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IDAHO DEPARTMENT OF CORRECTION <br /> Other Caution Request Form <br /> Offender Information <br /> Offender's Name: IDOC #: <br /> Facility: --Select-- <br /> Caution Information <br /> Initiator's Name: <br /> In accordance with standard operating procedure 322.02.01.003, Holds, Cautions, Concerns, <br /> and Considerations: Offender, I am requesting the following caution on the above named <br /> offender: <br /> ❑ At-risk Offender (PREA) ❑ Predatory Offender (PREA) <br /> ❑ No Contact Order ❑ Staff Compromise <br /> ❑ Offender-to-Offender Correspondence ❑ Other (written justification is required for this selection) <br /> ❑ Persistent Sexual Activity (PREA) <br /> Caution Start Date: Caution End Date: <br /> Comments: <br /> When completed, submit this form to the Offender Placement Group (as identified in the Novell <br /> GroupWise address book). <br /> Offender Placement Group Use Only <br /> Comments (if needed): <br /> CIS data entry completed by: Date: <br /> (Print Name) <br /> Appendix D <br /> 322.02.01.003 <br /> (Appendix last updated 7/14/11 ) <br />