SOP 222.03-att-3: International Transfer Certified Case Summary for State Inmate

Division:
Facilities
Effective Date:
March 1, 2004
Reference Code:
IIB17-0001
Topic Area:
Court/Release/Transport/Transfer
PowerDMS:
View on PowerDMS
Length:
232 words

Summary

This form is used to compile a comprehensive certified case summary for Georgia state inmates being considered for international transfer. The document collects personal data, sentence information, criminal history, social and medical background, and work/program participation to support transfer decisions. It requires review and approval by facility wardens, inmate administration managers, the Facilities Division Director, and the Commissioner before an international transfer can be approved.

Key Topics

  • international transfer
  • inmate transfer
  • case summary
  • certified summary
  • inmate records
  • parole eligibility
  • release date
  • sentence information
  • criminal history
  • inmate data
  • transfer approval
  • inmate administration

Full Text

Attachment 3
IIB17-0001
3/01/04
# Georgia Department of Corrections Certified Case Summary for State Inmate

Submitting State: ______________________________________

Date: _________________________________________________

Personal Data:

1. Committed Name and Known Aliases :_________________________________________

2. Prisoner Identification Number:_______________________________________________

3. Date of Birth ( Month, Date, Year: e.g. June 1, 1973):______________________________

4. Marital Status/ Children:_____________________________________________________

5. Place of Birth :_____________________________________________________________

6. Nationality:_______________________________________________________________

7. Employment Prior to Incarceration:_____________________________________________
____________________________________________________________________________
____________________________________________________________________________

8. Current Place of Incarceration:_________________________________________________

Sentence Data and Criminal History Information:

1. Sentence Imposed:__________________________________________________________

2. Date Sentence Imposed:______________________________________________________

3. Sentencing Court:___________________________________________________________

4. Criminal Docket Number:____________________________________________________

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5. Current Offense: ___________________________________________________________

6. Description and Date of Offense: ______________________________________________

7. Fines/ Assessments/ Restitution: _______________________________________________

8. Prior Record: _______________________________________________________________

9. Detainers/ Pending Charges/ Pending Appeals: ____________________________________

10. Good Conduct Time, Statutory Good Conduct Time or Other Beneficial Credits That Serve
to Advance the Prisoner’s Release from the Full Term: ________________________________

11. Parole Eligibility Date: ______________________________________________________

12. Projected Release Date: _____________________________________________________

13. Full Term Date of Sentence: __________________________________________________

14. Time Served to Date: _______________________________________________________

15. Credit Received for Time in Custody Prior to Service of Sentence:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Social Data

1. Psychological Evaluation: ____________________________________________________

2. Security Level: _____________________________________________________________

3. Educational Background: _____________________________________________________

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4. History of Alcohol/ Drug Abuse:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

5. Current Medical Condition: ___________________________________________________

7. Prison Work Experience: ____________________________________________________

8. Special Program Participation: ________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Other Pertinent Information: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

Prepared By: _________________________________________________________________
Name/ Date
_________________________________________________________________
Title/ Phone Number
__________________________________________________________________

Reviewed By: ________________________________________________________________
Name/ Date
_________________________________________________________________
Title/ Phone Number

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Wardens recommendation:

a. Do you recommend international transfer for inmate? ______________________________

Comments:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Signature / Date

Inmate Administration Manager Review / Recommendation:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

_______________________________________________________________________

Signature / Date

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Facilities Division Director Review / Recommendation:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Signature / Date

Commissioners Review / Approval:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

_____________________________________________________________________________________

Signature / Date

Retention Schedule:
To be maintained in an inactive file by the Inmate Administration Manager or designee for three years.

Copy: Inmate Administrative File

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Attachments (6)

  1. International Transfer Participating Countries Notice (242 words)
  2. International Transfer Certified Case Summary for State Inmate (232 words)
  3. International Transfer Prisoner Transfer Notification and Acknowledgment Form (325 words)
  4. International Transfer Prisoner Notification (154 words)
  5. International Transfer Program Denial Form (47 words)
  6. International Transfer Notification Form (Attachment 7) (57 words)
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