Article 2 – Case Considerations
61020.20.1 Identifying Information
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CDC Number (Boxes 1-6)
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At the bottom of the CDC Form 841, enter the CDC number for the inmate in Boxes 1-6 as obtained from the Legal Status Summary.
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Print the letter prefix (for example P or W) in the first box. Enter a number in each of the remaining five boxes, Boxes 2-6, always ending in Box 6. Be certain not to enter the letter in the number boxes. Example: P-45678 P 4 5 6 7 8
P 4 5 6 7 8
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Inmate’s Last Name (Boxes 7-11)
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Print the first eight letters of the inmate’s last name in CAPITAL BLOCK letters. Do not use lowercase or written script letters. Letterboxes are left-hand justified. Begin at the left and print only one letter of the name in each box. Any empty boxes shall be on the right.
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If the name consists of more than eight letters, simply enter the first eight letters. Although eight boxes are provided on the score sheet, the database captures only the information in Boxes 7-11 or the first five letters entered. For names with less than eight letters, leave empty the remaining boxes to the right. If the last name is two words, run the words together. Do not leave an empty box in between letters. Example:
Mac KnightM A C K N I G H
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Date Received This Incarceration (Boxes 12-17)
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When it is determined that an inmate is to be scored on a CDC Form 841, the Date Received This Incarceration is the date that the inmate was received in the RCReception Centers. Enter the date in the boxes. A zero need not be entered in front of single digit months or days, but is entered as part of the two digits entered for the year, when applicable.
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For an inmate who refuses to sign conditions of parole and whose parole is revoked by the BPHBoard of Parole Hearings (formerly Board of Prison Terms), the Date Received This Incarceration is the date that the BPHBoard of Parole Hearings (formerly Board of Prison Terms) identifies as the date the inmate was returned to custody as posted on the CDC Form 112.
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When a parole violator is returned from parole to an institution other than a reception center (e.g., to provide immediate medical care), the Date Received This Incarceration is the date that the inmate is received at that institution.
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If a PVRTCParole Violator Return To Custody later becomes a PVWNTParole Violator Returned With New Term, the Date Received This Incarceration does not change.
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If the inmate was received in the RCReception Centers as a PVWNTParole Violator Returned With New Term, use the date that the PVWNTParole Violator Returned With New Term is received in the RCReception Centers.
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The Date Received This Incarceration is the Review Period Beginning Date for the PVWNTParole Violator Returned With New Term or PVRTCParole Violator Return To Custody’s first six-month review period for this incarceration.
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Date of Last Score Sheet (Boxes 18-23)
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Enter the date of the most recent score sheet in the central file. Use the Date of the Last Score Sheet to identify the most recent score sheet and organize score sheets in chronological order to prevent tracking errors and ensure continuity.
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County of Last Legal Residence (CLLRCounty of Last Legal Residence) (Boxes 24-26)
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Print the most current CLLRCounty of Last Legal Residence, for a PVRTCParole Violator Return To Custody or PVWNTParole Violator Returned With New Term as recorded in the parole violation report, BPHBoard of Parole Hearings (formerly Board of Prison Terms) action, and/or court documents.
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Print the two or three letter OBISOffender Based Information System code for the county name in Boxes 24-26.
ALA Alameda ORA Orange ALP Alpine PLA Placer AMA Amador PLU Plumas BUT Butte RIV Riverside CALCalipatria State Prison Calaveras SACCalifornia State Prison, Sacramento Sacramento CCCorrectional Counselor Contra Costa SB Santa Barbara COL Colusa SBD San Bernadino DN Del Norte SBT San Benito ED El Dorado SCL Santa Clara FRE Fresno SCR Santa Criz GLE Glenn SD San Diego HUM Humboldt SF San Francisco IMP Imperial SHA Shasta INY Inyo SIE Sierra KER Kern SIS Siskiyou KIN Kings SJ San Joaquin LA Los Angeles SKI San Luis Obispo LAK Lake SM San Mateo LAS Lassen SOLCalifornia State Prison, Solano or Statute of Limitations Solano MAD Madera SON Sonoma MARMaster Assignment Roster Marin STA Stanislaus MEN Mendocino SUT Sutter MER Merced TEH Tehama MNO Mono TRI Trinity MODMedical Officer of the Day Modoc TUL Tulare MON Monterey TUO Tuolumne MPA Mariposa VEN Ventura NAP Napa YOL Yolo NEV Nevada YUB Yuba
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Form Identification (Boxes 27-35)
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At the top of the CDC Form 841, three blank boxes are labeled “New,” “Correction,” and “Delete.” Print an “X” in the appropriate box.
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Print an “X” in the “New” box (Box 27) if a new CDC Form 841 is being prepared.
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Print an “X” in the “Correction” box (Box 28) if the form is being completed as a correction to a previously submitted CDC Form 841. Enter the date of the correction in Boxes 29-34.
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Print an “X” in the “Delete” box (Box 35) when a previously submitted CDC Form 841 was completed for an inmate in error and is to be deleted.
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Additional information regarding preparation of “correction” and “deletion” documents is provided in DOMDepartment Operations Manual §§ 61020.20.9 and 61020.20.10.