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WYOMING WDOC Form 321 DEPARTMENT OF CORRECTIONS Inmate Grievance Form Page 1 of 2 Last Revised 02/12/07 INMATE GRIEVANCE FORM Check here if this is an EMERGENCY Grievance Inmate Name Institution Date WDOC Unit/Cell Time When completing this form you may provide up to two 2 additional pages if necessary. Summary of the incident or occurrence giving rise to the grievance or reason for the grievance Summarize your attempts to informally resolve the issue e.g. verbal discussions submission of Inmate Communication Form etc. I request the following grievance resolution or remedy Inmate Signature Administrative Use Grievance Number WYOMING DEPARTMENT OF CORRECTIONS 1934 Wyott Drive Suite 100 Cheyenne Wyoming 82002 TELEPHONE 307 777-7208 FAX 307 777-7846 WEBSITE http //corrections. wy. gov INSTRUCTIONS FOR INMATE GRIEVANCE FORM After attempting to resolve a problem by first speaking with appropriate staff and second by use of WDOC Form WDOC Form 320 Inmate Communication Form an inmate may file....

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How to use or fill out the 321 Inmate Grievance Form.doc online

Filing an inmate grievance is an important process for addressing issues or concerns while incarcerated. This guide provides a step-by-step approach to effectively complete the 321 Inmate Grievance Form.doc online, ensuring that your grievance is properly documented and submitted.

Follow the steps to effectively complete the grievance form online.

  1. Press the ‘Get Form’ button to obtain the grievance form and open it in the designated editor.
  2. Enter your inmate name in the appropriate field to identify yourself.
  3. Fill in the institution's name where you are currently incarcerated.
  4. Provide the date on which you are submitting the grievance, ensuring accuracy.
  5. Include your WDOC number, unit, and cell information for proper identification.
  6. Record the time of the incident relevant to your grievance.
  7. In the section for the summary of the incident, clearly describe what occurred, providing specific details.
  8. Summarize your attempts to resolve the issue informally, such as previous discussions with staff or use of the Inmate Communication Form.
  9. In the grievance resolution request field, clearly state what you are seeking as a remedy for your grievance.
  10. Sign the form to confirm that the information provided is accurate and complete.
  11. Review the completed form for accuracy and ensure all fields are filled in properly.
  12. After final review, save the changes, and proceed to download or print your grievance form for submission.
  13. Submit the completed form to the grievance manager, or place it in the designated receptacle for processing.

Take action now and complete your grievance form online to ensure your voice is heard.

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