INITIAL CUSTODY CLASSIFICATION
1. DATE (YYYYMMDD)
2. INTERVIEWER NAME (Last, First, Middle Initial)
3. (X one)
PRE-TRIAL
POST-TRIAL
4. IDENTIFICATION
a. PRISONER NAME (Last, First, Middle) (AKA)
b. REGISTRATION NUMBER c. GRADE
d. SEX (X one)
MALE
FEMALE
5. ADMINISTRATIVE FACTORS (X as applicable)
NO
YES
a. SUICIDE RISK
b. PHYSICAL HEALTH PROBLEM
c. MENTAL HEALTH PROBLEM
d. SPECIAL QUARTERS
6. MANAGEMENT FACTORS (Enter point values) (Complete 15 - 17 of the Classification Worksheet)
POINTS
a. OFFENSE
OFFENSE SEVERITY = 1 - 8
b. SUBSTANCE ABUSE
YES x 1 = 1
YES x 2 = 2
YES x 3 = 3
YES x 4 = 4
c. PENDING CHARGES/WARRANTS/DETAINERS
NO = 0
YES = (Enter points from Offense Severity Scale (see DoDI 1325.7))
d. HISTORY OF VIOLENCE (See 17.d.)
QUESTION (2) - YES = 2
QUESTION (3) - YES = 4
QUESTION (4) - YES = 6
QUESTION (5) - YES = 8
e. HISTORY OF ESCAPE
NO = 0
YES = 6
f. LENGTH OF SENTENCE TIME REMAINING
PRE-TRIAL OR 0 - 90 DAYS = 0
91 DAYS - 1 YEAR = 1
1+ TO 3 YEARS = 2
3+ TO 5 YEARS = 3
5 + TO 10 YEARS = 5
10+ YEARS = 7
LIFE/DEATH = 8
g. TOTAL POINTS
7. SCREENING DECISION (X one)
MEDIUM-IN (0 - 11 Points)
MAXIMUM (12+ Points)
8. FINAL DECISION
a. OVERRIDE (X one)
NO
YES -
CODE
NOT APPLICABLE (Policy)
b. RATIONALE
9. DECIDING AUTHORITY
a. NAME (Last, First, Middle Initial)
c. TITLE
d. SIGNATURE
e. DATE (YYYYMMDD)
b. GRADE
10. CUSTODY DECISION
Page 1 of 4 Pages
DD FORM 2711, MAR 2013
PREVIOUS EDITION IS OBSOLETE.
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