SOP_NUMBER: 220.03-att-3
TITLE: Classification Appeal Form (Attachment 3)
REFERENCE_CODE: IIC02-0004
DIVISION: Unknown
TOPIC_AREA: Policy-Counseling/Risk Reduction
EFFECTIVE_DATE: 2022-07-26
WORD_COUNT: 94
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105809
URL: https://gps.press/sop-data/220.03-att-3/

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

ATTACHMENTS:
  1. Classification Committee Form
     URL: https://gps.press/sop-data/220.03-att-1/
  2. Classification Detail Request Form
     URL: https://gps.press/sop-data/220.03-att-2/
  3. Classification Appeal Form (Attachment 3)
     URL: https://gps.press/sop-data/220.03-att-3/
  4. Special Parole Review Recommendation Form
     URL: https://gps.press/sop-data/220.03-att-4/
  5. Classification Action Sheet - Reclassification Form (Inside Only)
     URL: https://gps.press/sop-data/220.03-att-5/
  6. Transitional Services Criteria (Work-Release) and Long Term Maintenance Criteria
     URL: https://gps.press/sop-data/220.03-att-6/
  7. Notification of Registered Sex Offenders Transfer
     URL: https://gps.press/sop-data/220.03-att-7/
  8. Counselor Request Form (Attachment 8)
     URL: https://gps.press/sop-data/220.03-att-8/
  9. Movement Plan Memo Template
     URL: https://gps.press/sop-data/220.03-att-9/
  10. Facility Stratification Plan Template
     URL: https://gps.press/sop-data/220.03-att-10/
  11. 48-Hour Waiver (Reclassification)
     URL: https://gps.press/sop-data/220.03-att-11/
  12. County Facility Placement Criteria
     URL: https://gps.press/sop-data/220.03-att-12/
  13. Offender Refusal Form
     URL: https://gps.press/sop-data/220.03-att-13/
  14. Operational Manual Template
     URL: https://gps.press/sop-data/220.03-att-14/
  15. Reclassification Move Request Form
     URL: https://gps.press/sop-data/220.03-att-15/
  16. Classification/Reclassification Summary Report
     URL: https://gps.press/sop-data/220.03-att-16/
  17. 48-Hour Classification Notification Form
     URL: https://gps.press/sop-data/220.03-att-17/

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FULL TEXT:
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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.