602 Appeal Form - Inmate/parolee Appeal Form Attachment

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STATE OF CALIFORNIA
DEPARTMENT OF CORRECTIONS AND REHABILITATION
INMATE/PAROLEE APPEAL FORM ATTACHMENT
CDCR 602-A (08/09)
Side 1
IAB USE ONLY
Institution/Parole Region:
Log #:
Category:
____________________
_____________________
_________
FOR STAFF USE ONLY
Attach this form to the CDCR 602, only if more space is needed. Only one CDCR 602-A may be used.
Appeal is subject to rejection if one row of text per line is exceeded.
WRITE, PRINT, or TYPE CLEARLY in black or blue ink.
Name (Last, First):
CDC Number:
Unit/Cell Number:
Assignment:
A. Continuation of CDCR 602, Section A only (Explain your issue) :______________________________________
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Inmate/Parolee Signature: ____________________________________________ Date Submitted:
________________
B. Continuation of CDCR 602, Section B only (Action requested): __________________________________________________________________
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Inmate/Parolee Signature: _________________________________________________________ Date Submitted: ___________________________

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