SOP_NUMBER: 227.05-att-5
TITLE: Facility/Center Visitation List
REFERENCE_CODE: IIB01-0005
DIVISION: Unknown
TOPIC_AREA: 227 Policy-Facilities Conditions of Confinement
EFFECTIVE_DATE: 2018-02-21
WORD_COUNT: 198
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105724
URL: https://gps.press/sop-data/227.05-att-5/

SUMMARY:
This form is used by incarcerated individuals to establish or modify their approved visitor list for visitation privileges at GDC facilities. Offenders submit the form twice per year (in May and November) to their counselor, listing approved visitors from immediate family or significant relationships as defined in the Visitation SOP. The form requires background information, visitor details, and indicates whether visitors are approved for financial transactions.

KEY_TOPICS: visitation list, visitor approval, visitation privileges, family visitation, approved visitors, visitor application, visitation form, inmate visitation, facility visitation, financial visitation approval

ATTACHMENTS:
  1. Offender Visitation Register
     URL: https://gps.press/sop-data/227.05-att-1/
  2. Application for Visitation Privilege
     URL: https://gps.press/sop-data/227.05-att-2/
  3. Offender Visitation Room Log
     URL: https://gps.press/sop-data/227.05-att-3/
  4. GCIC/NCIC Consent Form for Visitors of GDC Facilities
     URL: https://gps.press/sop-data/227.05-att-4/
  5. Facility/Center Visitation List
     URL: https://gps.press/sop-data/227.05-att-5/
  6. GDC Attorney Visitation Request Form
     URL: https://gps.press/sop-data/227.05-att-6/

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FULL TEXT:
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**INITIAL          CHANGE** **SOP 227.05**
**Attachment 5**

**2/21/18**

# **Facility/Center_______________________ Visitation List**


OFFENDER NAME: _______________________________________GDC#: _____________________ DORM: _____________ COUNSELOR: _________________________

Date Arrived: ___________________    Entered in **SCRIBE** : _______________                                                       Sex Offender: YES    NO
I **NSTRUCTIONS** : **PRINT neatly in BLUE or BLACK ink. Do not use pencil or red ink.**

   - Circle the appropriate list: If this is your initial list circle INITIAL. If you wish to change your list: Circle CHANGE

   - Changes may be submitted twice a year for visitation and financial approval **ONLY** in **MAY** and **NOVEMBER.**

   - Visitors may include members of your immediate family or significant relationships as defined in the Visitation S.O.P.

   - Submit the completed form to your counselor.

|APPROVED|Col2|NAME|STREET ADDRESS (NO P.O. BOXES)|CITY/STATE|RELATONSHIP|ADD|DELETE|FINANCIALS<br>Limit of<br>five(5) ONLY|Col10|
|---|---|---|---|---|---|---|---|---|---|
|**YES**|**NO**|**NO**|**NO**|**NO**|**NO**|**NO**|**NO**|**YES**|**NO**|
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COUNSELOR’S SIGNATURE: __________________________________________________________________   DATE: __________________

“P” = Pending the submission of an “Application for Visitation Privilege” - YOU HAVE_______ DAYS TO SUBMIT THESE FORMS.
“N” = Must submit a NCIC report of their offenses.


Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file and maintained according to the official retention schedule.