SOP 220.03-att-3: Classification Appeal Form (Attachment 3)

Division:
Unknown
Effective Date:
July 26, 2022
Reference Code:
IIC02-0004
Topic Area:
Policy-Counseling/Risk Reduction
PowerDMS:
View on PowerDMS
Length:
94 words

Summary

This form allows incarcerated individuals to formally appeal decisions made by the Classification Committee regarding their housing, work assignments, security level, program placement, behavior level, or segregation status. The offender submits the appeal to the warden, who reviews it and either concurs with the original decision or makes alternative recommendations. The completed form is retained in the offender's institutional file.

Key Topics

  • classification appeal
  • classification committee
  • dorm assignment
  • detail assignment
  • security level
  • program assignment
  • behavior level
  • segregation placement
  • appeal process
  • offender appeal
  • institutional classification

Full Text

SOP 220.03
Attachment 3
07/26/22

_______________________________________
(FACILITY NAME)

CLASSIFICATION APPEAL FORM

TO: WARDEN________________________________________________________
FROM: OFFENDER ______________________________ ID# ____________________
DATE: ________________________________________________________

SUBJECT: APPEAL OF CLASSIFICATION COMMITTEE ACTION

I wish to appeal the decision of the Classification Committee regarding: ( complete one )

1. Dorm Change: _________________________________________________

2. Initial Detail Assignment: ___________________________________

3. Detail Change to: ____________________________________________

4. Segregation Placement: _______________________________________

5. Security Level: ______________________________________________

6. Program Assignment: __________________________________________

7. Behavior Level: ______________________________________________

REASON FOR APPEAL : ________________________________________________
_______________________________________________________________________
_______________________________________________________________________

________________________________ _________________________
OFFENDER’S SIGNATURE DATE

*************
REVIEW OF APPEAL

__________ I concur with the Classification Committee's Action

__________ The following recommendation(s) has/have been made in this case:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

_______________________________ ___________________
WARDEN SIGNATURE DATE

Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file.

Attachments (17)

  1. Classification Committee Form (149 words)
  2. Classification Detail Request Form (41 words)
  3. Classification Appeal Form (Attachment 3) (94 words)
  4. Special Parole Review Recommendation Form (321 words)
  5. Classification Action Sheet - Reclassification Form (Inside Only) (71 words)
  6. Transitional Services Criteria (Work-Release) and Long Term Maintenance Criteria (670 words)
  7. Notification of Registered Sex Offenders Transfer (95 words)
  8. Counselor Request Form (Attachment 8) (130 words)
  9. Movement Plan Memo Template (319 words)
  10. Facility Stratification Plan Template (231 words)
  11. 48-Hour Waiver (Reclassification) (56 words)
  12. County Facility Placement Criteria (130 words)
  13. Offender Refusal Form (129 words)
  14. Operational Manual Template (202 words)
  15. Reclassification Move Request Form (122 words)
  16. Classification/Reclassification Summary Report (123 words)
  17. 48-Hour Classification Notification Form (75 words)
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