Homepage Blank Department Of Corrections Visitation Florida Form
Outline

Visiting an inmate in Florida's correctional facilities involves a structured process, and the Department of Corrections Visitation form is a crucial part of this procedure. This two-part application is designed to ensure that all visitors meet specific requirements before they can gain access to inmates. In the first part, applicants must provide detailed personal information, including their relationship to the inmate and any relevant background history. It is essential to fill out every section completely, as leaving any blanks can lead to denial of the application. The second part focuses on visitor information, requiring applicants to affirm their understanding of the rules and regulations governing visitation. Notably, individuals aged 12 and older must submit their own forms, emphasizing the importance of accurate and honest responses. The form also includes a section that addresses any previous criminal history, ensuring that all visitors are screened appropriately. It is imperative to remember that visiting privileges are not granted until the inmate has notified the visitor of approval, underscoring the need for patience and adherence to the established guidelines.

Sample - Department Of Corrections Visitation Florida Form

2 Part Form
Florida Department of Corrections
APPLICATION
Part 1: Visiting Request
REQUEST FOR VISITING PRIVILEGES
More Visitation Information at:
Part 2: Visitor Information
[Part 1 of 2]
www.dc.state.fl.us
Please DO NOT visit until the inmate notifies you of your
approval.
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:
(mother, friend, penpal,etc)
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) :
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 visiting privileges. I acknowledge that a criminal background check 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 12/14)
NOTICE TO ALL VISITORS: Carefully read the attached policies before visiting.
PLEASE DO NOT VISIT UNTIL THE INMATE NOTIFIES YOU YOUR APPLICATION IS APPROVED
Incorporated by Reference in Rule 33-601.715, F.A.C.
Formulario en 2 Partes
Departamento de Correction de La Florida
Parte 1: Petición para Visitas
APLICACIÓN
PETICIÓN DE PRIVILEGIOS PARA VISITAS
Parte 2: Información para el Visitante
Para Más información Sobre Visitas:
[Parte 1 de 2]
www.dc.state.fl.us
ENGLISH VERSION IS ON THE REVERSE.
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):
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 un
chequeo 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 12/14)
AVISO A TODOS LOS VISITANTES: Lea cuidadosamente la reglas adjuntas antes de visitar.
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.

Form Information

Fact Name Description
Form Structure This is a two-part form designed for visitors requesting visitation privileges for inmates in Florida's Department of Corrections.
Eligibility Criteria Individuals aged 12 and older must complete the form. All fields must be filled; leaving blanks may lead to denial.
False Information Consequences Providing false or misleading information can result in denial of the application and may lead to criminal charges.
Submission Instructions After completing the form, it must be mailed to the appropriate address. Visitors should not arrive until notified of approval by the inmate.
Governing Law This form is incorporated by reference in Rule 33-601.715, Florida Administrative Code (F.A.C.), which governs visitation rules.

Detailed Guide for Filling Out Department Of Corrections Visitation Florida

Completing the Department of Corrections Visitation form is a crucial step in the process of obtaining visitation privileges for an inmate in Florida. It is important to ensure that all required information is filled out accurately and completely to avoid any delays or denials in your application. Once the form is filled out, it should be mailed to the appropriate address, and you must wait for the inmate to notify you of your approval before visiting.

  1. Begin with the inmate's name at the top of the form.
  2. Enter the inmate's Department of Corrections number (DC#).
  3. Specify your relationship to the inmate, such as friend, family member, or pen pal.
  4. Indicate whether you are a victim of this inmate’s crime by selecting "Yes" or "No."
  5. Fill out your complete legal name, including first name, last name, maiden name (if applicable), and middle name.
  6. Provide your date of birth and age.
  7. 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).
  8. List your physical address, including street address, apartment number (if applicable), city, county, state, and zip code.
  9. Include your phone numbers, both home and work, with area codes.
  10. State your employment status and place of employment.
  11. Answer whether you have ever worked for the Florida Department of Corrections and provide details if applicable.
  12. Respond to the background questions regarding arrests, criminal citations, or previous imprisonment.
  13. Indicate if you are currently on probation or parole and provide the supervising agency's name.
  14. Answer whether you are approved to visit any other inmate and provide their names and DC#s if applicable.
  15. State if your visitation privileges have ever been denied, suspended, or terminated, and provide an explanation if necessary.
  16. Specify how you met the inmate, selecting from the provided options.
  17. Sign and date the form in the designated area to certify that all information is accurate and complete.
  18. If you are under 18, have a parent or legal guardian sign and date the form as well.

After ensuring that all sections are filled out correctly, mail the completed form to the specified address. Remember, you must wait for the inmate to inform you of your approval before attempting to visit.

Obtain Answers on Department Of Corrections Visitation Florida

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

    This form is used to request visiting privileges for individuals who want to visit inmates in Florida correctional facilities. The inmate must initiate the request for you to be approved for visitation. Completing this form accurately is essential for the approval process.

  2. Who needs to fill out the form?

    Anyone aged 12 years or older who wishes to visit an inmate must complete this form. It is important that all sections are filled out completely. If a question does not apply to you, write "NA" instead of leaving it blank, as omissions can lead to denial of the application.

  3. What information is required on the form?

    The form asks for various details, including:

    • Your relationship to the inmate
    • Your complete legal name and date of birth
    • Identifying information such as race, sex, and driver's license number (if applicable)
    • Employment status and history
    • Background information, including any past arrests or convictions

    Providing accurate and truthful information is crucial, as false information can result in denial of your application.

  4. What happens if I leave a section blank?

    Leaving any section blank will likely result in your application being denied. It’s essential to fill out every part of the form. If something does not apply to you, simply write "NA" to indicate that it is not applicable.

  5. How do I submit the form?

    Once you have completed the form, you must mail it to the address provided in the instructions. Do not visit the inmate until you receive notification of your approval. This notification will come from the inmate once the application is processed.

  6. What should I do if my visitation privileges have been denied in the past?

    If your visitation privileges have previously been denied, suspended, or terminated, you need to explain the circumstances on the form. This information is crucial for the review process, and being honest about your history can impact your chances of approval.

Common mistakes

Filling out the Florida Department of Corrections Visitation form can be a straightforward process, but there are common mistakes that can lead to application denial. One of the most frequent errors is leaving blanks on the form. The instructions clearly state that all fields must be completed. If a particular item does not apply, applicants should write "NA" instead of leaving it blank. Failing to do so can result in an immediate denial of the application.

Another common mistake involves providing inaccurate or misleading information. It is essential to ensure that all details, including names, dates of birth, and relationships to the inmate, are correct. Any discrepancies can raise red flags during the background check process, potentially leading to a denial. Applicants should double-check their entries before submitting the form.

Many applicants also overlook the importance of signing the form. A signature is required in the designated space, and without it, the application will not be processed. This oversight can cause unnecessary delays. For those under 18, a parent or legal guardian's signature is also necessary, which can be easily forgotten.

Additionally, some individuals may not fully understand the implications of their criminal history. If an applicant has been arrested or has received a criminal citation, they must answer truthfully. Failing to disclose such information can result in denial and may lead to permanent suspension of visitation privileges. It is crucial to be honest about past interactions with the law.

Lastly, applicants often neglect to review the visitation rules attached to the form. Understanding these rules is vital, as they outline what is expected during visits. Familiarity with these guidelines can help ensure that the visitation process goes smoothly once the application is approved. Taking the time to read and comprehend these policies can prevent future complications.

Documents used along the form

When preparing for a visit to an inmate in Florida, several forms and documents are often required alongside the Department of Corrections Visitation form. Each document serves a specific purpose, ensuring that the visitation process is smooth and compliant with regulations. Below is a list of commonly used forms and documents that you may need to consider.

  • Inmate's Identification Card: This card verifies the identity of the inmate and is essential for processing visitor approvals.
  • Visitor's Identification: A government-issued ID, such as a driver’s license or passport, is necessary to confirm the visitor's identity upon arrival.
  • Background Check Consent Form: This form grants permission for the Department of Corrections to conduct a background check on the visitor, ensuring compliance with security protocols.
  • Visitor Rules Acknowledgment: Visitors must sign this document to confirm that they have read and understood the rules and regulations governing visits.
  • Minors' Consent Form: If a visitor is under 18, this form must be signed by a parent or legal guardian, granting permission for the minor to visit the inmate.
  • Employment Verification Letter: For visitors who are employed, a letter from their employer may be required to confirm their employment status.
  • Proof of Relationship: Documentation, such as a birth certificate or marriage license, may be necessary to establish the relationship between the visitor and the inmate.
  • Visitation Schedule Request: This form allows visitors to request specific dates and times for their visits, ensuring that all parties are aware of the scheduled visitation.
  • Medical Clearance Form: If a visitor has health concerns, this form may be required to ensure that they are fit to visit, particularly in facilities with strict health regulations.

Having these documents prepared can significantly ease the visitation process. Each form plays a critical role in maintaining the safety and security of the correctional environment while allowing families and friends to connect with their loved ones. Always check with the specific facility for any additional requirements or changes to the visitation process.

Similar forms

  • Prisoner Visitation Application Form: Similar to the Florida Department of Corrections Visitation form, this document is used in various states to request visitation privileges for individuals wishing to visit inmates. It typically requires personal information about the visitor and their relationship to the inmate.
  • Inmate Release Notification Form: This form notifies designated individuals when an inmate is released. Like the visitation form, it requires the identification of the individual and their relationship to the inmate, ensuring that only approved persons are informed of the release.
  • Visitor Background Check Consent Form: This document is used to authorize a background check on potential visitors. It shares similarities with the visitation form in that it collects personal information and requires consent for the check to be conducted.
  • Prisoner Transfer Request Form: When an inmate is being transferred to another facility, this form is used to notify relevant parties. It collects similar identifying information about the inmate and the individuals who may be affected by the transfer.
  • Inmate Medical Release Authorization Form: This document allows medical personnel to share information about an inmate's health with designated individuals. It requires personal information and the relationship to the inmate, mirroring the visitation form's intent to control access to sensitive information.
  • Family Reunification Application: In certain cases, this application is used to facilitate family visits in correctional settings. It requires details about the family member's relationship to the inmate, similar to the visitation form's focus on personal connections.

Dos and Don'ts

When filling out the Florida Department of Corrections Visitation form, there are important dos and don'ts to keep in mind. Following these guidelines will help ensure your application is processed smoothly.

  • Do complete every section of the form. Leaving blanks can lead to denial of your application.
  • Do write "NA" for any items that do not apply to you. This clarifies your application.
  • Do sign the form in the designated space. Your application will not be processed without a signature.
  • Do provide accurate information. Supplying false or misleading details will result in denial.
  • Don't visit the inmate until you receive notification of approval. This is crucial to avoid any issues.
  • Don't forget to include your relationship to the inmate. This information is necessary for processing.

By adhering to these guidelines, you increase your chances of a successful visitation request. Remember, clarity and accuracy are key.

Misconceptions

There are several misconceptions regarding the Florida Department of Corrections Visitation form. Understanding these can help ensure a smoother application process for visitors. Here are ten common misconceptions:

  1. Only immediate family can visit inmates. Many people believe that only family members can visit. However, friends and pen pals can also apply for visitation privileges.
  2. Visitors do not need to provide identification. Some think that identification is optional. In reality, providing a valid ID is a requirement for completing the form.
  3. All applications are automatically approved. There is a belief that submitting the form guarantees approval. Approval depends on the accuracy of the information provided and the inmate's status.
  4. Leaving blanks on the form is acceptable. Many assume that they can skip questions. Leaving any blanks can lead to automatic denial of the application.
  5. Visitors can go to the prison before receiving approval. Some people think they can visit before getting a notification. This is incorrect; you must wait for the inmate to notify you of approval.
  6. Only adults can visit. There is a misconception that only adults can fill out the form. However, individuals aged 12 and older must complete the form to visit.
  7. Providing false information has minor consequences. Some believe that lying on the application will have little effect. In fact, it can lead to denial and potential legal repercussions.
  8. Previous arrests automatically disqualify visitors. Many think that any criminal history will prevent approval. While it is considered, each application is reviewed on a case-by-case basis.
  9. Visitors do not need to sign the form. Some assume that a signature is not necessary. However, failing to sign will result in the form not being processed.
  10. Visitors can apply for multiple inmates at once. There is a belief that one form can cover multiple inmates. In reality, each visitor must submit a separate form for each inmate they wish to visit.

By clarifying these misconceptions, potential visitors can better navigate the application process and avoid unnecessary delays or denials.

Key takeaways

When filling out the Florida Department of Corrections Visitation form, consider the following key points:

  • Complete All Sections: Ensure that no fields are left blank. If a question does not apply, write "NA" to avoid denial of your application.
  • Provide Accurate Information: Supplying false or misleading information can lead to denial and possible legal consequences.
  • Age Requirement: Individuals aged 12 and older must fill out the form to request visitation privileges.
  • Approval Notification: Do not visit the inmate until you receive notification of your application approval from them.
  • Signature Requirement: Sign the form in the designated area; failure to do so will result in the application not being processed.