SOP_NUMBER: 511.04-att-2
TITLE: Communication Release Form (Attachment 2 to IVN04-0001)
REFERENCE_CODE: IVN04-0001
DIVISION: Facilities
TOPIC_AREA: 511 Policy-Fire Services
EFFECTIVE_DATE: 2011-04-01
WORD_COUNT: 180
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105849
URL: https://gps.press/sop-data/511.04-att-2/

SUMMARY:
This is a release and consent form that inmates must sign to participate in any communications media activities. The form releases the GDC, the State Board of Corrections, media organizations, and their employees from liability related to an inmate's participation in media activities, including use of the inmate's name, image, voice, writings, and opinions. The form also grants these organizations the right to use any completed work incorporating the inmate's communications as they see fit.

KEY_TOPICS: communications release, inmate media participation, liability waiver, media consent, inmate rights, public communications, image release, voice recording, inmate writings, media interviews

ATTACHMENTS:
  1. Inmate Firefighter Waiver of Liability
     URL: https://gps.press/sop-data/511.04-att-1/
  2. Communication Release Form (Attachment 2 to IVN04-0001)
     URL: https://gps.press/sop-data/511.04-att-2/

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Revised 4/01/2011 Attachment 2
                               GDC-SOP IVN04-0001

           GEORGIA DEPARTMENT OF CORRECTIONS

             COMMUNICATION RELEASE FORM

   Agreement for release of civil and financial liability growing out
   of inmate participation in any form of communications media
   activity.

I, the undersigned, hereby release the State Board of Corrections and
the Department of Corrections, their agents and employees, any and all
forms of communications media, and their agents of employees from any
liability growing out of the use of my name, image, voice, writings,
opinions, or any other form of communications created by or attributed
to me.

I also release and give to any of the above persons or organizations
all right, title and interest in any completed work incorporating any
of the above uses of my name, voice, image, writings, opinions, or any
other form of communications created by or attributed to me.

   The above persons or organizations may use these items as it/they
   see fit including the right to transfer to assignees, who I also
   specifically herein release from any such liability.

__________________________________  ________________________________
Inmate Signature & Number       Staff Witness

__________________________________ _________________________________
Institution/Center           Date

cc: Institution
Inmate File

```