CDCR Forms

2169

Volunteer COCF transfer form

MDO 101

MDO evaluation form

7229-A
7229-B

A- inmate initial Death Report.
B- initial inmate Suicide Report.

CDCR form 837 series

The Departments initial written report to Central Office that an incident of department interest has occurred.

CDCR 837-C

Documents staff use of force in a crime/incident

CDCR form 1313-1
And 1313-2

(1313-1) The inmate has sustained a serious bodily injury or great bodily injury that could have been cause by staff use of force
(1313-2) The inmate has made an allegation of an unnecessary or excessive use of force.
This will be documented on a CDCR 131

SCIF-3067 form

Report of occupational injury or illness form.

SCIF-3301 form

State Compensation Insurance Fund Employee Claim for Workers Compensation Benefits form.

CDCR 8439 form

Department of Health Services Report of Requests and Decision for HIV testing in case of exposure to blood borne pathogens.

CDCR 1874 form

Reasonable Suspicion Checklist. For employees

CDCR 855 form

Request for Reasonable accommodation

CDCR 294

Interstate compact agreement

CDCR 802 form

Federal Prison System placement agreement

CJIS FORM 8046

Pre-Registration Notice

CJIS FORM 8047

Notice of Sex Offender Registration Requirement

CJIS FORM 8048

Notice of Narcotic Offender Registration Requirement

CJIS FORM 8049

Notice of Arson Offender Registration Requirement.

CDCR 1884 Form

Justification Referral sheet when a yes or maybe for SVP inmate is being referred less than six months to release.
There are two authorized exceptions to referring a case for evaluation with less than six months remaining to serve for SVP.
1. the inmate w