I 162 Form PDF Details

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QuestionAnswer
Form NameI 162 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesi162, call telephone tdcj, offender texas application form, texas telephone application get

Form Preview Example

TEXAS DEPARTMENT OF CRIMINAL JUSTICE

Attorney/Inmate Telephone Call Application

ATTORNEY INSTRUCTIONS

•Complete Sections I and II, except for information fields marked with an asterisk (*).

•Fax completed form to inmate’s unit of assignment. Include with fax a legible copy of your attorney bar card and driver license.

•Confirm application approval and procedures with inmate’s unit of assignment the business day prior to the requested telephone call.

NOTE: Eligible inmates shall be permitted to place calls to their attorney(s) of record, using the Inmate Telephone System (OTS), once the attorney has successfully registered, in accordance with ED-03.32.

If you have any questions regarding the completion of this form, please contact the inmate’s unit of assignment.

I.INMATE IDENTIFICATION

Name:

 

 

 

 

 

TDCJ #:

 

*Unit:

.

 

*Custody Status:

 

*Housing Location:

 

 

 

*Job Assignment:

 

 

 

.

Requested Date and Time of Collect Telephone Call:

 

 

 

 

 

 

.

 

II.ATTORNEY INFORMATION

Name:

 

 

 

State Bar No.:

Address:

 

 

 

 

Telephone No.:

 

Fax No.:

(This number must be listed with the State bar association and accept collect calls)

.

.

.

Attorney Affirmation: I have an existing attorney-client or ____attorney-witness relationship with the inmate identified in this

application. I understand that the confidential telephone call, for which I am applying, may not be used to accomplish any non- attorney-client or non-attorney-witness communication. In order to facilitate this telephone call application, my client has my

permission to call me collect at the above telephone number.

Reason a personal visit or correspondence could not be used in lieu of a phone call:.

__________________________________________________________________________________________________________

Attorney Signature:

 

Date:

 

.

III.TDCJ UNIT INFORMATION (Official Use Only)

Approved Date and Time of Collect Telephone Call:

Method used to verify attorney’s identity:

□ State Bar – State:

 

 

□ State Bar Online – State

 

□ Other:

Copy of Bar Card Attached:

Yes □ No □

Copy of Driver License Attached: Yes □ No □

.

.

Authorization for an attorney/inmate telephone call will be made by the unit Access to Courts Supervisor or designee.

ATC APPROVED:

Yes □ No □

Date:

.

 

 

 

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

 

Printed Name:

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason not approved:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

Approval for an attorney/inmate telephone call must be made by a Major or higher.

 

 

 

 

 

UNIT APPROVED:

Yes □

No □

 

Date:

.

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

 

Printed Name:

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason not approved:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was call completed? Yes □ No □

 

Date:

 

 

 

 

 

Start time:

 

 

 

 

AM/PM End Time:

 

AM/PM

If call was not completed, why?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

Employee Signature:

 

 

 

 

 

 

 

 

 

 

Printed Name:

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cc:Inmate’s Unit File

Unit Access to Courts Supervisor

I-162

(rev. 03/2021)

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