The Department of Corrections Visitation Florida form is a crucial document that allows individuals to request visiting privileges for inmates within Florida's correctional facilities. This two-part application collects essential information about the visitor and their relationship to the inmate, ensuring compliance with state regulations. Completing this form accurately is vital for approval; therefore, it is imperative to fill it out carefully before mailing it to the appropriate address.
To begin the process, please fill out the form by clicking the button below.
The Florida Department of Corrections Visitation form is a crucial tool for individuals wishing to visit inmates within the state’s correctional facilities. This two-part application process is designed to ensure that all necessary information is collected to grant visitation privileges responsibly. In the first part, potential visitors must provide personal details, including their full legal name, date of birth, and relationship to the inmate. Additionally, the form asks for identifying information such as race, sex, and contact details. It’s important to fill out every section completely; any blank spaces could lead to denial of the application. Visitors aged 12 and older are required to complete this form, and those under 18 must have a parent or legal guardian sign it. The second part of the form focuses on visitor information, including employment status, any prior criminal history, and whether the visitor has ever been denied visitation privileges. This comprehensive approach helps maintain the safety and security of both inmates and visitors. Before submitting the form, applicants must read and agree to the visitation rules, understanding that providing false information can result in serious consequences. Remember, do not visit until you receive notification from the inmate that your application has been approved.
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
After completing this form mail to:
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?
Did you ever help this inmate commit a crime?:
Were you ever in prison?:
Dates & Location of each imprisonment:
Prison #
What were you convicted of for each imprisonment?:
Are you currently on Probation/Parole?:
If yes, which agency is supervising you (Circle one)?:
Federal
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?:
What is their name(s) and DC#(s)?:
Name:
DC#:
12. Have your visitation privileges ever been denied,
suspended, or terminated?
Please explain:
13. Where did you meet this inmate (Circle one)?:
Pen pal
Neighborhood
Work
Family Prison
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
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
APLICACIÓN
Parte 1: Petición para Visitas
PETICIÓN DE PRIVILEGIOS PARA VISITAS
Parte 2: Información para el Visitante
Para Más información Sobre Visitas:
[Parte 1 de 2]
ENGLISH VERSION IS ON THE REVERSE.
Por favor, no venga a visitar hasta que usted sea
Despues de llenar este formulario, devuelvalo a:
notificado por el preso que usted ha sido
aprobado.
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?
Sí
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:
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?:
Sí Aplicación Pendiente
¿Ha Como voluntario, ó interno, ó empleado bajo contracto ó vendedor de FDC?:
Sí—Encierre en un círculo cual
Anote fechas, lugar, y nombre de la position:
10. Antecedentes:
¿Alguna vez ha sido arrestado, o ha recibido una
Si
citación criminal, o una notificación para presentarse en
la corte para responder a cargos criminales?
¿Por qué razón está usted on probación/libertad Conditional??
¿Há ayudado alguna vez a este preso a cometer un crimen?:
¿ Há estado usted alguna vez en prisión?:
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?:
¿Cuáles son sus nombre(s) y sus números de preso?:
Nombre:
12. ¿Hán sido sus privilegios de visitas alguna vez negados, revocados ó suspendidos?:
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.
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.
Completing the Florida Department of Corrections Visitation form is an important step in the process of gaining visitation privileges. Ensure that you provide accurate and complete information, as any missing details can lead to denial of your application. Once the form is submitted, the inmate will notify you once your application has been approved, so please refrain from visiting until you receive confirmation.
After completing the form, ensure it is sent to the appropriate address as indicated on the form. Remember, do not visit the inmate until you have received notification of your application approval.
What is the purpose of the Department of Corrections Visitation Florida form?
The Department of Corrections Visitation Florida form is designed to request visiting privileges for individuals who wish to visit an inmate. This form collects essential information about the visitor, including their relationship to the inmate, personal details, and background information. Only after the inmate has notified the visitor of approval can the visit take place. It ensures that all necessary checks are completed to maintain safety and security within the correctional facility.
Who needs to complete this form?
Any individual aged 12 years or older who wishes to visit an inmate must complete this form. It is important that the form is filled out completely and accurately. Leaving any blanks can result in denial of the application. If a question does not apply to the visitor, they should write "NA" (not applicable) in that space.
What happens if I provide false information on the form?
Providing false or misleading information on the visitation form can lead to serious consequences. It may result in the denial of the application, and in some cases, it could be classified as a second-degree misdemeanor. This could lead to permanent suspension of visiting privileges. It is crucial to ensure that all information is truthful and complete.
How long does it take to process the visitation application?
The processing time for the visitation application can vary. Once the form is submitted, the inmate will be notified of the approval or denial of the request. Visitors should refrain from attempting to visit until they have received confirmation from the inmate that their application has been approved. This ensures that all security protocols are followed.
What information do I need to provide on the form?
The form requires various details, including the inmate's name and Department of Corrections number, the visitor's complete legal name, date of birth, contact information, and employment status. It also asks about any past criminal history or previous visitation privileges. Each section must be completed thoroughly to avoid delays or denial.
Can I visit more than one inmate with this form?
This form is specific to one inmate only. If you wish to visit multiple inmates, you must complete a separate visitation form for each individual. Each application will be reviewed independently, and approval must be granted for each inmate before a visit can occur.
Filling out the Florida Department of Corrections Visitation form can be a straightforward process, but several common mistakes can lead to application denial. Awareness of these pitfalls is essential for a successful submission.
One frequent error is leaving blanks on the form. Every section must be completed, even if some information does not apply to the visitor. In such cases, applicants should write "NA" to indicate that a particular question is not applicable. Failing to do so can result in an automatic denial of the application.
Another common mistake is providing false or misleading information. Honesty is crucial when filling out the form. Any inaccuracies or attempts to mislead can lead to denial and potential legal consequences. Visitors should ensure that all details, including their relationship to the inmate, are accurately represented.
Many applicants overlook the importance of signing the form. Without a signature, the application cannot be processed. This oversight can delay the visitation approval process significantly. It is also essential for those under 18 to have a parent or legal guardian sign the form, as their applications require additional verification.
Incorrectly filling out personal information, such as the date of birth or the inmate's Department of Correction number (DC#), is another mistake that can lead to complications. Double-checking these details before submission is advisable to avoid unnecessary issues.
Some applicants fail to provide complete contact information. The form requires home and work phone numbers, including area codes. Missing this information can hinder communication regarding the application status and may result in delays.
Another critical area is the background section. Visitors must disclose any past arrests or criminal citations. Omitting this information or providing vague responses can lead to suspicion and denial. Transparency in this section is vital.
Additionally, not indicating if the visitor has ever had their visitation privileges denied, suspended, or terminated can raise red flags during the review process. Providing a clear explanation in such cases is necessary to ensure that the review board understands the context.
Finally, visitors often forget to review the Visitor Rules attached to the application. Familiarity with these rules is not only a requirement but also helps set expectations for the visitation process. Understanding these guidelines can lead to a smoother experience once the application is approved.
By avoiding these common mistakes, applicants can enhance their chances of successfully obtaining visitation privileges. Careful attention to detail and honesty in the application process are key to navigating the Florida Department of Corrections Visitation form effectively.
When applying for visitation privileges with the Florida Department of Corrections, several additional forms and documents may be required to facilitate the process. Each of these documents serves a specific purpose in ensuring that the visitation process is conducted smoothly and securely. Below is a list of commonly used forms that accompany the Department of Corrections Visitation Florida form.
These documents collectively contribute to a structured and secure visitation process within the Florida Department of Corrections. It is essential for visitors to be aware of these requirements to ensure a smooth application and visitation experience.
When filling out the Florida Department of Corrections Visitation form, there are important guidelines to follow. Here’s a list of things you should and shouldn’t do:
This is incorrect. You must wait for the inmate to notify you that your application has been approved before visiting.
Only one form per person is allowed. Submitting multiple forms will not expedite the process and may lead to confusion.
Leaving any blanks will result in your application being denied. If a question does not apply to you, indicate that by writing "NA."
You must sign the form yourself. If you are under 18, a parent or legal guardian must sign it for you.
Supplying false or misleading information is a serious offense. It can lead to denial of your application and potential legal consequences.
The process can take time, depending on various factors, including background checks. Be prepared for possible delays.
Here are some important points to consider when filling out and using the Florida Department of Corrections Visitation form: