SOP 227.02-att-8: Grievance Resolution/Drop Form (Attachment 8)

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

Summary

This form is used to document the resolution or withdrawal of formal grievances filed by offenders in GDC facilities. It records whether a grievance has been resolved, dropped by the offender, or discussed between the offender and staff, and requires signatures from both the offender and staff member involved. The completed form is retained with the grievance packet for four years before destruction.

Key Topics

  • grievance resolution
  • grievance drop form
  • offender grievance
  • grievance withdrawal
  • grievance documentation
  • formal grievance
  • grievance process
  • inmate complaint resolution
  • facility grievance

Full Text

SOP 227.02
Attachment 8

5/10/19

_FACILITIES DIVISION_

Brian P. Kemp Timothy C. Ward
_Governor Commissioner_

Date:

RE: Grievance Resolution/Drop Form

The attached formal grievance # from offender GDCID#
was received in my office. The following actions have been taken:

Grievance resolved and no further action needed

Grievance dropped by offender

Matter discussed:

The above matter is discussed by me and:

The problem is resolved; or

I wish to drop this grievance

____________________________ __________________________
Offender Signature Date Staff Signature Date

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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