Department Of Corrections Visitation Florida Template

Department Of Corrections Visitation Florida Template

The Department of Corrections Visitation Florida form is a crucial document for individuals seeking to visit inmates in Florida's correctional facilities. This two-part application requires detailed personal information to assess eligibility for visitation privileges. It is essential to complete the form accurately and submit it as directed, as any omissions or inaccuracies can lead to denial of your request.

To ensure a smooth application process, please fill out the form by clicking the button below.

Table of Contents

The Department of Corrections Visitation Florida form is a critical document for individuals seeking to visit inmates in Florida correctional facilities. This two-part form consists of an application for visiting privileges and a section for visitor information. It requires detailed personal information about the visitor, including their relationship to the inmate, legal name, contact information, and employment status. Visitors must also disclose any criminal history and whether they have previously been denied visitation privileges. The form emphasizes the importance of accuracy; leaving blanks or providing false information can lead to denial of the application. Notably, individuals aged 12 and older must complete the form, and a signature is mandatory for processing. The form also includes a warning against visiting until the inmate has confirmed approval of the application. This process ensures that the visitation system operates fairly and securely, maintaining the safety of both inmates and visitors.

Department Of Corrections Visitation Florida Sample

2 Part Form
Part 1: Visiting Request
Part 2: Visitor Information
Florida Department of Corrections
REQUEST FOR VISITATION PRIVILEGES
[Part 1 of 2]
APPLICATION
More Visitation Information at:
www.dc.state.fl.us
PLEASE DO NOT VISIT UNTIL THE INMATE NOTIFIES YOU YOUR APPLICATION IS APPROVED
Incorporated by Reference in Rule 33-601.715, F.A.C.
Please DO NOT visit until the inmate notifies you of your
approval.
Submit this completed form by e-mail or U.S. Mail to
the institution where you are requesting to visit.
Please read this carefully: Only one form per person.
This inmate requests you be approved for visitation privileges. To do this, we must have the following information about you.
DO NOT LEAVE blanks, doing so will cause your application to be DENIED. When items do not apply, write in NA (not applicable).
Supplying false or misleading information results in your application being denied.
Persons 12 years old and older wanting to visit must complete this form. Be sure to sign the form in the space provided or it will not be processed.
Continue on attached sheet if necessary for any item.
1. Inmate Name:
2. Inmate's Department of Correction Number (DC#):
3. Your Relationship to the Inmate:
4. Are You a Victim of this Inmate’s Crime?
No Yes
First name:
5. Complete Legal Name:
Last name:
Maiden name:
Middle name:
Date of Birth:
Age:
6. Identifying Information:
Race:
Sex:
Driver’s License or State ID No. (16 yoa. and older):
State
Number
Physical Address/Apt. # :
7. Complete Home Address:
City:
County
State:
Zip Code
8. Phone Numbers:
Home (include area code):
Work (include area code):
Cellular (include area code) :
9. Employment Status:
Place of Employment:
Have you ever worked for the Florida Dept. of Corrections (employee, volunteer, contractor, vendor, etc.):
No Yes
* List dates, location, and positions held:
10. Background:
Have you ever been arrested or received a criminal citation
or a notice to appear in court to respond to criminal charges?
No Yes
Did you ever help this inmate commit a crime?
No Yes
Were you ever in prison?
No Yes
Dates & Location of each imprisonment:
Prison #
What were you convicted of for each imprisonment?
Are you currently on Probation/Parole?
No Yes
If yes, which agency is supervising you (Circle one)?
State Federal County
Dept. of Juv. Justice Other
If Probation/Parole has been terminated, indicate date of termination:
What are you on probation/parole for?
Name of Probation Officer:
Phone number of Probation Officer:
11. Are you approved to visit any other inmate?
No Yes
What is their name(s) and DC#(s)?:
Name:
DC#:
12. Have your visitation privileges ever been denied,
No Yes
suspended, or terminated? Please explain:
13. Where did you meet this inmate (Circle one)?
Pen pal Neighborhood Work
Family Prison Other
I certify all the information above is complete, accurate, true and that I have read all of the Visitor Rules in Part 2 of this application and agree to follow
these rules. In addition, I understand that giving false information is a second-degree misdemeanor and could result in the permanent suspension of
my visitation privileges. I acknowledge that criminal background checks will be made.
Signature
Date
Print Name (Last, First, Middle Name)
Signature of Parent or Legal Guardian if under 18 years old
Date
Print Name (Last, First, Middle Name)
DC6-111A (Effective 03/23)
NOTICE TO ALL VISITORS: Carefully read the attached policies before visiting.
Formulario en 2 Partes
Parte 1: Petición para Visitas
Parte 2: Información para el Visitante
Departamento de Correction de La Florida
PETICIÓN DE PRIVILEGIOS PARA VISITAS
[Parte 1 de 2]
ENGLISH VERSION IS ON THE REVERSE.
APLICACIÓN
Para Más información Sobre Visitas:
www.dc.state.fl.us
POR FAVOR, NO VENGA A VISITAR HASTA QUE EL PRESO LE NOTIFIQUE A USTED QUE SU APLICACIÓN HA SIDO APROBADA
Incorporated by Reference in Rule 33-601.715, F.A.C.
Por favor, no venga a visitar hasta que usted sea
notificado por el preso que usted ha sido
aprobado.
Despues de llenar este formulario, devuelvalo a:
Por favor, lea esto cuidadosamente: Solo un formulario por persona.
El preso arriba nombrado, ha pedido que usted sea aprobado para visitarlo. Para hacer esto, debemos tener la siguiente información acerca de usted.
No deje ningún espacio en blanco; si lo hace, su aplicación será DENEGADA. Escriba NA (no aplicable) cuando algo no aplica a usted.
Dar información falsa ó engañosa, resultará en que su aplicación sea denegada.
Personas mayores de 12 años de edad, que deseen visitar, deberán llenar esta planilla en su totalidad. Asegúrese de firmar la planilla en el espacio
indicado porque la planilla no será procesada si no está firmada.
Continúe en una hoja adjunta si es necesario.
1. Nombre del Preso:
2. DC #:
3. ¿ Cuál Es su Relación con el Preso: (madre, padre, amigo, etc.)
4. ¿ Há sido usted víctima de este preso?
No
Apellido:
5. Nombre Legal Completo:
Primer nombre:
Apellido de soltera:
Segundo nombre:
Fecha de nacimiento:
Edad:
6. Información de Identidad:
Raza:
Sexo:
Licencia de Conducir: (16 años de edad o mayor)
Estado:
Número:
Dirección física/Apartamento #:
7. Dirección Completa:
Ciudad:
Condado:
Estado:
Código postal:
8. Números de Teléfonos:
Casa (incluya el área):
Trabajo (incluya el área):
Celular (incluva el área):
9. Empleo:
Lugar de empleo:
¿Ha sido usted empleado por el Departamento de Correcciones de La Florida?:
No Aplicación Pendiente
¿Ha Como voluntario, ó interno, ó empleado bajo contracto ó vendedor de FDC?:
No Encierre en un círculo cual
Anote fechas, lugar, y nombre de la position:
10. Antecedentes:
¿Alguna vez ha sido arrestado, o ha recibido una
citación criminal, o una notificación para presentarse en
la corte para responder a cargos criminales?
No Si
¿Por qué razón está usted on probación/libertad Conditional?
No
¿Há ayudado alguna vez a este preso a cometer un crimen?
No
¿ Há estado usted alguna vez en prisión?
No
Fechas y lugaresde cada vez que ha sido puesto en prisión:
¿De que fué usted condenado cada vez que estuvo en prisión?
¿Está usted actualmente bajo probación/o supervición bajo palabra?
Si es Sí, ¿cúal agencia lo está supervisando?
Estado Federal Condado Dept. de Justicia Juvenil otro
Si su Probación/Libertad Condicional ha sido terminada indique la
fecha de terminación:
(Encierre en un círculo cada uno que sea necesario, y liste la información sobre supervisión)
Nombre de su oficial de probación:
Número de teléfono de su oficial de probación:
11. ¿Está Ud. Aprobado para visitar algún otro preso?
No
¿Cuáles son sus nombre(s) y sus números de preso?:
Nombre:
DC#:
12. ¿Hán sido sus privilegios de visitas alguna vez negados, revocados ó suspendidos?:
No
Explique por favor:
13. ¿Dé donde usted conoce a este preso (Encierre en un
círculo)?
Por correo Vecindario Prisión trabajo Familia Otra razón
Yo certifico que toda la anterior información es verdadera, exacta, completa y que yo he leído todas las Reglas del Visitante localizada en la
Parte 2 de este formulario y que estoy de acuerdo con obedecer estas reglas. Además, yo entiendo que el dar información falsa es un delito
menor de segundo grado y podria dar lugar a la suspensión permanente de mis privilegios de visitante. Yo reconozco que se me hará
verificaciones de antecedentes penales.
Firma
Fecha
Nombre en letra de Imprenta (Apellido, Primer Nombre, Segundo Nombre)
Firma del padre o del guardian legal si menor de 18
años de edad.
Fecha
Nombre en letra de Imprenta (Apellido, Primer Nombre, Segundo Nombre)
DC6-111A (Effective 03/23
AVISO A TODOS LOS VISITANTES: Lea cuidadosamente la reglas adjuntas antes de visitar.

Document Attributes

Fact Name Details
Form Structure The form consists of two parts: a Visiting Request and Visitor Information.
Eligibility Individuals aged 12 years and older must complete the form to request visitation privileges.
Application Process Applicants must not visit until they receive approval from the inmate.
Consequences of False Information Providing false or misleading information can lead to denial of the application and potential legal consequences.
Required Information Applicants must provide complete and accurate personal information, including legal name, relationship to the inmate, and background details.
Governing Law This form is incorporated by reference in Rule 33-601.715, Florida Administrative Code (F.A.C.).

Department Of Corrections Visitation Florida: Usage Instruction

Filling out the Florida Department of Corrections Visitation form is an important step in the process of gaining approval to visit an inmate. It requires careful attention to detail and accuracy. Once the form is completed, it should be mailed to the appropriate address, and you must wait for the inmate to notify you of your approval before attempting to visit.

  1. Begin with Part 1: Visiting Request. Fill in the inmate's name and their Department of Correction number (DC#).
  2. Provide your relationship to the inmate, such as mother, friend, or pen pal.
  3. Indicate if you are a victim of this inmate’s crime by selecting "Yes" or "No."
  4. Enter your complete legal name, including first name, last name, maiden name, and middle name.
  5. Fill in your date of birth and age.
  6. Complete the identifying information section, including your race, sex, and driver’s license or state ID number (if you are 16 years old or older).
  7. Provide your complete home address, including city, county, state, and zip code.
  8. List your phone numbers, including home and work numbers with area codes.
  9. State your employment status and place of employment. Indicate if you have ever worked for the Florida Department of Corrections and provide details if applicable.
  10. Answer questions regarding your background, including any arrests or criminal citations, and whether you have ever been in prison. If applicable, provide details about your imprisonment.
  11. Indicate if you are currently on probation or parole, and provide the supervising agency's name and your probation officer's contact information.
  12. Answer whether you are approved to visit any other inmate and list their names and DC#s if applicable.
  13. Indicate if your visitation privileges have ever been denied, suspended, or terminated, and provide an explanation if necessary.
  14. State where you met the inmate by selecting from the provided options.
  15. Sign and date the form in the designated space. If you are under 18, a parent or legal guardian must also sign.

Once you have completed all sections of the form, double-check for any blank spaces or inaccuracies, as these can lead to denial of your application. After confirming that everything is filled out correctly, mail the form to the address provided. Remember, you must wait for the inmate to notify you of your approval before visiting.

Frequently Asked Questions

  1. What is the purpose of the Department of Corrections Visitation Florida form?

    This form is used to request visitation privileges for individuals who wish to visit inmates in Florida correctional facilities. It collects essential information about the visitor to ensure that they meet the requirements for visitation.

  2. Who needs to fill out this form?

    Anyone aged 12 years or older who wishes to visit an inmate must complete this form. Each visitor must submit a separate application. If a visitor is under 18, a parent or legal guardian must also sign the form.

  3. What information is required on the form?

    The form requires detailed information, including:

    • Inmate's name and Department of Corrections number
    • Visitor's full legal name and relationship to the inmate
    • Contact information, including home and work phone numbers
    • Employment status and history
    • Criminal background information

    Ensure that all sections are completed. Leaving blanks may lead to denial of the application.

  4. What happens if I provide false information?

    Providing false or misleading information can result in the denial of your application. It is important to be truthful, as this could also lead to a misdemeanor charge and permanent suspension of visitation privileges.

  5. How do I submit the form?

    Once you have completed the form, mail it to the address specified on the form. Do not visit the inmate until you receive notification of approval from them.

  6. What if I have been denied visitation privileges before?

    If your visitation privileges have been denied, suspended, or terminated in the past, you must provide an explanation on the form. This information is crucial for the approval process.

  7. Can I visit more than one inmate?

    If you are approved to visit another inmate, you must indicate their name and DC number on the form. Each inmate requires a separate application for visitation privileges.

  8. What should I do after submitting the form?

    After submitting your application, wait for the inmate to notify you of your approval. Do not attempt to visit until you have received this confirmation.

  9. Where can I find more information about visitation policies?

    For additional details regarding visitation rules and policies, please visit the Florida Department of Corrections website at www.dc.state.fl.us. It is essential to read these policies carefully before your visit.

Common mistakes

Filling out the Florida Department of Corrections Visitation form can be a straightforward process, but mistakes can lead to delays or denials. One common error occurs when applicants leave blanks in the form. Every section must be completed, even if some information does not apply. In such cases, writing "NA" (not applicable) is essential. Failing to do so may result in an automatic denial of the application.

Another frequent mistake is providing false or misleading information. Honesty is crucial when filling out this form. Misrepresentation can lead to serious consequences, including denial of visitation privileges. It is important to ensure that all information is accurate and truthful to avoid complications.

Many applicants overlook the importance of signing the form. A signature is required for the application to be processed. Without it, the form will not move forward, and the applicant will need to start the process over again. Remember to check that the signature is present before submitting the application.

Additionally, some individuals fail to indicate their relationship to the inmate clearly. This information is crucial for the approval process. Whether you are a family member, friend, or pen pal, specifying your relationship helps the Department of Corrections assess the application appropriately.

Another common error involves not providing complete contact information. Applicants should include all relevant phone numbers and addresses. Missing or incorrect contact details can hinder communication regarding the application status. It is advisable to double-check this information before sending in the form.

Lastly, applicants often neglect to review the visitor rules attached to the application. Understanding these rules is vital for a successful visit. Ignoring them can lead to unexpected issues during the visitation process. Take the time to read and familiarize yourself with these guidelines to ensure a smooth experience.

Documents used along the form

The Florida Department of Corrections Visitation form is essential for anyone wishing to visit an inmate. Along with this form, several other documents may be required or helpful in the visitation process. Here’s a list of common forms and documents that are often used in conjunction with the visitation application.

  • Inmate Information Sheet: This document provides basic details about the inmate, including their full name, DC number, and location within the correctional facility.
  • Visitor Rules and Regulations: This sheet outlines the rules that visitors must follow during their visit, including dress code, behavior expectations, and prohibited items.
  • Background Check Authorization: Visitors may need to fill out this form to give permission for the Department of Corrections to conduct a background check before approving visitation.
  • Proof of Identity: A valid government-issued ID, such as a driver’s license or passport, is often required to verify the identity of the visitor.
  • Application for Visiting Privileges: This is another version of the visitation application that may be used for specific facilities or circumstances.
  • Visitor Log: This document records the names of all visitors entering the facility on a given day, ensuring security and tracking who has visited whom.
  • Minor Consent Form: If a visitor is under 18, a parent or guardian may need to sign this form to grant permission for the minor to visit the inmate.
  • Emergency Contact Form: This form allows visitors to provide emergency contact information in case of unforeseen events during the visit.
  • Visitation Schedule: A schedule that outlines the available visiting hours and days for the specific facility, helping visitors plan their visits accordingly.
  • Facility Map: A map of the correctional facility can assist visitors in navigating the premises, including where to go for check-in and visitation areas.

Having these documents ready can help ensure a smoother visitation process. Always check with the specific correctional facility for any additional requirements or changes to the visitation policy.

Similar forms

  • Visitor Application Form for State Prisons: Similar to the Florida Department of Corrections Visitation form, this document also requires personal information about the visitor, including their relationship to the inmate and background details. It serves the same purpose of granting visitation privileges.
  • Inmate Release Notification Form: This form notifies individuals about an inmate's release date. Like the visitation form, it emphasizes the importance of accurate information and may require background checks to ensure safety during visits.
  • Probation/Parole Application Form: This document is used by individuals seeking probation or parole. It shares similarities with the visitation form in that it collects detailed personal and background information, ensuring that applicants meet specific criteria before approval.
  • Visitor Rules Acknowledgment Form: This form outlines the rules and regulations for visitors at correctional facilities. It parallels the visitation form by requiring visitors to certify their understanding of the rules and consequences for providing false information.

Dos and Don'ts

When filling out the Department of Corrections Visitation form in Florida, it’s important to follow certain guidelines to ensure your application is processed smoothly. Here are four things you should and shouldn't do:

  • Do provide complete information. Make sure every section of the form is filled out. Leaving blanks can lead to denial of your application.
  • Do sign the form. Forgetting to sign will result in your application not being processed.
  • Do use "NA" for items that don’t apply. If a question doesn’t pertain to you, indicate that by writing "NA".
  • Do wait for approval before visiting. Do not visit the inmate until you receive notification that your application has been approved.
  • Don't provide false information. Giving misleading details can lead to immediate denial of your application.
  • Don't submit more than one form. Only one application per person is allowed.
  • Don't forget to include your relationship to the inmate. Clearly state how you are related to the inmate to avoid confusion.
  • Don't visit without confirmation. Always wait for the inmate to notify you of your approval before planning a visit.

Misconceptions

Understanding the requirements and procedures for the Florida Department of Corrections Visitation form can be challenging. Below are some common misconceptions that may lead to confusion:

  • Only family members can visit inmates. Many people believe that only immediate family members are allowed to visit. In reality, friends and other acquaintances can also apply for visitation privileges, provided they complete the necessary form.
  • Submitting the form guarantees approval. Some individuals think that filling out and submitting the visitation form automatically means they will be approved. However, approval is contingent upon a thorough review, including a background check and the inmate's notification.
  • It's acceptable to leave blanks on the form. A common misconception is that leaving certain fields blank will not affect the application. In fact, any blanks can lead to denial. Applicants must fill out every section or indicate "NA" for items that do not apply.
  • Visitors under 18 do not need parental consent. Many believe that minors can visit without any parental oversight. However, anyone under 18 years old must have a parent or legal guardian sign the form to ensure their application is processed.
  • Previous criminal history automatically disqualifies a visitor. Some individuals think that any past arrests or convictions will lead to automatic denial of visitation. While a background check is conducted, each application is evaluated on a case-by-case basis, and not all criminal histories disqualify a visitor.

It is essential to approach the visitation process with accurate information and a clear understanding of the requirements. This can help ensure a smoother experience for both the visitor and the inmate.

Key takeaways

Filling out the Florida Department of Corrections Visitation form is a crucial step for anyone wishing to visit an inmate. Here are some key takeaways to keep in mind:

  • One Form Per Person: Each visitor must complete a separate form. Do not submit multiple forms for the same person.
  • Complete All Sections: Ensure that every section of the form is filled out. Leaving blanks can lead to automatic denial of your application.
  • Use "NA" When Necessary: If a question does not apply to you, write "NA" instead of leaving it blank.
  • Truthfulness is Essential: Providing false or misleading information will result in denial of your application.
  • Age Requirement: Individuals aged 12 and older must fill out this form to visit an inmate.
  • Sign the Form: Your application will not be processed if you forget to sign it in the designated area.
  • Approval Notification: Do not attempt to visit until the inmate has notified you that your application has been approved.
  • Background Check: Be aware that a criminal background check will be conducted as part of the approval process.
  • Visitor Rules: Familiarize yourself with the visitation rules included in the application to ensure compliance during your visit.

By following these guidelines, you can help ensure a smoother process for your visitation request.