Get California Alternative Custody Form

Get California Alternative Custody Form

The California Alternative Custody form is designed for inmates who wish to participate in the Alternative Custody Program (ACP). This voluntary program allows eligible individuals to serve their time in a more supportive environment, such as a personal residence or treatment facility, rather than in prison. By promoting family reunification and personal development, the ACP aims to address the unique needs of inmates while providing them with a chance to reintegrate into society.

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Structure

The California Alternative Custody Program (ACP) represents a significant shift in how the state addresses the needs of certain inmates. This voluntary initiative emphasizes the importance of parenting, family reunification, and the development of essential life skills while also catering to individual treatment requirements. Through the ACP, eligible inmates have the opportunity to serve their time outside of traditional prison walls, residing instead in personal homes, transitional care facilities, or specialized residential drug and treatment programs. The application process requires inmates to meet specific eligibility criteria as outlined in the California Code of Regulations, ensuring that placements are made judiciously and with consideration for bed availability. Inmates must acknowledge their understanding of the program’s rules and regulations, which are firmly rooted in the state's correctional policies. Furthermore, participants must be aware that their involvement in the ACP is contingent upon compliance, as any violation may result in their return to prison to complete their original sentence. The form itself captures essential information about the inmate, including their housing preferences and contact details, while also facilitating necessary assessments by correctional staff and parole agents. This comprehensive approach not only promotes rehabilitation but also seeks to create a supportive environment for inmates and their families.

California Alternative Custody Preview

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

ACP APPLICATION AND VOLUNTARY AGREEMENT

CDCR 2234 (07/12)

The Alternative Custody Program (ACP) is a voluntary program that promotes parenting, family reunification and the development of life skills while addressing treatment needs. The ACP allows inmates to be housed in a personal residence, a transitional care facility or a residential drug or treatment program instead of serving time in prison. I understand placement into the ACP is based upon meeting specific eligibility criteria and the California Department of Corrections and Rehabilitation has the authority for final placement approval based on bed availability and other factors. While participating in the ACP, I will be subject to applicable rules and regulations governing inmates pursuant to the California Code of Regulations (CCR), Title 15, Division 3. I understand I may be removed from the ACP and returned to prison to serve the remainder of my original sentence for any reason, with or without cause.

I. TO BE COMPLETED BY INMATE

I meet the criteria set forth in the CCR Title 15, section 3078.2 including the following: (Check all that apply)

I am a female

(Select one)

 

 

I have private medical insurance. OR

I agree to apply for any county, state or federal medical coverage for which I may qualify.

 

 

 

 

 

 

I request to reside at the following location:

 

Private Residence

My private residence is located at:

 

(Include street address, city, county and zip code)

 

 

(I understand my residence must have no aggressive animals, no weapons, unobstructed access by law enforcement and will be verified by a Parole Agent.)

The contact person at the above address is:

My relationship to the contact person is:

The contact person’s telephone number is:

Residential Drug or Treatment Program or Transitional Care Facility

I understand that my signature on this document indicates my willingness to voluntarily participate in the ACP.

CDC NUMBER

INMATE NAME (PRINTED)

INMATE SIGNATURE

DATE SIGNED

HOUSING UNIT

II. FOR USE BY INSTITUTION COUNSELING STAFF

Does the participant have a qualifying disability requiring effective communication?

Yes

No

If yes, cite the source document and/or observation(s):

___________________________________________________________________

What type of accommodation/assistance was provided to achieve effective communication to the best of the inmate’s ability?

COUNTY OF LAST LEGAL RESIDENCE

COUNTY OF COMMITMENT

INSTITUTION

EPRD

INMATE

INMATE

REASON, IF INELIGIBLE

 

 

 

 

 

 

 

ELIGIBLE

INELIGIBLE

 

 

 

 

 

 

 

 

 

 

CORRECTIONAL COUNSELOR NAME (PRINT)

CORRECTIONAL COUNSELOR SIGNATURE

DATE SIGNED

PHONE NUMBER

 

 

 

 

 

 

III. FOR USE BY ACP PROGRAM MANAGER

ACP PROGRAM NAME

ACP PROGRAM ADDRESS

PHONE NUMBER

ASSIGNED PAROLE UNIT

IV. FOR USE BY PAROLE UNIT

DISTRICT/UNIT

 

RECEIVING AGENT ASSIGNED TO INVESTIGATE

 

 

 

COMMENTS:

 

 

 

 

 

 

 

 

 

DATE ASSIGNED

DATE DUE

AGENT’S RECOMMENDATION

 

 

 

 

 

 

 

Proposed residence meets criteria

Yes

No

 

PAROLE AGENT NAME (PRINT)

PAROLE AGENT SIGNATURE

 

DATE SIGNED

 

 

 

 

 

 

 

 

 

 

UNIT SUPERVISOR APPROVAL

 

 

 

PHONE NUMBER

 

COMMENTS:

Concur with agent’s recommendation

Yes

No

 

 

 

 

 

UNIT SUPERVISOR NAME (PRINT)

UNIT SUPERVISOR SIGNATURE

 

DATE SIGNED

 

 

 

 

 

 

UPON COMPLETION OF PRIVATE RESIDENCE VERIFICATION - RETURN THIS FORM TO THE SENDING INSTITUTION C&PR OFFICE

 

 

 

 

 

 

*EPRD means Earliest Possible Release Date

 

 

 

 

Distribution: Original to c-file; copy to inmate

Document Data

Fact Name Description
Program Purpose The Alternative Custody Program (ACP) aims to support parenting, family reunification, and the development of life skills while addressing treatment needs for inmates.
Housing Options Inmates can serve their time in a personal residence, a transitional care facility, or a residential drug or treatment program instead of a traditional prison setting.
Eligibility Criteria Placement in the ACP is contingent upon meeting specific eligibility requirements outlined in the California Code of Regulations (CCR), Title 15, section 3078.2.
Authority for Placement The California Department of Corrections and Rehabilitation holds the authority for final placement approval, which is based on bed availability and various other factors.
Removal from Program Participants can be removed from the ACP and returned to prison to serve their original sentence for any reason, with or without cause.

How to Use California Alternative Custody

Completing the California Alternative Custody form is an important step in the process of applying for the Alternative Custody Program. After filling out the form, it will be reviewed by the appropriate authorities to determine eligibility. Make sure all sections are completed accurately to avoid delays.

  1. Obtain the form: Make sure you have the correct version of the California Alternative Custody form (CDCR 2234).
  2. Fill in your personal information: Write your full name, CDCR number, and housing unit at the top of the form.
  3. Check eligibility criteria: In the first section, check all boxes that apply to you, including gender and medical insurance status.
  4. Provide residence details: Indicate whether you wish to reside at a private residence, a residential drug or treatment program, or a transitional care facility. If you choose a private residence, include the full street address, city, county, and zip code.
  5. Identify a contact person: Write the name, relationship, and phone number of the contact person at your chosen residence.
  6. Sign and date the form: At the bottom of the form, sign your name and write the date you are signing.
  7. Submit the form: Once completed, return the form to the appropriate institution or counseling staff for further processing.

Key Facts about California Alternative Custody

What is the California Alternative Custody Program (ACP)?

The California Alternative Custody Program (ACP) is a voluntary initiative designed to support inmates in developing essential life skills, fostering family reunification, and promoting responsible parenting. Instead of serving time in a traditional prison setting, eligible inmates may be placed in a personal residence, transitional care facility, or a residential drug or treatment program. This approach not only addresses the treatment needs of inmates but also helps them reintegrate into society more effectively.

Who is eligible to participate in the ACP?

Eligibility for the ACP is determined by specific criteria outlined in the California Code of Regulations (CCR), Title 15, section 3078.2. Generally, female inmates may qualify if they meet certain conditions, such as having private medical insurance or agreeing to apply for medical coverage. Additionally, the proposed residence must comply with safety regulations, including the absence of aggressive animals and weapons. Each application is subject to review and final approval by the California Department of Corrections and Rehabilitation based on bed availability and other factors.

What are the rules and regulations while participating in the ACP?

Inmates participating in the ACP must adhere to the rules and regulations set forth by the California Code of Regulations (CCR), Title 15, Division 3. This includes following all guidelines applicable to inmates, which may encompass curfews, reporting requirements, and restrictions on certain activities. Failure to comply with these regulations can result in removal from the program and a return to prison to serve the remainder of the original sentence.

Can an inmate be removed from the ACP once accepted?

Yes, an inmate can be removed from the ACP for various reasons, with or without cause. The program is designed to be flexible, but it also holds participants accountable for their behavior and adherence to the program's rules. If an inmate fails to meet the established criteria or violates any regulations, they may be returned to prison to complete their sentence.

What is the process for applying to the ACP?

To apply for the ACP, an inmate must complete the Alternative Custody form, indicating their willingness to participate voluntarily. This includes providing personal information, details about the proposed residence, and contact information for a person at that address. Once the application is submitted, it undergoes a review process by institution counseling staff and the ACP program manager. The assigned parole unit will also investigate the proposed residence to ensure it meets the necessary criteria before final approval is granted.

Common mistakes

Completing the California Alternative Custody form can be a straightforward process, but there are common mistakes that individuals often make. One frequent error involves failing to provide accurate and complete information about the proposed residence. This section requires the street address, city, county, and zip code. Omitting any part of this information can lead to delays or even denial of the application. It is crucial to double-check that all details are correct and that the residence meets the necessary criteria, such as having unobstructed access for law enforcement.

Another mistake is neglecting to include a contact person at the proposed residence. This person plays a vital role in the application process, as they may need to verify the living situation. Not only should the contact person’s relationship to the inmate be clearly stated, but their telephone number must also be provided. Incomplete or inaccurate contact details can hinder the verification process, which is essential for approval.

Many applicants also overlook the importance of checking all eligibility criteria boxes on the form. The section that asks inmates to confirm they meet specific criteria must be carefully reviewed. Each applicable box should be checked, as failing to do so can result in an application being deemed incomplete. This oversight can lead to unnecessary delays in processing the request, impacting the inmate's potential placement in the program.

Lastly, some individuals forget to sign and date the form. The inmate’s signature is a critical component that indicates their willingness to participate in the Alternative Custody Program. Without this signature, the application cannot proceed. Additionally, ensuring that the date is included is important for tracking purposes. A missing signature or date can cause the application to be returned or delayed, complicating the process further.

Documents used along the form

The California Alternative Custody Program (ACP) form is often accompanied by several other important documents that help facilitate the application process and ensure compliance with program requirements. Below is a list of six commonly used forms and documents that are integral to the ACP process.

  • Inmate Application for Alternative Custody (CDCR 2235) - This form is used to formally apply for participation in the ACP. It collects personal information about the inmate, including their eligibility and proposed residence details.
  • Verification of Residence Form - This document is required to confirm that the proposed residence meets the necessary criteria. It includes details about the location and the contact person who will verify the residence.
  • Medical Coverage Application - Inmates must demonstrate they have medical coverage or apply for it. This application is essential for those seeking to participate in the ACP and ensures that their health needs are met while in the program.
  • Program Participation Agreement - This agreement outlines the terms and conditions of participation in the ACP. It includes the responsibilities of the inmate and the consequences of non-compliance.
  • Parole Agent Recommendation Form - This form is completed by the assigned parole agent and includes their assessment of the inmate’s eligibility for the ACP based on the proposed residence and other factors.
  • Effective Communication Accommodation Form - If the inmate has a qualifying disability, this document details the accommodations made to ensure effective communication during the application process.

These documents collectively support the ACP application and help ensure that inmates are appropriately evaluated and placed in a manner that promotes their rehabilitation and family reunification. Each form serves a distinct purpose, contributing to the overall integrity and effectiveness of the program.

Similar forms

  • California Parole Application: Similar to the Alternative Custody Program, the Parole Application allows inmates to request release under supervision. Both documents require specific eligibility criteria and involve a review process by correctional authorities.
  • Compassionate Release Request: This document enables inmates to seek early release due to serious medical conditions. Like the ACP, it focuses on the individual’s circumstances and requires approval from the Department of Corrections.
  • Home Detention Agreement: This agreement allows certain inmates to serve their time at home under strict conditions. Both the Home Detention Agreement and the ACP emphasize family reunification and community integration.
  • Work Release Program Application: Inmates can apply for this program to work in the community while serving their sentence. Similar to the ACP, it aims to provide inmates with skills and promote reintegration into society.
  • Transitional Housing Application: This document is for inmates seeking temporary housing after release. Both applications focus on providing support and stability for individuals transitioning back into the community.
  • Drug Treatment Program Enrollment: Inmates can enroll in drug treatment programs to address substance abuse issues. Like the ACP, this enrollment emphasizes rehabilitation and personal development.
  • Family Reunification Program Application: This application helps inmates maintain family connections while incarcerated. Both programs prioritize family relationships and support systems for inmates.
  • Inmate Education Program Application: Inmates can apply for educational programs to enhance their skills while serving time. Similar to the ACP, this application focuses on personal growth and preparing inmates for successful reintegration.

Dos and Don'ts

When filling out the California Alternative Custody form, it is crucial to approach the process with care and attention to detail. Here are five key do's and don'ts to keep in mind:

  • Do ensure that you meet the eligibility criteria outlined in the California Code of Regulations, Title 15, section 3078.2.
  • Do provide accurate and complete information regarding your private residence, including the full address and contact details for verification purposes.
  • Do understand that your participation is voluntary, and your signature signifies your willingness to comply with the program's rules and regulations.
  • Don't neglect to check all applicable boxes regarding your qualifications, such as medical insurance status or disability accommodations.
  • Don't forget that any inaccuracies or omissions may lead to delays or denial of your application.

By following these guidelines, you can enhance your chances of successfully navigating the application process for the Alternative Custody Program.

Misconceptions

Here are four common misconceptions about the California Alternative Custody Program (ACP) and the associated form:

  • Misconception 1: The ACP is mandatory for all inmates.
  • The ACP is a voluntary program. Inmates must choose to participate and meet specific eligibility criteria to be considered for placement.

  • Misconception 2: Once accepted into the ACP, inmates cannot be removed.
  • Participation in the ACP can be revoked. Inmates may be returned to prison at any time for various reasons, including failure to comply with program rules.

  • Misconception 3: Inmates can choose any location for their residence.
  • Inmates must provide a residence that meets strict criteria. This includes having no aggressive animals, no weapons, and unobstructed access for law enforcement.

  • Misconception 4: The ACP guarantees early release from prison.
  • While the ACP offers an alternative to traditional incarceration, it does not guarantee a reduction in sentence length. Placement is subject to approval and availability.

Key takeaways

Here are some key takeaways about filling out and using the California Alternative Custody form:

  • The Alternative Custody Program (ACP) is a voluntary initiative aimed at promoting parenting and family reunification.
  • Inmates can be housed in a personal residence, transitional care facility, or a residential drug treatment program instead of serving time in prison.
  • Eligibility for the ACP is based on specific criteria outlined in the California Code of Regulations.
  • The California Department of Corrections and Rehabilitation has the final say on placement approval, considering bed availability and other factors.
  • While in the ACP, inmates must follow rules and regulations set forth in Title 15 of the California Code of Regulations.
  • Inmates can be removed from the ACP and returned to prison for any reason, with or without cause.
  • Inmates must indicate if they have private medical insurance or agree to apply for medical coverage.
  • The form requires the inmate to provide the address of their proposed residence, which must meet certain safety criteria.
  • Inmates must list a contact person at the proposed residence, along with their relationship and contact information.
  • Effective communication accommodations must be noted if the inmate has a qualifying disability.

Completing the form accurately is essential for a successful application to the ACP. Ensure all information is clear and complete to facilitate the review process.