SOP_NUMBER: 222.03-att-4
TITLE: International Transfer Prisoner Transfer Notification and Acknowledgment Form
REFERENCE_CODE: IIB17-0001
DIVISION: Facilities
TOPIC_AREA: Court/Release/Transport/Transfer
EFFECTIVE_DATE: 2004-03-01
WORD_COUNT: 325
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105759
URL: https://gps.press/sop-data/222.03-att-4/

SUMMARY:
This form notifies foreign national prisoners of their eligibility to participate in international prisoner transfer programs under treaties between the United States and other countries, allowing qualified prisoners to serve the remainder of their sentences in their home country. The form collects basic prisoner information and requires the prisoner to indicate whether they wish to pursue an international transfer or decline participation. Prisoners must understand that approval requires agreement from Georgia, the United States, and their home country, and that approved transfers require a verification hearing before a U.S. Magistrate Judge.

KEY_TOPICS: international prisoner transfer, foreign national prisoners, treaty countries, transfer eligibility, home country transfer, prisoner repatriation, verification hearing, magistrate judge, international treaties, prisoner application, sentence transfer, consulate

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/

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FULL TEXT:
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Attachment 4

IIB17-0001

3/01/04
# Georgia Department of Corrections International Prisoner Transfer Notification and Acknowledgment Form


The United States has entered into international treaties with many countries which may
permit a foreign national prisoner from one of the treaty countries to transfer to his home country
to serve the remainder of his sentence. The State of Georgia has enacted legislation which allows
it to participate in the international prisoner transfer program. The transfer program is
discretionary and not everyone who applies will be qualified or will be approved for transfer. To
transfer your application must first be approved by the State. The United States and your home
country must also approve your application before a transfer can occur. If you are unsure whether
your country participates in this program, please contact your case manager or your nearest
consulate for more information. You may also need to contact your consulate to assist you and to
determine if your home country has any additional requirements.

1. Name: ________________________________________________________________
2. Prisoner Number: _______________________________________________________
3. Date of Birth: __________________________________________________________
4. Place of Birth: _________________________________________________________
5. Citizenship: ___________________________________________________________
6. Institution/ Prison: ______________________________________________________
7. Offense: ______________________________________________________________
8. Sentence: _____________________________________________________________
9. Projected Release Date: _________________________________________________
10. Language Preference: ___________________________________________________

I am interested in being transferred to continue serving the sentence imposed by the State of
Georgia to the country of citizenship indicated above. I understand that this is just an inquiry to
obtain data before the actual request for transfer and is not binding upon either the government or
me. I understand that upon approval for transfer, I will be required to attend a verification hearing
before the United States Magistrate Judge. I have indicated above the language preference for my
verification hearing and understand an interpreter will be available if necessary.
Signature: ________________________________ Date: ________________________

I hereby indicate that I am **not** interested in being transferred to continue serving the sentence
imposed by the State of Georgia to the country of citizenship indicated above.
Signature: ________________________________ Date: _______________________

**Retention Schedule:**
**To be maintained by the Inmate Administration Manager or designee for three years.**
**Copy: Inmate Administrative File**