SOP 406.19-att-5: JPAY Release Card Request Form

Division:
Administrative & Finance
Effective Date:
July 1, 2020
Topic Area:
406 Policy-Administration and Finance
PowerDMS:
View on PowerDMS
Length:
434 words

Summary

This form is used by GDC facilities to request JPay release cards for offenders who are being released and will have funds and/or receive Release Gratuity Funds. Facilities must submit the completed form to the Consolidated Banking Unit with offender information including GDC number, name, RPID, release date, and gratuity status. The form must be submitted timely prior to the release date and can be faxed or emailed to the CBU.

Key Topics

  • release card
  • JPay
  • release gratuity
  • offender funds
  • release procedure
  • banking
  • inmate money
  • release card request
  • offender release
  • gratuity funds
  • banking unit

Full Text

SOP 406.19
Attachment 5

7/1/20

|Release Card Request Form|Col2|Col3|Col4|Col5|Col6|Col7|
|---|---|---|---|---|---|---|
|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|Please complete this form and submit to the Cons. Banking Unit for all instances of release that will have
funds and/or will be receiving Release Gratuities Funds. Please do not include offenders that will not
receive a release card.|
|FACILITY :|FACILITY :||||||
|CONTACT
PERSON:|CONTACT
PERSON:||||||
|DATES OF
RELEASES:|DATES OF
RELEASES:||||||
|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|(ALL FIELDS MUST BE COMPLETED WHEN SUBMITTED)|
|Release
Date|
GDC#|
GDC#|Offender
Last Name|Offender
First Name|
RPID#|
Gratuity(y or n)|
|Example:
01/01/2012|Example:
1234567|Example:
1234567|Example:
Smith|Example:
John|Example:
123456|Example:
Y|
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Please fax to Consolidated Banking Unit (CBU) @ 478-992-6317. This form can also be scanned and emailed
to “OFFENDERPAYMENTS@dcor.state.ga.us”. All releases should be submitted timely and will be processed by release
date. In the event of an unexpected release, notify your CBU contact person.

Retention Schedule: Upon completion, this form shall be scanned and maintained electronically for five (5) years on
the CBU server.

Attachments (6)

  1. Offender Miscellaneous Withdrawal Form (199 words)
  2. Request for Indigent Postage (127 words)
  3. Indigent Legal Supplies Request Form (197 words)
  4. Indigent Non-Legal Supplies Request Form (144 words)
  5. JPAY Release Card Request Form (434 words)
  6. JPAY Release Card Receipt Confirmation Form (117 words)
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