SOP_NUMBER: 228.02-att-4
TITLE: Cosmetology Request Form
REFERENCE_CODE: IIB01-0011
DIVISION: Facilities Management
TOPIC_AREA: 228 Policy-Facilities Sanitation
EFFECTIVE_DATE: 2023-06-22
WORD_COUNT: 83
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106149
URL: https://gps.press/sop-data/228.02-att-4/

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

ATTACHMENTS:
  1. Sanitation Inspection Report
     URL: https://gps.press/sop-data/228.02-att-1/
  2. Barber/Cosmetology Shop Rules
     URL: https://gps.press/sop-data/228.02-att-2/
  3. Institutional Barber/Cosmetologist and Staff Member Orientation Checklist
     URL: https://gps.press/sop-data/228.02-att-3/
  4. Cosmetology Request Form
     URL: https://gps.press/sop-data/228.02-att-4/

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FULL TEXT:
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SOP 228.02
Attachment 4
6/22/23


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**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.