SOP 220.03-att-1: Classification Committee Form
Summary
Key Topics
- classification committee
- offender classification
- security level
- program assignment
- work detail
- dorm assignment
- initial classification
- reclassification
- behavior level
- disciplinary history
- gang affiliations
- criminal history
- escape history
- medical profile
- program recommendations
- institutional placement
Full Text
SOP 220.03
Attachment 1
07/26/22
(FACILITY NAME)
INITIAL__________________ RECLASSIFICATION__________________
CLASSIFICATION COMMITTEE FORM
Date: ________________ Counselor: ___________________________ Offender: ________________________________
(Date Offender Arrived at Facility)
ID#: ____________________ Race: ___________ DOB: ______________ Dorm: ________________ MH/MR: Y / N
Date Classified: __________________ Security: ______________ I / O TPM: __________ MRD: __________
County of Conviction: _____________ # of Prior Incarcerations: _________ Behavior Level: __________
Major Offense/Sentence: __________________________________________________________________________________
Criminal History: ________________________________________________________________________________________
_______________________________________________________________________________Total Fines: ______________
Gang Affiliations: ________________________________________________________________________________________
Pending Charges/Detainers: ________________________________________________________________________________
Sex Offenses: ____________________________________________________________________________________________
Escape History: __________________________________________________________________________________________
Disciplinary History (Last 12 months): _______________________________________________________________________
________________________________________________________________________________________________________
Medical Profile/Date/Limitations: ___________________________________________________________________________
Job Skills: _______________________________________________________________________________________________
Education: _____________ WRAT/TABE Scores: IQ: _________ M: __________ R: __________ S: __________
Mandated Programs (From Parole Board/Court): _____________________________________________________________
________________________________________________________________________________________________________
Recommended Programs: _________________________________________________________________________________
Counselor Comments/Recommendations: ____________________________________________________________________
________________________________________________________________________________________________________
************************
CLASSIFICATION COMMITTEE ACTION
Program Assignment: ___________________________________ To _____________________________________
Detail Assignment: ______________________________________ To_____________________________________
Dorm Assignment: ______________________________________ To_____________________________________
Behavior Level: ________________________________________ To_____________________________________
Next Security Review: ____________________________
*******************
CLASSIFICATION COMMITTEE DECISION
Date: ________________ Chairperson Comments: ___________________________________________________________
_______________________________________________________________________________________________________
APPROVED / DENIED
______________________________ _______________________________ ______________________________
C/T MEMBER CHAIRPERSON SECURITY MEMBER
(FOR OUTSIDE DETAILS):
____________________________________ ____________________________________ ________________________________________
DWC&T Date DW SECURITY Date WARDEN Date
APPROVED / DENIED APPROVED / DENIED APPROVED / DENIED
Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file.