Homepage Fill a Valid California Alternative Custody Form
Article Guide

In the landscape of California's corrections and rehabilitation framework, the Alternative Custody Program (ACP) Application and Voluntary Agreement stands out as a beacon of progressive measures aimed at fostering parenting, family reunification, and the holistic development of life skills for inmates while addressing their treatment needs. Crafted by the State of California Department of Corrections and Rehabilitation, the ACP offers a radical shift from conventional incarceration, allowing eligible inmates the opportunity to serve their sentences in a more conducive environment such as a personal residence, a transitional care facility, or a specialized residential drug or treatment program. This initiative not only underscores a commitment to rehabilitating individuals but also highlights the state's acknowledgment of the importance of maintaining familial bonds and community ties for the incarcerated population. The intricacies of the application process, eligibility criteria rooted in the California Code of Regulations, and the structured oversight by various sections of the corrections department further delineate the program's outlines. A key facet of this arrangement is the inmates’ understanding that their continuation in the program hinges on strict compliance with the outlined rules and regulations, with the lingering possibility of re-incarceration for any infractions. Thus, the ACP application and agreement encapsulate a delicate balance between offering a transformative rehabilitation path and ensuring adherence to the justice system's regulatory frameworks.

Document Example

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

ACP APPLICATION AND VOLUNTARY AGREEMENT

CDCR 2234 (07/12)

The Alternative Custody Program (ACP) is a voluntary program that promotes parenting, family reunification and the development of life skills while addressing treatment needs. The ACP allows inmates to be housed in a personal residence, a transitional care facility or a residential drug or treatment program instead of serving time in prison. I understand placement into the ACP is based upon meeting specific eligibility criteria and the California Department of Corrections and Rehabilitation has the authority for final placement approval based on bed availability and other factors. While participating in the ACP, I will be subject to applicable rules and regulations governing inmates pursuant to the California Code of Regulations (CCR), Title 15, Division 3. I understand I may be removed from the ACP and returned to prison to serve the remainder of my original sentence for any reason, with or without cause.

I. TO BE COMPLETED BY INMATE

I meet the criteria set forth in the CCR Title 15, section 3078.2 including the following: (Check all that apply)

I am a female

(Select one)

 

 

I have private medical insurance. OR

I agree to apply for any county, state or federal medical coverage for which I may qualify.

 

 

 

 

 

 

I request to reside at the following location:

 

Private Residence

My private residence is located at:

 

(Include street address, city, county and zip code)

 

 

(I understand my residence must have no aggressive animals, no weapons, unobstructed access by law enforcement and will be verified by a Parole Agent.)

The contact person at the above address is:

My relationship to the contact person is:

The contact person’s telephone number is:

Residential Drug or Treatment Program or Transitional Care Facility

I understand that my signature on this document indicates my willingness to voluntarily participate in the ACP.

CDC NUMBER

INMATE NAME (PRINTED)

INMATE SIGNATURE

DATE SIGNED

HOUSING UNIT

II. FOR USE BY INSTITUTION COUNSELING STAFF

Does the participant have a qualifying disability requiring effective communication?

Yes

No

If yes, cite the source document and/or observation(s):

___________________________________________________________________

What type of accommodation/assistance was provided to achieve effective communication to the best of the inmate’s ability?

COUNTY OF LAST LEGAL RESIDENCE

COUNTY OF COMMITMENT

INSTITUTION

EPRD

INMATE

INMATE

REASON, IF INELIGIBLE

 

 

 

 

 

 

 

ELIGIBLE

INELIGIBLE

 

 

 

 

 

 

 

 

 

 

CORRECTIONAL COUNSELOR NAME (PRINT)

CORRECTIONAL COUNSELOR SIGNATURE

DATE SIGNED

PHONE NUMBER

 

 

 

 

 

 

III. FOR USE BY ACP PROGRAM MANAGER

ACP PROGRAM NAME

ACP PROGRAM ADDRESS

PHONE NUMBER

ASSIGNED PAROLE UNIT

IV. FOR USE BY PAROLE UNIT

DISTRICT/UNIT

 

RECEIVING AGENT ASSIGNED TO INVESTIGATE

 

 

 

COMMENTS:

 

 

 

 

 

 

 

 

 

DATE ASSIGNED

DATE DUE

AGENT’S RECOMMENDATION

 

 

 

 

 

 

 

Proposed residence meets criteria

Yes

No

 

PAROLE AGENT NAME (PRINT)

PAROLE AGENT SIGNATURE

 

DATE SIGNED

 

 

 

 

 

 

 

 

 

 

UNIT SUPERVISOR APPROVAL

 

 

 

PHONE NUMBER

 

COMMENTS:

Concur with agent’s recommendation

Yes

No

 

 

 

 

 

UNIT SUPERVISOR NAME (PRINT)

UNIT SUPERVISOR SIGNATURE

 

DATE SIGNED

 

 

 

 

 

 

UPON COMPLETION OF PRIVATE RESIDENCE VERIFICATION - RETURN THIS FORM TO THE SENDING INSTITUTION C&PR OFFICE

 

 

 

 

 

 

*EPRD means Earliest Possible Release Date

 

 

 

 

Distribution: Original to c-file; copy to inmate

Form Breakdown

Fact Number Description
1 The Alternative Custody Program (ACP) is a voluntary initiative aimed at promoting parenting, family reunification, and the development of life skills while addressing treatment needs.
2 Participants in the ACP can be housed in a personal residence, a transitional care facility, or a residential drug or treatment program instead of in prison.
3 Eligibility for the ACP is determined based on specific criteria, and the California Department of Corrections and Rehabilitation has the final say in placement approval.
4 Placement into the ACP takes into consideration the availability of beds among other factors.
5 Participants are subject to the rules and regulations governing inmates as per the California Code of Regulations (CCR), Title 15, Division 3.
6 Individuals can be removed from the ACP and returned to serve the remainder of their sentence in prison without cause.
7 The applicant must confirm their eligibility under CCR Title 15, section 3078.2, which includes being female among other criteria.
8 Applicants are required to either have private medical insurance or agree to apply for any county, state, or federal medical coverage for which they may qualify.
9 A signature from the inmate on the ACP application indicates their willingness to voluntarily participate in the program.
10 The process involves various stages of approval, including an assessment of whether the proposed housing meets the required criteria and concurrence from a unit supervisor.

How to Write California Alternative Custody

Filling out the California Alternative Custody (ACP) Application and Voluntary Agreement form, also known as CDCR 2234, is a crucial step for eligible inmates in California seeking an alternative to traditional incarceration. This program allows participants the opportunity to reside in a private residence, transitional care facility, or a residential drug or treatment program, focusing on promoting parenting, family reunification, and the development of life skills. Carefully completing this form is essential for expressing your desire to participate in the ACP and providing the necessary information for your application to be considered.

  1. Read through the entire form carefully to understand the eligibility criteria, conditions of the Alternative Custody Program, and the information required from you.
  2. In the first section titled "TO BE COMPLETED BY INMATE," start by checking the eligibility criteria that apply to you, such as being female and your healthcare coverage status.
  3. Indicate whether you are requesting to reside in a private residence or at a residential drug treatment program or transitional care facility. Make your choice clear.
  4. For those choosing a private residence, provide the complete street address, city, county, zip code, and ensure the location meets the specified requirements like no aggressive animals or weapons, and is accessible to law enforcement.
  5. Fill in the contact information for the person at the residence, including their name, your relationship to this person, and their telephone number.
  6. Review your selections and the information you've entered for accuracy before moving on to sign and date the document, confirming your willingness to voluntarily participate in the ACP.
  7. Next, the section "FOR USE BY INSTITUTION COUNSELING STAFF" will be completed by the institutional counseling staff. They will assess and document any disabilities requiring effective communication and determine the accommodations needed.
  8. The third section, "FOR USE BY ACP PROGRAM MANAGER," and the fourth, "FOR USE BY PAROLE UNIT," will also be filled out by respective program staff. They will provide further information about the ACP program, your assigned parole unit, and the investigation into your proposed residence.

After the document is fully completed by yourself and the relevant professionals, it will undergo a review process to ensure all criteria are met and the proposed residence is suitable. Your eligibility and acceptance into the Alternative Custody Program hinge on the thoroughness and accuracy of the information provided on this form. Hence, it's crucial to fill it out with utmost attention to detail.

Listed Questions and Answers

What is the Alternative Custody Program (ACP) in California?

The Alternative Custody Program is a voluntary initiative designed to promote parenting, family reunification, and the development of life skills for inmates, while also addressing their treatment needs. Through this program, eligible inmates are allowed to serve their sentences in a personal residence, a transitional care facility, or a residential drug or treatment program, instead of in prison. The aim is to support inmates in a more conducive environment for rehabilitation and reintegration into society.

Who is eligible for the ACP?

Eligibility for the ACP is determined based on specific criteria outlined in the California Code of Regulations (CCR), Title 15, Section 3078.2. While details include a range of qualifications, notable eligibility requirements include being a female inmate and agreeing to apply for any available county, state, or federal medical coverage. Each applicant’s eligibility is assessed by the California Department of Corrections and Rehabilitation (CDCR), which has the final authority on enrollment into the program.

How can an inmate apply for the ACP?

Inmates wishing to participate in the ACP must complete the ACP Application and Voluntary Agreement Form (CDCR 2234). This involves providing personal information, agreeing to abide by the rules and regulations governing inmates, and selecting a preferred residence option (private residence, transitional care facility, or residential drug or treatment program). The choice of residence is subject to approval based on various criteria, including safety and law enforcement access.

What are the residence options available under the ACP?

  • Private Residence: Inmates may request to reside in a private home, which must be free from aggressive animals, weapons, and must allow unobstructed access by law enforcement. The residence must be verified by a Parole Agent.
  • Residential Drug or Treatment Program: Inmates can choose to be housed in a specialized facility that addresses their specific treatment needs.
  • Transitional Care Facility: This option provides a bridge for inmates transitioning back into the community, offering support in adjusting to life outside prison.

What happens after submitting an application for ACP?

After an inmate submits the application, it undergoes a thorough review process. This includes assessments by institutional counseling staff and a Parole Agent to ensure the inmate meets eligibility criteria and the proposed residence is suitable. The inmate’s disability needs, if any, are also considered to facilitate effective communication. The CDCR has the final decision-making authority regarding placement into the ACP.

Can an inmate be removed from the ACP?

Yes, an inmate participating in the ACP can be removed from the program and returned to prison to serve the remainder of their original sentence for any reason, with or without cause. This decision can be made to ensure the safety and security of the community and the integrity of the ACP.

What support services are available to ACP participants?

Participants in the ACP have access to various support services aimed at facilitating their successful reintegration into the community. These may include, but are not limited to, medical care, counseling, job training, and education programs. The specific services available depend on the type of residence selected and the individual’s treatment needs.

What is the role of a Parole Agent in the ACP?

Parole Agents play a critical role in the ACP by conducting investigations to ensure the proposed residence meets all criteria for safety and suitability. They also provide recommendations regarding an inmate’s participation in the program and are involved in supervising inmates who have been placed in alternative custody settings.

Where can I find more information about the ACP?

For more detailed information about the Alternative Custody Program, interested individuals should contact the California Department of Corrections and Rehabilitation (CDCR). The CDCR provides guidance and resources for both inmates interested in the program and for their families. Information can also be found on the CDCR’s official website, which includes details on the application process, eligibility criteria, and program benefits.

Common mistakes

When individuals fill out the California Alternative Custody (ACP) form, attention to detail and clear understanding of the requirements are crucial. However, some common mistakes can hinder the application process. Below, you'll find an expanded list of six frequent errors made during this process:

  1. Failure to Verify Eligibility Criteria: Not checking all the boxes under section “I. TO BE COMPLETED BY INMATE” that apply to their situation, especially overlooking the specific eligibility criteria mentioned in the CCR Title 15, section 3078.2.
  2. Insufficient Detail about the Proposed Residence: Providing vague or incomplete information about the intended living arrangement, such as omitting the full street address, city, county, or zip code of the private residence, or not ensuring the address meets all the specified conditions like no aggressive animals, no weapons, and unobstructed law enforcement access.
  3. Inaccurate or Incomplete Medical Insurance Information: Selecting the wrong option regarding medical insurance status or failing to commit to applying for any county, state, or federal medical coverage for which they may qualify.
  4. Lack of Signature and Date: Forgetting to sign and date section I indicating the inmate's voluntary agreement to participate in the ACP, which is a critical oversight that can delay the application process.
  5. Communication Needs Not Clearly Addressed: Neglecting to accurately disclose in section II if the participant has a qualifying disability that requires effective communication, or failing to specify the type of accommodation or assistance provided.
  6. Not Coordinating with the Assigned Parole Unit: Overlooking the importance of the information required in sections III and IV, such as failing to provide accurate ACP Program and Parole Unit details, or not ensuring that the proposed residence has been verified by a Parole Agent as meeting the criteria.

In summary, applicants should thoroughly review and accurately complete every section of the form, ensuring all requirements are met and clearly communicated. By avoiding these common mistakes, the process of applying for the Alternative Custody Program can be smoother and more efficient, potentially facilitating a quicker transition to an alternative custody arrangement.

Documents used along the form

When individuals are involved in the California Alternative Custody Program (ACP), several other forms and documents become necessary throughout the process, in addition to the California Alternative Custody form. These additional documents are crucial for ensuring a smooth transition and ongoing compliance with the ACP requirements. Each document serves a specific purpose in supporting, verifying, or providing additional information needed for the successful participation in the ACP.

  • Medical Insurance Verification Form: This document is used to provide proof of private medical insurance or evidence of application for county, state, or federal medical coverage, which is a requirement for participants in the ACP.
  • Residence Verification Form: It verifies the suitability and safety of the proposed residence where the participant intends to reside. The form is typically completed by a parole agent who inspects the residence to ensure it meets all program criteria, such as no aggressive animals and unobstructed access for law enforcement.
  • Employment Verification Form: For participants who are employed or seeking employment as part of their reintegration plan, this form confirms the participant's employment status or efforts to obtain employment. It may include details about the employer, hours of work, and the nature of the employment.
  • Treatment Program Enrollment Verification: Participants opting to reside in a residential drug or treatment program must provide proof of enrollment in such a program. This document confirms the participant's acceptance and enrollment in a qualified treatment program and outlines the program's duration and requirements.
  • Parole Agent Monthly Report: A form completed by the assigned parole agent outlining the participant's compliance with ACP conditions, progress, and any incidents or concerns. This ongoing report is critical for monitoring the participant's adjustment and ensuring they abide by the terms of their alternative custody arrangement.

Each of these forms plays a vital role in the administration and monitoring of the ACP. Together, they contribute to a structured and supportive framework that allows participants to transition effectively out of prison while ensuring they meet all necessary legal and programmatic requirements.

Similar forms

The California Temporary Guardianship Form shares similarities with the California Alternative Custody Program (ACP) form, primarily in its focus on the well-being and the reintegration of the individual into a more stable or beneficial environment. Just as the ACP form allows an inmate to serve their time in a non-prison setting to foster family reunification and personal development, the Temporary Guardianship Form enables a parent or guardian to assign another adult the temporary right to make decisions on behalf of their child. This could involve decisions about the child’s living situation, schooling, and medical care, reflecting the ACP’s emphasis on placing individuals in a supportive environment.

The California Power of Attorney (POA) Form, much like the ACP form, deals with the delegation of authority from one person to another. In the context of the ACP form, an inmate voluntarily agrees to comply with certain conditions and to be placed in an alternative custody setting, effectively granting the Department of Corrections and Rehabilitation the authority to make decisions regarding their housing and treatment. Similarly, a POA allows someone to appoint another person to make decisions on their behalf, covering a wide range of matters from financial to health-related decisions, depending on the type of POA executed.

The Release of Information Form in California is another document that bears resemblance to the ACP form in terms of consent and privacy considerations. While inmates in the ACP agree to live under specific conditions and consent to the sharing of their information as necessary for the program, the Release of Information Form is used by individuals to authorize the disclosure of their personal information, whether for medical, educational, or other purposes. Both forms necessitate a clear understanding and agreement from the individuals involved regarding how their information will be used and shared.

The California Medical Consent Form for Minors is related to the ACP form in its provision for care and well-being, albeit in a different context. The ACP form emphasizes the inmate's health by allowing placement in facilities that can provide the necessary medical or rehabilitation services. Similarly, the Medical Consent Form authorizes a designated adult to make medical decisions for a minor, ensuring that the child receives appropriate care when the parent is not available. Both documents seek to ensure that the individual’s health and treatment needs are met in the absence of their usual guardians or under alternative arrangements.

Lastly, the Residential Lease Agreement, while fundamentally a property rental document, shares the theme of establishing terms for an individual’s living situation with the ACP form. The ACP form outlines the specifics of an inmate’s alternative custody arrangement, such as living in a private residence or a treatment facility, along with the conditions and rules to be followed. In parallel, a Residential Lease Agreement sets forth the conditions under which a tenant may reside in the landlord’s property, detailing rights, responsibilities, and expectations for both parties to ensure a mutual understanding of the living arrangement.

Dos and Don'ts

When filling out the California Alternative Custory Program (ACP) application, it's essential to approach the task with careful attention to detail and clarity. Here are eight dos and don'ts to keep in mind:

Do:
  • Check your eligibility - Before starting the application, make sure you meet the specific eligibility criteria as outlined in the CCR Title 15, section 3078.2.
  • Provide accurate information - Ensure all personal information, including your CDC number, name, and housing unit, is correctly filled in.
  • Understand the program conditions - Acknowledge that being part of the ACP means adhering to certain rules and that you could be removed from the program and returned to prison.
  • Detail your proposed living situation - Whether choosing to live in a private residence or a treatment facility, provide a clear and thorough description, including the address and contact person.
  • Sign and date the form - Your signature indicates your willingness to participate in the ACP voluntarily, so don’t forget to sign and date the form.
Don't:
  • Assume placement - Remember, acceptance and placement into the ACP are based on eligibility, bed availability, and other considerations under the authority of the California Department of Corrections and Rehabilitation.
  • Omit necessary health insurance actions - If you don’t have private medical insurance, you must agree to apply for any county, state, or federal medical coverage for which you might be eligible.
  • Ignore the guidelines for a suitable residence - Be aware that your residence should not have aggressive animals, weapons, and must allow unobstructed access by law enforcement. It will be verified by a parole agent.

Misconceptions

California's Alternative Custody Program (ACP) is a significant initiative that aims to transform the way incarceration is approached, especially for individuals who meet certain criteria. However, there are several misconceptions surrounding the ACP application and participation specifics. Let's clarify these misunderstandings.

  • Eligibility is for any inmate: One common misconception is that any inmate can apply for the ACP. In reality, the program targets specific groups, mainly women and, in some special circumstances, other inmates who meet certain criteria, including parenting and family reunification needs.
  • ACP is an immediate right or guarantee: Many believe once they apply, acceptance into the ACP is guaranteed. However, acceptance is based on meeting eligibility criteria and the availability of resources such as bed space and the discretion of the California Department of Corrections and Rehabilitation.
  • ACP participants can live anywhere: Though the ACP allows for residency in a personal residence, transitional care facility, or residential drug or treatment program, the proposed living arrangements must meet specific standards, including being free from aggressive animals, weapons, and accessible to law enforcement for verification.
  • Private medical insurance is a must: It's often thought that having private medical insurance is a prerequisite. While having insurance is beneficial, applicants can also agree to apply for any county, state, or federal medical coverage for which they may qualify.
  • Participants have complete freedom: The notion that participants are entirely free of supervision is incorrect. While in the ACP, participants are still subject to rules and regulations governing inmates and can be returned to prison at any time for any reason.
  • A signature is just a formality: Applicants might see their signature on the CDCR 2234 form as a mere formality. In truth, it signifies their understanding of and voluntary agreement to the terms and participation in the ACP.
  • Qualifying disabilities do not affect placement: Another misunderstanding is that having a qualifying disability does not impact one’s application or placement. In fact, accommodations and assistance are provided as needed to ensure effective communication and participation in the program.
  • Any residential address is acceptable: There's a myth that an inmate can choose to live at any residential address. The proposed residence must be verified and approved by a Parole Agent to ensure it meets all criteria.
  • ACP decisions are final and unappealable: Some believe that once a decision is made regarding their ACP application, it is final and cannot be contested. While the ACP program manager and parole agent make recommendations, there are processes in place for reviewing and appealing decisions made regarding ACP placement.

Understanding the nuances of the Alternative Custody Program is crucial for inmates considering applying. By dispelling these misconceptions, individuals can have a clearer understanding of the program and its requirements, leading to a more informed and realistic expectation of what the ACP offers.

Key takeaways

The California Alternative Custody Program (ACP) offers a pathway for inmates, specifically focusing on those who are parents and caregivers, to serve their sentences outside of traditional prison settings. This option, while voluntary, is laden with strict guidelines and criteria, emphasizing the importance of those eligible or interested in understanding its nuances. Below are key takeaways regarding filling out and using the California ACP form, aimed to offer clarity for individuals considering this transformative step.

  • Eligibility Is Key: Before engaging with the ACP application, one must ascertain eligibility. The form specifies certain criteria, such as being a female and necessitating either private medical insurance or the willingness to apply for public medical aid. Understanding these prerequisites is crucial to the application process.
  • Residency Specifications: Applicants need to identify their intended residence, be it a private home, transitional care facility, or a residential drug treatment program. This choice must comply with specified conditions, including no aggressive animals, no weapons, and unobstructed law enforcement access.
  • Authorization and Verification: By signing the ACP form, the inmate consents to voluntarily participate in the program. This commitment is subject to validation by assigned parole agents who assess the proposed living arrangement against the program's standards.
  • Compliance with Regulations: Participation in the ACP does not exempt the inmate from the standard regulations governing inmate conduct under the California Code of Regulations (CCR), Title 15, Division 3. Adherence to these rules is mandatory, irrespective of the alternative custody setting.
  • Potential for Program Termination: The application clarifies that inmates can be removed from the ACP and returned to prison to complete their sentences for any reason deemed fit by the authorities. This underscores the importance of compliance and the provisional nature of the program.
  • Communication Needs and Accommodations: The form inquires about the existence of any qualifying disabilities that would necessitate effective communication, ensuring that suitable accommodations are provided. This ensures inclusivity and accessibility for all applicants.
  • Documentation and Distribution: Upon the completion of all relevant sections and verifications, the form must be returned to the originating institution's office. The original document is kept in the inmate's file, while a copy is provided to the inmate, maintaining transparency and record integrity.

Understanding these facets of the ACP form and the broader program it serves is fundamental for inmates and their families contemplating alternative custody. This option, reflective of broader efforts toward rehabilitation and family reunification, carries profound implications for eligible inmates seeking to transition back into society under the program's auspices.

Please rate Fill a Valid California Alternative Custody Form Form
4.71
Excellent
171 Votes