SOP 401.13-att-1: GDC Employee Weapon Retention Request_Approval Routing Form

SOP 401.13
Attachment 1
11/25/19
Page 1 of 2

# GDC Employee Weapon Retention Request/Approval Routing Form

|To be completed by Requestor:|Col2|
|---|---|
|Employee Name:|Employee Working Title:|
|GDC Employee ID#:|POST Officer Key #:|
|Employee Work Email:|Employee Work Phone #:|
|Issued Weapon Type:|Weapon Serial #:|
|Last date of Employment:|Supervisor Name:|
|Requestor Name:||
|Requestor Phone #:|Requestor Phone #:|
|Requestor Email:|Requestor Email:|

To be completed by Care and Custody:

This is to certify that __________________________, POST Officer Key Number _________________, has

been a certified officer with the Georgia Department of Corrections with 20 or more years of creditable service
through the last date of employment.

Representative Name: _________________________ Signature: __________________________________

To be completed by Personnel:

This is to certify that ___________________________, Employee ID Number ____________________, has
completed 20 or more years of creditable service with the Department of Corrections through the last date of
employment.

Representative Name: _________________________ Signature: __________________________________

To be completed by Division Director:

This is to certify that ___________________________ has completed 20 or more years of honorable service
with the Department of Corrections and is recommended to retain the above referenced assigned weapon.

Division Director Name: _________________________ Signature: _________________________________

Retention Schedule: Upon completion, this form shall be maintained at Care and Custody offices, indefinitely, and shall be destroyed
only with the Academy Director’s approval.

SOP 401.13
Attachment 1
11/25/19
Page 1 of 2

To be completed by the Commissioner of the Georgia Department of Corrections:

This is to certify that _____________________________has completed 20 or more years of creditable,

honorable service with the Department of Corrections as a certified officer and shall retain the above

referenced assigned weapon under the provisions of Official Code Georgia Annotated §42‐2‐16.

Commissioner or Commissioner’s Designee: _____________________________ Date: ______________

Signature: ______________________________________

Please forward approved request to GDC, Care and Custody, 1000 Indian Springs Rd., Forsyth, GA 31029. Phone 478‐994‐7567 Fax: 478‐994‐7571

Retention Schedule: Upon completion, this form shall be maintained at Care and Custody offices, indefinitely, and shall be destroyed
only with the Academy Director’s approval.