SOP_NUMBER: 222.04-att-10
TITLE: Inmate Acknowledgment of Notification of Request for Temporary Custody
REFERENCE_CODE: IIC06-0001
DIVISION: Facilities
TOPIC_AREA: Court/Release/Transport/Transfer
EFFECTIVE_DATE: 2007-12-15
WORD_COUNT: 203
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105772
URL: https://gps.press/sop-data/222.04-att-10/

SUMMARY:
This form documents that an inmate has been notified of pending charges in another state and a request for temporary custody under the Interstate Detainer Agreement. The inmate acknowledges their right to file a Writ of Habeas Corpus within 20 days and confirms whether they agree to return to the requesting state. The completed form becomes part of the inmate's case history file.

KEY_TOPICS: Interstate Detainer Agreement, temporary custody, inmate notification, Writ of Habeas Corpus, interstate charges, inmate acknowledgment, release agreements, inmate waiver, transfer between states

ATTACHMENTS:
  1. Letter of Acknowledgment of Detainer (Attachment 1, IIC06-0001)
     URL: https://gps.press/sop-data/222.04-att-1/
  2. FORM I_ Notice of Untried Indictment Right to Request Disposition
     URL: https://gps.press/sop-data/222.04-att-2/
  3. States Participating in the Interstate Agreement on Detainers
     URL: https://gps.press/sop-data/222.04-att-3/
  4. FORM II_ Inmate's Notice of Place of Imprisonment and Request for Disposition
     URL: https://gps.press/sop-data/222.04-att-4/
  5. FORM III_ Certificate of Inmate Status
     URL: https://gps.press/sop-data/222.04-att-5/
  6. FORM IV_ Offer to Deliver Temporary Custody
     URL: https://gps.press/sop-data/222.04-att-6/
  7. FORM VII_ Prosecutor's Acceptance of Temp Custody
     URL: https://gps.press/sop-data/222.04-att-7/
  8. FORM V_ Request for Temp Custody
     URL: https://gps.press/sop-data/222.04-att-8/
  9. Interstate Agreement on Detainers - Habeas Corpus Rights Information Memo
     URL: https://gps.press/sop-data/222.04-att-9/
  10. Inmate Acknowledgment of Notification of Request for Temporary Custody
     URL: https://gps.press/sop-data/222.04-att-10/
  11. Governor's Notification of Other State's Request for Temporary Custody
     URL: https://gps.press/sop-data/222.04-att-11/
  12. FORM VIII_ Prosecutor's Acceptance of Temp Custody
     URL: https://gps.press/sop-data/222.04-att-12/
  13. FORM VI_ Evidence of Agent's Authority to Act for Receiving State
     URL: https://gps.press/sop-data/222.04-att-13/
  14. FORM IX_ Prosecutor's Report on Disposition of Charges
     URL: https://gps.press/sop-data/222.04-att-14/

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FULL TEXT:
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```
                               Attachment 10
                               SOP IIC06-0001
                              12/15/07
                Inmate Acknowledgement of
          Notification of Request for Temporary Custody

Department of Corrections
2 Martin Luther King, Jr. Dr., S.E.
Floyd Building
Twin Towers East, 7th Floor
Atlanta, Georgia 30334

RE: Inmate Name:

    Inmate Number:

This is to certify that I have been advised that there are charges pending against

me in, .
              (County)  (State)

A request for temporary custody has been made under the Interstate Detainer Agreement

to return me to that state for disposition of their charges. I understand that I

have a right to file a Writ of Habeas Corpus in the county in which I am incarcerated.

If I do not file such action within twenty (20) days, I understand that the requesting

state will assume custody of me. I do hereby waive any challenge and agree to return

to the requesting state.
                     ,
                      (Inmate Signature)  (Date)

                         (Inmate Number)

                                    ,
                      (Notary's Signature) (Date)

Warden/Superintendent's Instruction

This form should be completed by the inmate and Release and Agreements Officer
advised of his decision immediately.

Sign below only if the inmate refuses to sign this form.

```

```
"INMATE REFUSED TO SIGN FORM.",
                      (Notary's Signature) (Date)

RETENTION SCHEDULE:
Upon completion, a copy of this paperwork will be kept in the inmate case
history file.

```