Idaho Furlough Request to the Board of Correction

Idaho Furlough Request to the Board of Correction

To: Idaho State Board of Correction or authorized designee, through [facility / community reentry center: ________________________________]

From: [resident name: ________________________________], IDOC No. [________________]

Date: [__/__/____]

Subject: Request for furlough under Idaho Code § 20-101C or work/education furlough under Idaho Code § 20-242

I request consideration for a furlough on the terms below. I understand that authorization and conditions are determined by the Board of Correction or its designee. I will remain in the Board's legal custody and under its control during any furlough granted under § 20-101C.

Purpose and requested dates

☐ Diagnosis or treatment of a serious illness or injury

☐ Funeral, serious illness, or accident involving immediate family

☐ Family visitation

☐ Seeking employment

☐ Other purpose promoting transition from confinement to the community: [________________________________]

☐ Continuing employment, a work project, or education under § 20-242

☐ Seeking employment under § 20-242

Requested departure: [__/__/____] at [____] Requested return: [__/__/____] at [____]

Destination and contact person: [________________________________]

Address and telephone: [________________________________]

Reason for request and why the proposed duration is needed:

[________________________________]

[________________________________]

For a furlough requested under § 20-101C, I understand that the statutory duration ordinarily may not exceed 72 hours; the statute makes an exception for a medical furlough for diagnosis or treatment of a serious illness or injury. A work or education arrangement under § 20-242 is subject to the Board's conditions.

Information for the Board or its designee

Current facility or community reentry center: [________________________________]

Custody classification and date classified to minimum custody: [________________________________]

Meritorious performance while in minimum custody, if applicable: [________________________________]

Any detainer: ☐ No ☐ Yes — details: [________________________________]

How the stated purpose can be verified: [________________________________]

Travel directly to and from the destination; transportation and who will pay: [________________________________]

Proposed supervision, maintenance, and care while away: [________________________________]

Supporting documents attached: [________________________________]

Under § 20-101C, the Board or designee must interview the resident and make the statutory verifications and arrangements before authorizing furlough. That section requires no detainer and generally requires six immediately preceding months in minimum custody with recognition for meritorious performance. It provides exceptions to the minimum custody/performance condition for a qualifying medical furlough and for a person classified to minimum custody and released to a community work center. I ask the decision maker to determine how these requirements apply to my circumstances.

I am willing to sign the waiver of extradition required by § 20-101C and to comply with any written conditions established for an approved furlough. I understand that requesting furlough does not authorize me to leave custody.

Resident signature: [________________________________] Date: [__/__/____]

Counsel or authorized representative, if any: [________________________________]

Contact information: [________________________________]

For Board or designee use

Date received: [__/__/____] Interview date: [__/__/____]

Decision: ☐ Approved ☐ Denied ☐ More information requested

Approved period and written conditions (attach additional page if needed): [________________________________]

Authorized decision maker and title: [________________________________]

Signature: [________________________________] Date: [__/__/____]

Sources: Idaho Code § 20-101C and Idaho Code § 20-242.