Cdcr 602 Form PDF Details

The California Department of Corrections and Rehabilitation (CDCR) 602 form is a required document for all inmates seeking parole. This document, also known as the Inmate Parole Request (IPR) form, outlines the inmate's criminal history, rehabilitation efforts, and other relevant information. In order to complete the CDCR 602 form accurately, an inmate must have a detailed understanding of his or her criminal record. This blog post provides an overview of the CDCR 602 form and explains how to correctly fill it out.

QuestionAnswer
Form NameCdcr 602 Form
Form Length2 pages
Fillable?Yes
Fillable fields51
Avg. time to fill out10 min 46 sec
Other namesca cdcr 602, cdcr form 602, cdcr 602 appeal form, use cdcr only

Form Preview Example

STATE OF CALIFORNIA

INMATE/PAROLEE APPEAL

CDCR 602 (REV. 08/09)

IAB USE ONLY

DEPARTMENT OF CORRECTIONS AND REHABILITATION

 

 

 

Side 1

 

 

 

 

 

 

Institution/Parole Region:

Log #:

Category:

 

 

____________________

_____________________

_________

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR STAFF USE ONLY

 

 

 

 

 

 

 

You may appeal any California Department of Corrections and Rehabilitation (CDCR) decision, action, condition, policy or regulation that has a material adverse effect upon your welfare and for which there is no other prescribed method of departmental review/remedy available. See California Code of Regulations, Title 15, Section (CCR) 3084.1. You must send this appeal and any supporting documents to the Appeals Coordinator (AC) within 30 calendar days of the event that lead to the filing of this appeal. If additional space is needed, only one CDCR Form 602-A will be accepted. Refer to CCR 3084 for further guidance with the appeal process. No reprisals will be taken for using the appeal process.

Appeal is subject to rejection if one row of text per line is exceeded.

WRITE, PRINT, or TYPE CLEARLY in black or blue ink.

Name (Last, First):

CDC Number:

Unit/Cell Number:

 

 

 

State briefly the subject of your appeal (Example: damaged TV, job removal, etc.):

A.Explain your issue (If you need more space, use Section A of the CDCR 602-A):_________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

B.Action requested (If you need more space, use Section B of the CDCR 602-A): __________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Supporting Documents: Refer to CCR 3084.3.

Yes, I have attached supporting documents.

List supporting documents attached (e.g., CDC 1083, Inmate Property Inventory; CDC 128-G, Classification Chrono):

_____________________________________________ _____________________________________________

_____________________________________________ _____________________________________________

No, I have not attached any supporting documents. Reason :____________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Inmate/Parolee Signature: _______________________________________ Date Submitted: ____________________

By placing my initials in this box, I waive my right to receive an interview.

Assignment:

S T A F F U S E O N L Y

C. First Level - Staff Use Only

Staff – Check One: Is CDCR 602-A Attached?

Yes

No

This appeal has been:

Bypassed at the First Level of Review. Go to Section E.

Rejected (See attached letter for instruction) Date: ________________ Date: _______________ Date: ________________ Date: ________________

Cancelled (See attached letter) Date: ________________

Accepted at the First Level of Review.

Assigned to: ________________________________________ Title: ________________ Date Assigned: _____________ Date Due:________________

First Level Responder: Complete a First Level response. Include Interviewer’s name, title, interview date, location, and complete the section below.

Date of Interview: ___________________________ Interview Location: ______________________________________________

Your appeal issue is:

Granted

Granted in Part

Denied

Other: __________________________________________________

See attached letter. If dissatisfied with First Level response, complete Section D.

Interviewer: ____________________________ Title: ___________ Signature: _________________________________ Date completed:_____________

(Print Name)

Reviewer: _____________________________ Title: ___________ Signature: _________________________________

(Print Name)

Date received by AC:______________

AC Use Only

Date mailed/delivered to appellant ____ / ____ / ____

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

INMATE/PAROLEE APPEAL

 

CDCR 602 (REV. 08/09)

Side 2

 

 

 

D. If you are dissatisfied with the First Level response, explain the reason below, attach supporting documents and submit to the Appeals Coordinator for processing within 30 calendar days of receipt of response. If you need more space, use Section D of the CDCR 602-A.

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Inmate/Parolee Signature: _________________________________________________________ Date Submitted :____________________________

E. Second Level - Staff Use Only

Staff – Check One: Is CDCR 602-A Attached?

This appeal has been:

Yes

No

By-passed at Second Level of Review. Go to Section G.

Rejected (See attached letter for instruction) Date: ________________ Date: ________________ Date: ________________ Date: _______________

Cancelled (See attached letter) Accepted at the Second Level of Review

Assigned to: ______________________________ Title: ______________ Date Assigned: _________________ Date Due: ________________________

Second Level Responder: Complete a Second Level response. If an interview at the Second Level is necessary, include interviewer’s name and title, interview date and location, and complete the section below.

Your appeal issue is:

Date of Interview: ____________________________

Granted

Granted in Part

Denied

Interview Location: ________________________________________

Other: ________________________________________________

See attached letter. If dissatisfied with Second Level response, complete Section F below.

Interviewer: ____________________________ Title: _______________ Signature: ______________________________ Date completed :___________

(Print Name)

Reviewer: _____________________________ Title: _______________ Signature: ______________________________

(Print Name)

Date received by AC: ____________________

AC Use Only

Date mailed/delivered to appellant ____ /____ /____

F.If you are dissatisfied with the Second Level response, explain reason below; attach supporting documents and submit by mail for Third Level Review. It must be received within 30 calendar days of receipt of prior response. Mail to: Chief, Inmate Appeals Branch, Department of Corrections and Rehabilitation, P.O. Box 942883, Sacramento, CA 94283-0001. If you need more space, use Section F of the CDCR 602-A.

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Inmate/Parolee Signature: ____________________________________________________________ Date Submitted: _______________________

G. Third Level - Staff Use Only

 

 

 

 

This appeal has been:

 

 

 

 

Rejected (See attached letter for instruction) Date: ___________

Date: ___________ Date: ___________

Date: __________ Date: ___________

Cancelled (See attached letter) Date: _________________

 

 

 

 

Accepted at the Third Level of Review. Your appeal issue is

Granted

Granted in Part

Denied

Other: ________________________

See attached Third Level response.

 

 

 

 

 

 

 

Third Level Use Only

 

 

 

Date mailed/delivered to appellant ____ /____ /____

 

 

 

 

 

Request to Withdraw Appeal: I request that this appeal be withdrawn from further review because; State reason. (If withdrawal is conditional, list conditions.)

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

________________________________________ Inmate/Parolee Signature: ___________________________________________ Date:______________

Print Staff Name: __________________________Title: ________________ Signature:___________________________________ Date:______________

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This document will require specific information; to guarantee correctness, please pay attention to the subsequent suggestions:

1. Whenever filling out the use cdcr only, be certain to incorporate all of the needed blanks in their corresponding form section. This will help speed up the work, allowing for your information to be processed swiftly and correctly.

Part no. 1 in filling in cdcr forms

2. The third step is to fill in all of the following blank fields: InmateParolee Signature Date, By placing my initials in this box, C First Level Staff Use Only This, Staff Check One Is CDCR A Attached, Yes, Bypassed at the First Level of, Assigned to Title Date Assigned, First Level Responder Complete a, Date of Interview Interview, Your appeal issue is, Granted, Granted in Part, Denied, Other, and See attached letter If.

Completing segment 2 of cdcr forms

3. This step is generally straightforward - complete all the blanks in D If you are dissatisfied with the, for processing within calendar, InmateParolee Signature Date, E Second Level Staff Use Only, Yes, This appeal has been, Bypassed at Second Level of Review, Assigned to Title Date Assigned, Second Level Responder Complete a, interview date and location and, Date of Interview Interview, Your appeal issue is, Granted, Granted in Part, and Denied in order to complete this part.

Stage # 3 in filling out cdcr forms

In terms of Your appeal issue is and Assigned to Title Date Assigned, be certain you review things in this section. Both these could be the key ones in the form.

4. To go onward, this section requires filling out a handful of blanks. Included in these are F If you are dissatisfied with the, InmateParolee Signature Date, G Third Level Staff Use Only, This appeal has been, Rejected See attached letter for, Other, Granted in Part, Granted, Denied, See attached Third Level response, T Third Level Use Only, Date maileddelivered to appellant, Request to Withdraw Appeal I, InmateParolee Signature Date, and Print Staff Name Title Signature, which are integral to carrying on with this process.

Filling out section 4 of cdcr forms

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