Disciplinary Request for Staff Hearing Assistant

IDAHO DEPARTMENT OF CORRECTION
Request for Staff Hearing Assistant
Name: Inmate #:
Date: Living unit:
I request a staff hearing assistant for the following reasons:
I request the staff hearing assistant obtain written witness statements from the following people:
Witness Name IDOC # Facility/Unit Relevance of Witness
1.
2.
3.
4.
1 request that the staff hearing assistant help with the following:
Disciplinary Hearing Officer Use Only
Staff hearing assistant assigned: ❑ Yes ❑ No
❑ Staff hearing assistant is authorized to collect witness statements only and will not attend the
hearing.
Name of staff hearing assistant:
If no, the reason is:
Witness #1 allowed Yes No If not allowed, reason:
Witness #2 allowed Yes No If not allowed, reason:
Witness #3 allowed Yes No If not allowed, reason:
Witness #4 allowed Yes No If not allowed, reason:
Comments:
DHO signature and associate number Date
318.02.01.001
(Last updated 05/18/2017)