SOP 215.23-att-3: Resident Cell Phone Upgrade _ Exchange Request

Length:
69 words

Full Text

SOP 215.23
Attachment 3

07/14/22

Resident Cell Phone Upgrade/Exchange Request

Resident/GDC#_________________/__________ Current Phone # ___________

I am requesting a cell phone upgrade/exchange for the following reason(s):
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

_______________________________ _________________
Resident’s Signature Date

Superintendent’s/Designee’s Decision: Approved Denied

Comments: ________________________________________________________
__________________________________________________________________
__________________________________________________________________

__________________________________ _________________
Superintendent’s or Designee’s Signature Date

Record Retention: Upon completion, this form shall be placed in the resident’s institutional file and retained
according to the retention schedule for that file.

Attachments (4)

  1. Resident Request for Authorization to Maintain a Cellular Phone (114 words)
  2. Resident Agreement for Cellular Telephone Privileges (332 words)
  3. Resident Cell Phone Upgrade _ Exchange Request (69 words)
  4. Resident Cell Phone Log (42 words)
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