Homepage Blank Florida Supervision Report Form
Outline

The Florida Supervision Report form serves as a crucial tool for individuals under supervision, providing a structured way to document their progress and compliance with the terms of their supervision. Each month, individuals fill out this form to report on various aspects of their lives, including their residence, employment status, and any educational pursuits. The form requires personal information such as names and relationships of household members, which helps probation officers understand the individual's living situation. Additionally, it includes sections for reporting on special conditions of supervision, such as community service hours and treatment attendance. This ensures that individuals remain accountable for their commitments. Contact with law enforcement, personal goals, and action steps taken towards those goals are also documented, allowing for a comprehensive overview of the individual’s progress. By completing this form, individuals not only fulfill their reporting requirements but also reflect on their achievements and areas for improvement, fostering personal growth and accountability.

Sample - Florida Supervision Report Form

FLORIDA DEPARTM ENT OF CORRECTIONS
SUPERVISION REPORT
(FOR THE M ONTH OF ____________________)
DC3-2026 (Effective 2/ 14) Incorporat ed by Reference in Rule 33-302.110, F.A.C. 2 Part File-Right Side
6 Part File-Section 2
NAM E: ___________________________________________________________ DC#: ________________________________________
OFFICER NAM E/ LOCATION: ______________________________________________________________________________________________
RESIDENCE:
Street Address: ________________________________________________ Cit y: _____________________________ Zip: _____________
Building: ______________ Apt #: ______________ Lot#: _____________ Code to access securit y gate: _____________________
LIST FULL NAM ES, AGES, AND RELATIONSHIP OF OTHERS WHO CURRENTLY LIVE AT THIS RESIDENCE (Note if anyone is on supervision):
________________________________________________________ ________________________________________________________
________________________________________________________ ________________________________________________________
HOM E PHONE NUM BER:
CELLULAR PHONE NUM BER:
EM AIL ADDRESS:
M AILING ADDRESS (IF DIFFERENT FROM RESIDENCE):
VEHICLE
- ____________________________________________________________________________________________________________
M AKE M ODEL YEAR COLOR TAG#
CHECK CURRENT STATUS OF DRIVERS LICENSE: Valid Revoked (Date:__________________) Suspended (Date:_____________)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
EM PLOYM ENT:
Employer Name: ___________________________________________ _____________
Supervisor Name: Phone: ____
Employment Address:
____________________________________________________________________________________________
Street Cit y Stat e Zip
Your job title: _________________________________________________________________________________________________________
Job Dut ies: ___________________________________________________________________________________________________________
SALARY/ INCOME EARNED (for past month): ____________________ DATE BEGAN: DATE ENDED: ________________
Typical Days/ Hours Worked: _____________________________________________________________________________________________
NOTE: If unemployed (and not retired, disabled or a full-time student), attach completed Job Search form or list for the month.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
STUDENT/ SCHOOL: N/ A
Type of Class/ School Att ending:
High School College Adult Educat ion Vocational Other Course Online Classes
School/ Class Name: ___________________________________________________
Phone#:
Address: ____________________________________________________________________________________________
Street Cit y Stat e
Zip
Tot al Semest er/ Quarter Hours Enrolled:
Date Class or Semest er Began: Date Ended: (Att ach proof of enrollment or ending report)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Page 1 of 2 - Please complete the other/ reverse side of this report (OVER)
DC3-2026 (Effective 2/ 14) Incorporat ed by Reference in Rule 33-302.110, F.A.C.
SPECIAL CONDITIONS OF SUPERVISION – List progress made t his past month on special condit ions ordered, including:
PUBLIC SERVICE HOURS: ______________________ M ONETARY PAYM ENT: ______________________ OTHER: ______________________
TREATM ENT ATTENDED THIS PAST M ONTH: ________________________________________________________________________________
NOTE:
At tach required Support Group Attendance forms, driving logs, public service work document ation, et c. as required.
PAYM ENTS: Payments may be made by either U. S. M ail or credit card using one of the services described on the DC Public Web site,
www.dc.state.fl.us under the Probation link “FAQS - Frequently Asked Questions– Four Ways to Pay Court Ordered Payments.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
CONTACT WITH LAW ENFORCEM ENT – If you had any cont act wit h law enforcement this past mont h, explain details here: _________________
_____________________________________________________________________________________________________________________
Do you have a problem or concern you would like to discuss with your probation officer? YES NO
How did you spend your free time last month? _________________________________________________________________________________
____________________________________________________________________________________________________ ____________________
PERSONAL GOALS
: W rite each of your top 2 goals you are w orking to achieve. Indicate at least 2 action steps you took last month and 2 action
steps you will take this month to achieve each goal.
GOAL # 1:
________________________________________________________________________________________________________________________
__________________________________________________
ACTION STEPS I TOOK LAST M ONTH:
1. __________________________________________________________________________________
2. __________________________________________________________________________________
ACTION STEPS I W ILL TAKE THIS M ONTH:
1. __________________________________________________________________________________
2. __________________________________________________________________________________
GOAL # 2:
____________________________________________________________________________________________________ ____________________
__________________________________________________
ACTION STEPS I TOOK LAST M ONTH:
1. __________________________________________________________________________________
2. __________________________________________________________________________________
ACTION STEPS I W ILL TAKE THIS M ONTH:
1. __________________________________________________________________________________
2. __________________________________________________________________________________
________ _____________
Signature Date
Signature of Officer Receiving Report Date Report Reviewed
Officer Comments:

Form Information

Fact Name Details
Purpose The Florida Supervision Report is used to track the progress of individuals on probation or supervision.
Governing Law This form is incorporated by reference in Rule 33-302.110 of the Florida Administrative Code.
Monthly Requirement Supervisees must submit this report monthly to their probation officer.
Personal Information The form requires personal details, including name, address, and contact information.
Employment Details Supervisees must provide information about their employment status and job duties.
Education Status Educational information is also required, including school name and enrollment dates.
Special Conditions Progress on any special conditions of supervision must be reported.
Law Enforcement Contact Any contact with law enforcement in the past month must be disclosed.
Personal Goals Supervisees are encouraged to set personal goals and outline action steps to achieve them.
Signature Requirement The report must be signed by both the supervisee and the supervising officer.

Detailed Guide for Filling Out Florida Supervision Report

Completing the Florida Supervision Report form is an important step in maintaining compliance with supervision requirements. After filling out the form, you will submit it to your supervising officer for review. Ensure that all sections are completed accurately to avoid any delays or issues.

  1. Obtain the Form: Get a copy of the Florida Supervision Report form. This can usually be found online or provided by your supervising officer.
  2. Fill in the Month: At the top of the form, write in the month for which you are reporting.
  3. Enter Personal Information: Fill in your name, DC number, and the name/location of your supervising officer.
  4. Provide Residence Details: Write your complete street address, city, zip code, building number, apartment number, lot number, and any security gate access codes.
  5. List Household Members: Identify all individuals living at your residence, including their ages and relationships to you. Note if anyone is also on supervision.
  6. Contact Information: Include your home phone number, cellular phone number, email address, and mailing address if different from your residence.
  7. Vehicle Information: Describe your vehicle by providing the make, model, year, color, and tag number.
  8. Driver's License Status: Check the current status of your driver’s license and provide relevant dates if it is revoked or suspended.
  9. Employment Details: Fill in your employer's name, supervisor's name, supervisor's phone number, and employment address. Include your job title, duties, salary earned for the past month, and employment dates.
  10. Student Information: If applicable, indicate the type of school or class you are attending, along with the name, phone number, and address of the institution. Include enrollment dates and attach proof of enrollment if required.
  11. Special Conditions: Report on your progress regarding any special conditions of supervision, including public service hours and monetary payments.
  12. Treatment Attendance: Note any treatment sessions you attended in the past month.
  13. Law Enforcement Contact: If you had any contact with law enforcement, provide details in the specified section.
  14. Personal Goals: Write down your top two personal goals, along with action steps you took last month and those you plan to take this month for each goal.
  15. Sign and Date: Sign and date the report at the bottom. Ensure that the officer receiving the report also signs and dates it.

Obtain Answers on Florida Supervision Report

  1. What is the purpose of the Florida Supervision Report form?

    The Florida Supervision Report form is designed to provide the Department of Corrections with essential information regarding an individual's compliance with the terms of their supervision. This report helps probation officers monitor progress and address any issues that may arise during the supervision period.

  2. Who is required to complete this form?

    Individuals who are currently under supervision by the Florida Department of Corrections must complete this form. It is typically filled out monthly and submitted to the supervising officer to ensure that all conditions of supervision are being met.

  3. What information must be included in the report?

    The report requires various details, including:

    • Name and DC number of the individual.
    • Residence information, including address and phone numbers.
    • Employment details, including employer name, job title, and salary.
    • School or educational program information, if applicable.
    • Progress on special conditions of supervision, such as public service hours and treatment attended.
    • Any contact with law enforcement during the reporting period.
  4. How often must the Florida Supervision Report be submitted?

    This report must be submitted monthly. It is essential to adhere to this timeline to remain in compliance with the terms of supervision. Late submissions may lead to consequences, including a review of the individual's compliance status.

  5. What should I do if I am unable to complete the report on time?

    If you anticipate being unable to complete the report on time, it is advisable to contact your supervising officer as soon as possible. They may provide guidance or an extension, depending on the circumstances. Open communication is crucial in these situations.

  6. Are there any attachments required with the report?

    Yes, certain attachments may be required, such as proof of enrollment in educational programs, documentation of public service hours, and any required support group attendance forms. It is important to check the specific requirements for your situation.

  7. What happens if I fail to submit the report?

    Failure to submit the report can result in a violation of supervision terms. This may lead to a range of consequences, including increased scrutiny from the supervising officer, potential court hearings, or even revocation of supervision. It is crucial to prioritize timely submission of the report.

Common mistakes

Filling out the Florida Supervision Report form can be challenging, and mistakes can lead to delays or complications. One common error is failing to provide complete and accurate personal information. This includes not filling in the full name, DC number, or contact details. Omitting any of these details can create confusion and may result in the report being rejected.

Another frequent mistake is neglecting to list all household members. The form requires the names, ages, and relationships of everyone living at the residence. If someone is on supervision, that must be noted as well. Incomplete information can hinder the review process and may affect the individual's supervision status.

People often overlook the section regarding employment. Providing inaccurate details about job title, duties, or salary can lead to misunderstandings. It is crucial to report the correct employment status, including dates and hours worked. If someone is unemployed, they must attach a job search form. Failing to do so can raise concerns about compliance with supervision requirements.

Another area where mistakes frequently occur is in documenting special conditions of supervision. Individuals need to detail their progress on public service hours, monetary payments, and any treatment attended. Incomplete or vague responses can give the impression that the individual is not taking their supervision seriously. This could lead to further scrutiny from the supervising officer.

Lastly, many individuals forget to sign the report or include the date. This simple oversight can result in the report being considered incomplete. It is essential to ensure that both the individual and the supervising officer sign and date the form to confirm that the information is accurate and reviewed. Taking the time to carefully complete the form can prevent unnecessary complications and ensure a smoother supervision process.

Documents used along the form

The Florida Supervision Report form is a critical document used in the probation process. Several other forms and documents are often required alongside it to ensure comprehensive reporting and compliance with supervision conditions. Below is a list of these documents, each accompanied by a brief description.

  • Job Search Form: This form is required if the individual is unemployed and not exempt due to retirement, disability, or being a full-time student. It details the job search activities undertaken during the reporting period.
  • Support Group Attendance Form: This document verifies attendance at required support group meetings. It helps track compliance with treatment conditions set by the court.
  • Driving Log: This log records any driving activity, including dates, times, and purposes of travel. It is necessary for individuals whose supervision includes driving restrictions.
  • Public Service Work Documentation: This form provides evidence of completed community service hours. It is essential for fulfilling court-ordered public service requirements.
  • Proof of Enrollment: This document confirms enrollment in educational programs. It is required if the individual is attending school as part of their supervision conditions.
  • Payment Receipt: This is a record of any court-ordered payments made during the reporting period. It serves to demonstrate compliance with financial obligations imposed by the court.
  • Contact with Law Enforcement Report: This report details any interactions with law enforcement during the month. It is crucial for monitoring compliance with supervision conditions related to legal issues.

These documents collectively support the supervision process, ensuring that individuals comply with their conditions and maintain accountability. Proper completion and submission of each form are vital for effective monitoring and support.

Similar forms

The Florida Supervision Report form shares similarities with several other documents used in monitoring and reporting on individuals under supervision. Here are seven documents that are comparable, along with their specific similarities:

  • Probation Progress Report: This document tracks the individual's progress on probation, including compliance with conditions and any issues that arise, much like the Florida Supervision Report.
  • Parole Progress Report: Similar to the Supervision Report, this form documents the parolee's activities and compliance with parole conditions, providing updates on their rehabilitation.
  • Monthly Check-in Form: This is used to gather regular updates on an individual's status, including employment and living conditions, paralleling the information collected in the Supervision Report.
  • Employment Verification Form: This document confirms an individual's employment status and income, which is also a key component of the Supervision Report.
  • Substance Abuse Treatment Progress Report: It tracks the individual's participation and progress in treatment programs, akin to the section in the Supervision Report that addresses treatment attendance.
  • Community Service Log: This document records hours worked on community service, which is a requirement noted in the Supervision Report under special conditions.
  • Incident Report: Similar in purpose, this document details any interactions with law enforcement, much like the section in the Supervision Report that asks for such information.

Dos and Don'ts

When filling out the Florida Supervision Report form, it is important to follow certain guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do:

  • Do provide accurate and complete personal information, including your name and DC number.
  • Do list all individuals living at your residence, noting any who are also on supervision.
  • Do check the status of your driver's license and report it accurately.
  • Do detail your employment information, including job title and duties.
  • Don't leave any sections of the form blank; incomplete forms may delay processing.
  • Don't provide false information, as this can lead to serious consequences.
  • Don't forget to attach any required documentation, such as proof of enrollment in school or proof of job search.
  • Don't hesitate to ask your probation officer if you have questions about the form or its requirements.

Misconceptions

  • Misconception 1: The Florida Supervision Report is only for those on probation.
  • This form is used for various types of supervision, not just probation. Individuals on parole or other forms of community supervision must also complete it.

  • Misconception 2: Completing the form is optional.
  • Filling out the Supervision Report is mandatory for individuals under supervision. It helps ensure compliance with the conditions set by the court or supervising officer.

  • Misconception 3: The report is only about employment status.
  • While employment is a significant part, the report also covers living conditions, personal goals, and interactions with law enforcement, among other things.

  • Misconception 4: You can submit the report at any time.
  • The report must be submitted by a specific deadline each month. Missing this deadline can lead to complications with your supervision.

  • Misconception 5: Personal goals are not relevant to supervision.
  • Setting and working towards personal goals is an essential part of the supervision process. It demonstrates commitment to personal growth and rehabilitation.

  • Misconception 6: There are no consequences for incomplete forms.
  • Submitting an incomplete report can lead to negative consequences, including potential violations of supervision terms. It’s crucial to provide all required information.

  • Misconception 7: You don’t need to keep records of your activities.
  • Maintaining records of your activities, such as public service hours or treatment attendance, is essential. These documents may need to be attached to your report for verification.

Key takeaways

  • Ensure that all personal information, including your name, DC number, and contact details, is accurately filled out. This information is crucial for proper identification and communication.

  • List all individuals currently living at your residence, noting if any are also under supervision. This helps maintain transparency regarding your living situation.

  • Provide comprehensive details about your employment, including your job title, duties, and salary. This information is important for monitoring your financial stability.

  • If you are unemployed, attach a completed Job Search form or a list of job applications for the month. This demonstrates your efforts to secure employment.

  • Document any special conditions of supervision, including public service hours and monetary payments. This will show your compliance with court orders.

  • Attach any required documentation, such as support group attendance forms or driving logs, to substantiate your claims and fulfill reporting requirements.

  • If you had any contact with law enforcement during the month, provide detailed explanations. This information is vital for your probation officer's review.

  • Set personal goals and outline specific action steps you took and will take to achieve them. This reflects your commitment to personal development and accountability.