Interstate Corrections Compact STG Questionnaire Form

Oregon Department of Corrections

To maintain a safe and secure environment within the Idaho Department of Correction (IDOC), the classification, housing and transfer of offenders who are members, affiliates or associates
of security threat groups (STGs) or engage in this type of behavior, must be reviewed very closely.
To expedite the application process for this transfer request, please complete and fax this form to IDOC at [phone], as soon as possible. <Use the ‘Tab’ or ‘arrow’ keys to navigate
from one field to the next.
Offender Name:

Date of Birth:

Offender #

Please check the ‘yes’ or ‘no’ boxes to indicate the best answer to each question:
Has offender ever been involved in gang activity, STG activity, racial misconduct, or any other behavior that may pose a significant management concern?
Yes: No: <
If you marked ‘yes’, please provide details that describe your answer:

Is this offender now, or has this offender ever been, the subject or target of gang/STG violence or hits?
Yes: No: <
If you marked ‘yes’, please list all known enemies or groups that have posed these threats:

Is this offender currently identified with a gang or STG verified and documented as such within your agency?
Yes: No: <
If you marked ‘yes’, what is the name of the gang or STG? When was it verified?
Name:

Date Verified:

Is the offender currently incarcerated for a gang-related offense?
Yes: No: <
If you marked ‘yes’, please explain the circumstances:

Does your agency have a central gang/STG investigative unit or centralized gang/STG intelligence system?
Yes: No: <
If you marked ‘yes’, please provide a contact name and telephone number of this unit for further questions:
Your Name:

Your Title:

Your Phone No.:
(     )      
Date:

Thank you for providing us information which will assist us in determining the suitability of this offender for the IDOC. You may be contacted by the division intelligence coordinator
prior to final approval of this offender.
IDAHO DEPARTMENT OF CORRECTION
Interstate Corrections Compact Security Threat Group Questionnaire Form