SOP_NUMBER: 406.19-att-3
TITLE: Indigent Legal Supplies Request Form
DIVISION: Administrative & Finance
TOPIC_AREA: 406 Policy-Administration and Finance
EFFECTIVE_DATE: 2020-07-01
WORD_COUNT: 197
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/337691
URL: https://gps.press/sop-data/406.19-att-3/

SUMMARY:
This form is used by indigent offenders to request stationery and supplies needed to prepare legal mail and court documents. The form documents the offender's indigent status, the supplies provided (including paper, carbon paper, pens, and envelopes), associated costs, and tracks payment from the offender's account when funds become available. The form is maintained in the Offender Reference Library and retained locally for three years.

KEY_TOPICS: indigent legal supplies, legal mail, privileged mail, offender supplies, legal documentation, stationery request, carbon paper, typing paper, envelopes, pens, legal library, indigent status, offender account charges

ATTACHMENTS:
  1. Offender Miscellaneous Withdrawal Form
     URL: https://gps.press/sop-data/406.19-att-1/
  2. Request for Indigent Postage
     URL: https://gps.press/sop-data/406.19-att-2/
  3. Indigent Legal Supplies Request Form
     URL: https://gps.press/sop-data/406.19-att-3/
  4. Indigent Non-Legal Supplies Request Form
     URL: https://gps.press/sop-data/406.19-att-4/
  5. JPAY Release Card Request Form
     URL: https://gps.press/sop-data/406.19-att-5/
  6. JPAY Release Card Receipt Confirmation Form
     URL: https://gps.press/sop-data/406.19-att-6/

========================================================================
FULL TEXT:
========================================================================

SOP 406.19

Attachment 3

7/1/20


INDIGENT LEGAL SUPPLIES REQUEST FORM
(This form shall be maintained in the Offender Reference Library)


Offender Name: ___________________________________________Date: ____________________________

GDC I.D. No.____________________________ Building/Room Assignment No.________________

I am declaring that I am indigent. I am requesting that stationery items be provided to prepare privileged/legal mail. I
understand that, if funds are received in my account, I will be charged the current cost for these supplies and
authorize the Business Office to deduct funds from my account when such funds are available.

___________________________________________        __________________________________________
Offender’s Signature                                    Date Supplies are needed

**To: Business Office**

The above named offender has requested stationery to prepare privileged/legal documentation. Please advise me,
by phone, if this offender is declared indigent.

Is offender indigent?        Yes _______  No _______         Date _________________________

**TO:  Business Office                  FROM:  Legal Library**

The above named offender received the following supplies:

WEEKLY AUTHORIZED AMOUNT AMOUNT RECEIVED PRICES


Carbon Paper, Sheets              5           5  Carbon @  $  .10
Typing Paper, Sheets             20          20  Typing Paper @    .01
Pen, Monthly, exchange           1           1  Pen @    .10
Envelopes, 10" x 13"            ____         ____Envelopes @    .16
Envelopes, # 10                ____          ____Envelopes @    .02


Total:    $_______

__________________________                    __________________________
Received By (Offender’s Name)                    Issued By

_____________
Date Received

Offender Account Check No. Paid Amount

Written Off Date Amount


Retention Schedule: Upon completion, this form shall be retained locally for three (3) years and then destroyed.