{
"sop_number": "409.04.28-att-1",
"old_code": "IVL01-0027",
"title": "Offender Alternative Entr\u00e9e Program Packaged Meal Participation Form",
"division": "Executive",
"topic_area": "409 Policy-GCI Food Service",
"effective_date": "2024-12-11",
"summary": "This form is the official sign-up document for offenders who wish to participate in the Alternative Entr\u00e9e Meal Program, which is available free of charge at Georgia Department of Corrections facilities. The form documents an offender's request to participate in pre-packaged vegan meal options (animal product-free, including Kosher vegan and Halal certified foods when available) and requires facility approval before participation begins. Offenders who attempt to pick up regular meal trays after signing up may face disciplinary action or removal from the program.",
"key_topics": [
"alternative entr\u00e9e meal program",
"vegan meals",
"dietary accommodations",
"offender meals",
"food service",
"meal plan participation",
"religious dietary needs",
"Halal meals",
"Kosher meals",
"facility meal options",
"disciplinary action"
],
"cross_references": [],
"content": "|Col1|Col2|Col3|Col4|Col5|Col6|Col7|Col8|Col9|Col10|Col11|Col12|Col13|Col14|Col15|Col16|Col17|Col18|Col19|Col20|Col21|Col22|Col23|\n|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|\n||Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
SOP 409.04.28
Attachment 1
12/11/24
**Offender Alternative Entr\u00e9e Program Packaged Meal**
**Participation Form**
The Alternative Entr\u00e9e Meal Program is available to all offenders free of charge. You are
required to sign up in advance if you would like to participate in the Alternative Entr\u00e9e Meal
Program.**This is the OFFICAL SIGN-UP FORM to PARTICIPATE**. If you choose to
participate in the Alternative Entr\u00e9e Program and are observed or caught trying to pick-up a
regular tray you can receive disciplinary action and/or be removed from the program. Once your
sign-up for the Alternative Entr\u00e9e Program we expect you to follow the instructions given by
your institution. If you decide that you no longer want to participate in the Alternative Entr\u00e9e
Meal Program, you will need to complete the Offender Alternative Entr\u00e9e Program Packed Meal
Removal Form.
**If you would like further information about the Alternative Entr\u00e9e Program, please review**
**SOP 409.04.28.**
**Alternative Entree Meal Options are not available at all sites; therefore, you may have to**
**be transferred:**
**PRE-PACKAGED AEP VEGAN MEAL PLAN** ______________
Animal Product Free (no eggs, dairy, or meat). Kosher vegan foods will be used in this Meal Program
Halal certified food will be utilized when available.
Please complete in detail the second page of this document. Once completed please submit request to
your facility\u2019s designee. Then the request will be submitted for the approval process. If approved, you
will be notified, and the meal plan process explained. Participation in the program may not occur until the
approval process is completed.
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________
||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n\n\n|Col1|Col2|Col3|Col4|Col5|Col6|Col7|Col8|Col9|Col10|Col11|Col12|Col13|Col14|Col15|Col16|Col17|Col18|Col19|Col20|Col21|Col22|Col23|\n|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|\n||Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________|Retention Schedule: Upon completion, this form shall be kept in a local filing area in Food Service for one (1) year
in an active file and shall be kept five (5) years in an inactive file, then destroyed; a copy will placed in the
offender\u2019s institutional file.
409.04.28
Attachment 1
10/13/24
**Offender Alternative Entr\u00e9e Packaged Meal Program**
**Participation Form Addendum**
Please answer the following questions with as much detail as possible. If additional space is needed,
please use the backside and/or attach additional sheets. This form must be attached to the Official
Alternative Entr\u00e9e Program Packaged Meal Participation Form if you wish to be considered for the
Program. Please attach any additional supporting information. This information will be reviewed within
two (2) business days. The offender will be notified after the participation form has been reviewed and
approved or denied.**If you would like further information about the Alternative Entr\u00e9e Program,**
**please review SOP 409.04.28.**
**1. Religious Affiliation: ___________________________________________________**
**2. Years Practicing Religion: ______________________________**
**3. List your Religious Dietary Beliefs/Restrictions:**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**4. Please explain why the Georgia Department of Corrections Regular Meal Program does not**
**meet the requirements of Religious Dietary Beliefs/Restrictions?**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**5. Please attached and/or note any references such as books, web sites, etc. that would support/**
**document your statements.**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
**_________________________________________________________________________________**
Offender Name: ___________________________________ GDC#: __________________
Date Request Completed: _________________________
Date Request Received: ___________________________
Signature of Receipt: ______________________________________ (Facility Designee)
Print Name/Title: ______________________________________________
Request Approved or Denied: ________________________||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||\n||||||||||||||||||||||||",
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