SOP 227.02-att-4: Warden's/Superintendent's Grievance Response Form

Division:
Unknown
Effective Date:
May 10, 2019
Reference Code:
IIB05-0001
Topic Area:
227 Policy-Facilities Conditions of Confinement
PowerDMS:
View on PowerDMS
Length:
96 words

Summary

This is the official form used by wardens or superintendents to document their response to offender grievances filed within Georgia Department of Corrections facilities. The form requires the warden/superintendent to provide a written response to the grievance, obtain the offender's acknowledgment of receipt, and inform the offender of their right to appeal the response to the Grievance Coordinator within seven calendar days. Completed forms are retained with the grievance file for four years.

Key Topics

  • grievance response form
  • warden response
  • superintendent response
  • offender grievance
  • grievance appeal
  • grievance procedure
  • facilities grievance
  • inmate complaint
  • GDC grievance process
  • grievance documentation

Full Text

SOP 227.02
Attachment 4

5/10/19

WARDEN’S/SUPERINTENDENT’S GRIEVANCE RESPONSE

Offender's Name: Grievance Number:

GDC #: Facility:

RESPONSE TO GRIEVANCE:

Warden’s/Superintendent’s Signature (Date)

I ACKNOWLEDGE RECEIPT OF THE ABOVE RESPONSE ON THIS DATE:

Offender’s Signature (Date)

_You have seven (7) calendar days within which to appeal this Response to your Grievance Coordinator._
_If the last day is not a business day at your institution, you may file it on the next day that is a business_
_day._

Retention Schedule: Upon Completion, this form shall be maintained with the grievance packet for four (4) years
and then destroyed.

Attachments (14)

  1. Offender Grievance Form (157 words)
  2. Staff Local Investigative Report and Recommendation Form (64 words)
  3. Witness Statement Form (638 words)
  4. Warden's/Superintendent's Grievance Response Form (96 words)
  5. Grievance Appeal to Central Office Form (198 words)
  6. Accepted_ Notification of Referral to Office of Professional Standards (177 words)
  7. Codes for Rejected Grievance (Formal) (205 words)
  8. Grievance Resolution/Drop Form (Attachment 8) (93 words)
  9. Central Office Appeal Response Form (68 words)
  10. Active Grievances Process Form (249 words)
  11. Warden's_Superintendent's Rejected Grievance Response (382 words)
  12. Rejected_ Notification of Referral to the Office of Professional Standards (173 words)
  13. Rejected_ Notification of Referral to the Facility ADA Coordinator (154 words)
  14. Accepted_ Notification of Referral to the Facility ADA Coordinator (184 words)
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