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Sixth District
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SUBJECT: State briefly the problem on which you desire assistance.
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TEXAS DEPARTMENT OF CRIMINAL JUSTICE — INSTITUTIONAL DIVISION
INMATE REQUEST TO OFFICIAL
REASON FOR REQUEST: (Please check one)
PLEASE ABIDE BY THE FOLLOWING CHANNELS OF COMMUNICATION. THIS WILL SAVE TIME, GET YOUR REQUEST TO THE
PROPER PERSON, AND GET AN ANSWERTO YOU MORE QUICKLY.
1. M Unit Assignment, Transfer (Chairman of Classification, 5. Sw Visiting List (Asst. Director ofclassification, Administration
^Administration Building) "BvMr
2. G Restoration of Lost overtime (Unj/Warden-if approved, it 6. G Parole requirements and related information (Unit Parole
will betorwarded to the Statarffsciplinary Committee) Counselor)
3. G Request foSA^romotfon in Class or to Trusty Class 7. G Inmate Prison Reoo'rd (request for copy of record, infor
(Unit Warden-itefproved, will be forwarded to the Director mation on parpie eligibility, discharge date, detainers-Unit
of Classification) Administration)
4. G Clemency-Pardon, paroi&earlyout-mandatorysupervision 8. G Personal Interview with a representative of an outside
lard of Pardons and Paries, 8610 Shoal Creek Blvd. fncy (Treatment Division, Administration Building)
fAustin, Texas 78757)
TO: Manroo^i DATE:
./S^y^'/s
{Name ana mieoi owaaij *a . ^
ADDRESS: