Cal. Code Regs. tit. 15 § 3999.99

Current through Register 2024 Notice Reg. No. 36, September 6, 2024
Section 3999.99 - Forms

The following forms, referred to in this chapter, are hereby incorporated by reference:

CDCR 602 HC (Rev. 7/18), Health Care Grievance

CDCR 602 HC A (Rev. 12/17), Health Care Grievance Attachment

CDCR 1824 (Rev. 07/24), Reasonable Accommodation Request

CDCR 7225 (Rev. 03/19), Refusal of Examination and/or Treatment

CDCR 7362 (Rev. 03/19), Health Care Services Request Form

CDCR 7421 (Rev. 06/18), Advance Directive for Health Care

CDCR 7465 (Rev. 08/16), Physician Orders for Life-Sustaining Treatment

CDCR 7536 (Rev. 07/24), Durable Medical Equipment and Medical Supply Receipt

CDCR 7551 (07/24), Administration or Declination of Coccidioidomycosis Screening

CDCR 7701 (Rev. 10/20), Penal Code 2604 Rights

CDCR 7702 (Rev. 01/21), Petition for Capacity Determination

CDCR 7702-A (Rev. 10/20), Petition for Capacity Determination-Additional Page

CDCR 7703 (Rev. 01/21), Renewal Petition for Capacity Determination

CDCR 7704 (Rev. 10/20), Penal Code 2604 Reconsideration

CDCR 7705 (Rev. 10/20), Confidential Surrogate Decisionmaker Screening

CDCR 7706 (Rev. 10/20), Notice of Revocation or Termination of Penal Code 2604 Order

CDCR MH-7363 (Rev. 01/15), Involuntary Medication Notice

CDCR MH-7363-B (01/15), Involuntary Medication Notice: ADD-A-PAGE

CDCR MH-7366 (Rev. 01/15), Inmate Rights Notice -Involuntary Medication

CDCR MH-7368 (01/15), Renewal of Involuntary Medication Notice

CDCR MH-7368-B (01/15), Renewal of Involuntary Medication Notice: ADD-A-PAGE

CDCR MH-7369 (01/15), Penal Code Section 2602 Reconsideration

Cal. Code Regs. Tit. 15, § 3999.99

Note: Authority cited: Section 5058, Penal Code. Reference: Section 5054, Penal Code.

Note: Authority cited: Section 5058, Penal Code. Reference: Section 5054, Penal Code.

1. Change without regulatory effect adopting section filed 8-6-2018 pursuant to section 100, title 1, California Code of Regulations (Register 2018, No. 32).
2. Amendment filed 3-12-2019 as an emergency; operative 3-12-2019 (Register 2019, No. 11). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 8-19-2019 or emergency language will be repealed by operation of law on the following day.
3. Change without regulatory effect adopting new article 2 heading and amending section filed 4-15-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 16).
4. Amendment filed 7-1-2019 as an emergency; operative 7/1/2019 (Register 2019, No. 27). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency language will be repealed by operation of law on the following day.
5. Editorial correction adding inadvertently omitted form (Register 2019, No. 27).
6. Certificate of Compliance as to 3-12-2019 order transmitted to OAL 8-14-2019 and filed 9/24/2019 (Register 2019, No. 39).
7. Amendment refiled 12-5-2019 as an emergency; operative 12/10/2019 (Register 2019, No. 49). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency language will be repealed by operation of law on the following day.
8. Amendment refiled 3-9-2020 as an emergency; operative 3/10/2020 (Register 2020, No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or emergency language will be repealed by operation of law on the following day.
9. Certificate of Compliance as to 3-9-2020 order transmitted to OAL 6-8-2020 and filed 7/20/2020 (Register 2020, No. 30).
10. Amendment filed 3-1-2021; operative 3/1/2021 pursuant to Government Code section 11343.4(b)(3) (Register 2021, No. 10).
11. Amendment filed 10-28-2021; operative 1/1/2022 (Register 2021, No. 44). Filing deadline specified in Government Code section 11349.3(a)extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20.
12. Change without regulatory effect amending section filed 7-1-2024 pursuant to section 100, title 1, California Code of Regulations (Register 2024, No. 27).