Free Amended Complaint - District Court of Delaware - Delaware

Case 1:04-cv-01392-JJF Document 15-3 Filed O2/27/2006 Page 1 of 3
I FORM #sa4
_ GRIEVANCE FORM
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BRIEFLY STATE THE REASON FOR THIS GRIEVANCE. GIVE DATES AND NAMES OF OTHERS INVOLVED {
INTHEINCIDENT OR ANY WITNESSES.
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ACTION REQUESTED BY GRIEVANT¤
GRIEVANT‘S SIGNATURE; Co/#@4% _DATE: *2*; / ag 57 {
WAS AN INFORMAL RESOLUTION ACCEPTED? (YES) (NO)
(COMPLETE ONLY IF RESOLVED PRIOR TO HEARING)
GRIEVANT’S SIGNATURE: DATE; `
IF UNRESOLVED, YOU ARE ENTITLED TO A HEARING BY THE RESIDENT GRIEVANCE COMMTI’I‘EE. l
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e Case 1 :04-cv-01392-JJF Document 15-3 Filed O2/27/2006 Page 2 of 3
STATE OF DELAWARE
DEPARTMENT OF CORRECTION
DELAWARE CORRECTIONAL CENTER
OFFICE OF THE INMATE GRIEVANCE CHAIRPERSON .
1181 Paddock Road
SMYRNA, DELAWARE 19977 g
MEMORANDUM / g d( ·}\
To: Inmate Harden, Wallace E j- QQ /6P Q, tf
From: Cpl. L.M.Merson, Inmate Grievance Chairperson U} (Nil
Date: Monday, March 1, 2004 -
RE: Grievance
I The grievance submitted by you dated 02/13/04 is being retumed to you for the following reason(s): A
The complaint was addressed by the IGC:
Security issue (involves the security andlor staffing of the institution andlor the safety, health, andlor
welfare of inmates, staff, and the public.
___X_ Classification issues (security classification, jobs, transfers, programs, housing unit assignment). F F
Classification has its own appeal process. The inmate must write to the DCC Classification Office
within 7 days after the inmate receives the Classification decision. The letter must state that the
inmate is appealing the classification and clearly indicate the reasons the inmate disagrees with the
classihcation decision.
Disciplinary issue. Disciplinary actions cannot be grieved but must be APPEALED following the Correctional Code
Of Penal Discipline.
Parole Board Decision. The inmate must write a letter to the Parole Board within 30 days of the
Board’s decision, expressing the desire to appeal the decision and listing the reasons. The Parole
Board’s address is: Board of Parole; Camel State Otiice Bldg.; 820 N. French Street, 5*** Floor;
Wilmington, DE 19801.
Inmates cannot request or demand disciplinary action on staff. lf you have a complaint regarding staff,
WRITE A LETTER to that person’s supervisor; in this case, that is:
This is an issuelcomplaint that has already been grieved by you or another inmate.
Grievance is unacceptable because it has passed the seven day timeframe allotted to file a grievance.
The grievance is a photocopy, carbon copy, written in pencil, red ink or is illegible. Original grievance forms must be
legible and written in dark blue or black ink.
This complaint is addressed in the housing rules for your housing unit. Refer to the Housing Rules, page ,
for clarification andlor direction.
Action Request is Inappropriate or not completed. Inmate must make an actual request; such as, request that an
Investigation be conducted. (inmates are not forwarded results of investigations that involved staff conduct)
Documentation must be attached to the grievance when it is resubmitted that supports allegationslcomplaint; such
As commlssary receipts, Form 537, etc. The IGC will make copies of the items submitted with the grievance and
Retum the originals to the inmate.
Other: ’ Z./. * '
cc: inmate 9 /1//7 / /' A7
Original: file
Y.x.'Py 9. . .

Case 1 :04-cv-01392-JJF Document 15-3 Filed O2/27/2006 Page 3 of 3
. I The ISTHMUS, August 1998 pagcg
Inmate Grievance Procedure
· Wha; Are Non-ggievable Issues?
• To reduce tensions in correctional facilities • Classification
• To identify and effectively resolve problems • Disciplinary
• To eliminate andlor reduce the number of class action lawsuits • Parole board decision
_ _ NOTE: These issues must be appealed through their respeqtivr
NOTE: inmates are encouraged to seek their counselors advice appear; prpcpsspp
on how to best pursue a respens to their concems before r=¤r·r¤._.,- iprp.-mum
pf'EtTIB\UfBly Eliflg 3 grievance, ` Gcievzutce Forms are :w·:1i.L1ble in the Sergeunfs Oftice of your tmp
unit. Medical grievances have their own forms.
what I5,4 Grfgygbfg fsgyg? . Questions regarding the giievmce procedure can be addressed to
. Cgmpmfnts about staffsr actions Institution Grievance Chairperson, Sgt. D. M, Wdhams, by in-house mai
• issues dealing monetary accounts and records HLLIIICIDUS Cigitti PCISOIJS is IJOI HCCESSBI}'. You T
In t'tut•°n I t- r d . · ·h · O YSCD one COPY to C . . .
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· · i III C process.
: pmgrargf t C , K. . G£iC\r‘¤.¤Ces are kept separate from the inmzites master tile.
' _E p One' an or O her Ommumca mn ISSUES These cmd other grievance procedure guideiines are :¤.v1ii:tble for
. ° Law library pmblems in your housing units Sergeznnrfs Office. i
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