SOP_NUMBER: 222.03-att-3 TITLE: International Transfer Certified Case Summary for State Inmate REFERENCE_CODE: IIB17-0001 DIVISION: Facilities TOPIC_AREA: Court/Release/Transport/Transfer EFFECTIVE_DATE: 2004-03-01 WORD_COUNT: 232 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105758 URL: https://gps.press/sop-data/222.03-att-3/ 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 ATTACHMENTS: 1. International Transfer Participating Countries Notice URL: https://gps.press/sop-data/222.03-att-1/ 3. International Transfer Certified Case Summary for State Inmate URL: https://gps.press/sop-data/222.03-att-3/ 4. International Transfer Prisoner Transfer Notification and Acknowledgment Form URL: https://gps.press/sop-data/222.03-att-4/ 5. International Transfer Prisoner Notification URL: https://gps.press/sop-data/222.03-att-5/ 6. International Transfer Program Denial Form URL: https://gps.press/sop-data/222.03-att-6/ 7. International Transfer Notification Form (Attachment 7) URL: https://gps.press/sop-data/222.03-att-7/ ======================================================================== 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:____________________________________________________ 1 of 5 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: _____________________________________________________ 2 of 5 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 3 of 5 **Wardens recommendation:** a. Do you recommend international transfer for inmate? ______________________________ Comments: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ **Signature / Date** **Inmate Administration Manager Review / Recommendation:** **________________________________________________________________________** **________________________________________________________________________** **________________________________________________________________________** **________________________________________________________________________** **________________________________________________________________________** **________________________________________________________________________** **_______________________________________________________________________** **Signature / Date** 4 of 5 **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 ~~5 of 5~~ 6 of 5