SOP 221.03-att-1: Replacement I.D. Request Form

Division:
Facilities
Effective Date:
May 25, 2022
Reference Code:
IIB01-0019
Topic Area:
221 Policy-Facilities Identify/Count
PowerDMS:
View on PowerDMS
Length:
168 words

Summary

This form is used by incarcerated individuals to request a replacement identification card at a Georgia Department of Corrections facility. The form documents the reason for the replacement request and authorizes a $5.00 fee to be deducted from the offender's account, with provisions for fee waivers approved by the Warden or Superintendent. The form is retained by the business office for three years following an internal audit.

Key Topics

  • replacement ID
  • offender identification card
  • ID request
  • replacement fee
  • inmate ID
  • offender account deduction
  • ID card replacement process
  • facility identification

Full Text

SOP IIB01-0019

(221.03)
Attachment 1
05/25/22
REPLACEMENT I.D. REQUEST FORM

Date: ___________________

Offender Name: ______________________ Offender I.D.#: _____________________

Offender Location (Bldg./Dorm/Room#): ________________________________________

I, _______________________________, located at _______________________S.P. request a

replacement I.D. card for the following reason(s): ____________________________________

_______________________________________________________________________________

_______________________________________________________________________________
I agree to have five ($5.00) dollars deducted from my Consolidated Banking Unit account for the
reissuance of my Offender ID card. I further agree that if I am indigent, or have insufficient funds
to cover this cost, that my account will be debited and any monies received will be deducted until
the five ($5.00) dollars is recovered, in full, by the facility.

Offender Signature and State I.D. #:

Request Approved: _____________________ Request Disapproved: _______________________

Warden/Superintendent or Designee

Signature: ________________________________________Date:___________________________

After careful review of this request, I have determined that the Replacement fee of five ($5.00) will
be waived for the following reason(s):_________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Warden/Superintendent/Designee: _________________________Date:______________________
RETENTION SCHEDULE: Upon completion, this form shall be forwarded to the business office and kept there for
three years beyond the date of an internal audit, then destroyed.

Attachments (1)

  1. Replacement I.D. Request Form (168 words)
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