SOP_NUMBER: 406.19-att-6
TITLE: JPAY Release Card Receipt Confirmation Form
DIVISION: Administrative & Finance
TOPIC_AREA: 406 Policy-Administration and Finance
EFFECTIVE_DATE: 2020-07-01
WORD_COUNT: 117
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/359609
URL: https://gps.press/sop-data/406.19-att-6/

SUMMARY:
This form documents the receipt and activation of a JPay debit release card given to an offender upon scheduled release from a GDC facility. The form captures offender identification information, card activation details, and requires signatures from both business office staff and the releasing offender to confirm receipt of the card and verification of the mailing address. The form must be retained locally for three years after completion.

KEY_TOPICS: JPay debit card, release card, offender release, debit card activation, release processing, release card receipt, offender discharge, business office, releasing officer, PIN assignment

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/

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FULL TEXT:
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SOP 406.19

Attachment 6
7/1/20
# **JPAY RELEASE CARD RECEIPT CONFIRMATION FORM** Scheduled Release Date: _________________________________________


RELEASING FACILITY ______________________________________


OFFENDER GDC ID ______________________________________


OFFENDER LAST NAME ______________________________________


OFFENDER FIRST NAME ______________________________________


J PAY CARD R P I D# _______________________________________


OFFENDER’S MAILING ADDRESS _____________________________________________________________________


______________________________________________________________________


DATE DEBIT CARD WAS ACTIVATED ________________________________


______________________________________________________________________
PRINTED NAME OF BUSINESS OFFICE STAFF THAT PROCESSED THE DEBIT CARD


________________________________________________________________ _______________________
SIGNATURE OF BUSINESS OFFICE STAFF THAT PROCESSED THE DEBIT CARD DATE PROCESSED

SIGNATURE OF OFFENDER ______________________________________________ __________________________
I acknowledge that I received my Debit Release Card, and the address provided above is correct DATE
OFFENDER SHOULD CALL NUMBER ENCLOSED TO ASSIGN DEBIT CARD PIN NUMBER***

_______________________________________________________
PRINTED NAME OF RELEASING OFFICER

______________________________________________________
SIGNATURE OF RELEASING OFFICER


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