SOP_NUMBER: 221.03-att-1
TITLE: Replacement I.D. Request Form
REFERENCE_CODE: IIB01-0019
DIVISION: Facilities
TOPIC_AREA: 221 Policy-Facilities Identify/Count
EFFECTIVE_DATE: 2022-05-25
WORD_COUNT: 168
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105915
URL: https://gps.press/sop-data/221.03-att-1/

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

ATTACHMENTS:
  1. Replacement I.D. Request Form
     URL: https://gps.press/sop-data/221.03-att-1/

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FULL TEXT:
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**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.