bound by this Waiver of Extradition.|
**Signature of Resident:**
_________________________________________
**Approved this:** _________________________________________
Original signature on Date
file in office **Signature of**
**Approved this:**
Date
**Signature of**
**Superintendent:** _________________________________________
**Office & Telephone #:** _________________________________________
**Signature of**
**Superintendent:**
**Office & Telephone #:** _________________________________________
**I understand that I am to keep this travel permit on my person at all times while traveling out of state. I also**
**agree to produce this permit for any law enforcement officer upon request.**
Retention Schedule: Upon completion, this form shall be placed in the resident’s institutional file and will be maintained
according to the official retention schedule for institutional files.