SOP_NUMBER: 222.04-att-13
TITLE: FORM VI_ Evidence of Agent's Authority to Act for Receiving State
REFERENCE_CODE: IIC06-0001
WORD_COUNT: 253
URL: https://gps.press/sop-data/222.04-att-13/

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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```
12/15/07 Attachment 13
                                     SOP IIC06-0001
# **FORM VI** **AGREEMENT ON DETAINERS**

```

Five copies. All copies, with original signatures by the prosecutor and the agent, should be sent to the Administrator of their own state. After signing all copies, the Administrator should
retain one for his/her files, send one to the warden/superintendent of the facility in which the prisoner is located and return two copies to the prosecutor who will give one to the agent for
use in establishing his/her authority and place one in his/her files. One copy should also be forwarded to the Agreement Administrator in the sending state.

**EVIDENCE OF AGENT'S AUTHORITY TO ACT FOR RECEIVING STATE**
TO:

is confined in
(Inmate name and number)

(Facility) (Address)

and will be taken into custody at the facility on or about

for return to the County of, State of for trial.

In accordance with Article V(b), I have designated
whose signature appears below as agent to return the inmate.
Date:
(Prosecuting Official)
Title:

County:

Address:
(Agent's signature)
City/State:

Telephone No.:
(Agent's signature)

TO: Warden/Superintendent

In accordance with the above representation and the provisions of the Agreement on Detainers, the persons listed above are

hereby designated as Agents for the State of to return to the

County of, State of for trial.

At the completion of the trial,

shall be returned to the

Date:

Agreement Coordinator:

Address:

City/State:

Telephone No.:

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