Transportation Hold Request

IDAHO DEPARTMENT OF CORRECTION
Transportation Hold Request Form
Offender Information
Offender's Name: IDOC #:
Facility: --Select--
Hold Information
Initiator's Name:
In accordance with standard operating procedure 322.02.01.003, Holds, Cautions, Concerns,
and Considerations: Offender, I am requesting the following transportation hold on the above
named offender:
❑ Civil Commitment ❑ Parole Hearing Schedule
❑ Facility Hold ❑ Sex Offender Treatment Program Participant
❑ Medical Hold ❑ Therapeutic Community Program Participant
❑ Mental Health Hold ❑ Vocational Program Participant
❑ Parole Hearing Officer Interview ❑ Other (written justification is required for this selection)
Hold Start Date: Hold End Date:
Comments:
When completed, submit this form to the Offender Placement Group (as identified in the Novell
GroupWise address book)
Offender Placement Group Use Only
Comments (if needed):
CIS data entry completed by: Date:
(Print Name)
Appendix A
322.02.01.003
(Appendix last updated 7/14/11 )