Blank AZ DOC Order 804 (Inmate Behavior Control) forms

Beryl Lipton filed this request with the Department of Corrections of Arizona.


From: Beryl Lipton

To Whom It May Concern:

Pursuant to the state open records law, Ariz. Rev. Stat. Ann. Secs. 39-121 to 39-122 and 39-128, I hereby request the following records:

Blank versions of all forms associated with Arizona Department of Corrections Department Order 804 related to Inmate Behavior Control, including, but not limited to, the following:

804-1, Detention Assignment Checklist
804-2, Use of Force/Incident Command Report
804-2A, Use of Force/Incident Command Report Continuation
804-3, Individual Inmate Detention Record
804-4, Use of Force Checklist
804-5, Electronic Control Device Use Report (TASER)
804-6, Use of Force Video Recording Log

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that fees cannot be waived, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I would request your response within ten (10) business days.


Beryl C.D. Lipton



Those sections of Department Orders that are restricted from public view contain confidential information relevant to the safe, secure, and orderly operation of the Arizona Department of Corrections prison system. The Department restricts access to this confidential information for security reasons in order to protect the lives and safety of its staff, the inmates, and the public.

Bill Lamoreaux