N.H. Admin. Code § Cor 410.06 - Administrative Review Evaluation Form
(a) The
"Administrative Review Evaluation" form shall be used by classification staff
to document evaluations for residents placed in administrative review
status.
(b) The "Administrative
Review Evaluation" form shall contain:
(1)
The name of the resident;
(2) The
booking number of the resident;
(3)
The names of board members;
(4) The
sending facility and unit;
(5) The
current facility and unit;
(6) The
reason for placement in administrative review status;
(7) Documentation of 24-hour notice being:
a. Received;
b. Not received; or
c. Waived;
(8) Documentation of the resident being:
a. Present;
b. Absent; or
c. Attendance being waived;
(9) A summary of the
evaluation;
(10) Documentation of
witness statements being attached if applicable:
(11) The custody level recommendation of
either:
a. C-1;
b. C-2;
c. C-3;
d. C- 4; or
e. C-5;
(12) A housing recommendation of either:
a. NH state prison for men;
b. Northern NH correctional
facility;
c. NH correctional
facility for women;
d. Transitional
work center;
e. Transitional
housing unit;
f. Out-of-state;
or
g. County placement;
(13) The specific unit, county, or
state, if applicable;
(14) A
notation of any escape history;
(15) A notation of any public risk
concerns;
(16) Whether victim
notification is required;
(17) The
board chair's signature;
(18) The
warden or director's approval or denial;
(19) The reason for denial if
applicable;
(20) The facility
warden's signature if the review was protective custody related;
(21) The commissioner's approval or denial if
the result is a 2-step change in the resident's classification
status;
(22) The final decision of
the resident's:
a. Classification;
b. Housing; and
c. Time to next review;
(23) Instructions on how to appeal the
decision; and
(24) Notice that the
commissioner has the authorization to remove any resident from any approved
plan, at any custody level, at any time if in his or her opinion the placement
might jeopardize the safety, security, or orderly operation of any departmental
facility.
Notes
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