SOP 228.02-att-4: Cosmetology Request Form

Division:
Facilities Management
Effective Date:
June 22, 2023
Reference Code:
IIB01-0011
Topic Area:
228 Policy-Facilities Sanitation
PowerDMS:
View on PowerDMS
Length:
83 words

Summary

This form is used by incarcerated individuals to request cosmetology services including hair care treatments such as perms, coloring, cuts, and other services. The form captures the inmate's identifying information, work schedule, and specific service request. A cosmetology area supervisor reviews and approves or denies requests, schedules appointments, and documents decisions on the form.

Key Topics

  • cosmetology request
  • hair care services
  • hair treatment
  • inmate grooming
  • personal hygiene services
  • perm
  • hair color
  • haircut
  • institutional services
  • grooming request form

Full Text

SOP 228.02
Attachment 4
6/22/23

*****************
GEORGIA DEPARTMENT OF CORRECTIONS

COSMETOLOGY REQUEST FORM
*****************

NAME: _______________________________________ ID NUMBER: ___________________________

COUNSELOR: _________________________________ DORM: ________________________________

WORK ASSIGNMENT: AM_______________________ PM____________________________________

OFF DAYS: ______________________________________________________________________________

INSTRUCTIONS: Check the space provided below for the type of hair care needed.

( ) Perm ( ) Hair color

( ) Curl ( ) Tape

( ) Hair cut ( ) Other (Specify):

________________________

________________________

**********************

FOR USE BY COSMETOLOGY AREA SUPERVISOR ONLY

DATE RECEIVED: __________________________________________________________________________

APPROVED: _______________________________ DISAPPROVED: _________________________________

APPOINTMENT DATE: ______________________________________________________________________

COMMENTS: _______________________________________________________________________________

___________________________________________________________________________________________

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

Attachments (4)

  1. Sanitation Inspection Report (318 words)
  2. Barber/Cosmetology Shop Rules (426 words)
  3. Institutional Barber/Cosmetologist and Staff Member Orientation Checklist (610 words)
  4. Cosmetology Request Form (83 words)
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