Get Florida Supervision Report Form

Get Florida Supervision Report Form

The Florida Supervision Report form is a vital document for individuals under supervision by the Florida Department of Corrections. It captures essential information about the individual’s residence, employment, education, and compliance with supervision conditions. Completing this form accurately is crucial for maintaining compliance and ensuring a smooth supervision process.

Take action now and fill out the form by clicking the button below.

Structure

The Florida Supervision Report form is a vital tool used by the Department of Corrections to monitor individuals under supervision. This comprehensive document serves multiple purposes, from tracking the current living situation and employment status to detailing any interactions with law enforcement. It collects essential information such as the individual’s name, DC number, and the supervising officer's details. The form also requires a list of household members, including their relationship to the individual and any that may also be under supervision. Employment details are crucial, including the employer's name, job title, and salary, while students must provide their school information and course details. Special conditions of supervision are outlined, allowing for the documentation of progress on mandated activities like public service hours and treatment attendance. Additionally, the form invites individuals to reflect on personal goals and the action steps they are taking towards achieving them. By gathering this information, the Florida Supervision Report form ensures that individuals remain accountable and supported during their rehabilitation process.

Florida Supervision Report Preview

FLORIDA DEPARTM ENT OF CORRECTIONS

SUPERVISION REPORT

(FOR THE M ONTH OF ____________________)

NAM E: ___________________________________________________________

DC#: ________________________________________

OFFICER NAM E/ LOCATION: ______________________________________________________________________________________________

RESIDENCE:

 

 

 

 

St reet Address: ________________________________________________ Cit y: _____________________________

Zip: _____________

Building: ______________

Apt #: ______________

Lot#: _____________

Code t o access securit y gat e: _____________________

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 DRIVER’S LICENSE:

Valid

Revoked (Date:__________________)

Suspended (Date:_____________)

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

EM PLOYM ENT:

Employer Name: ___________________________________________

 

 

 

_____________

Supervisor Name:

 

 

 

 

 

Phone:

 

 

____

Employment Address:

____________________________________________________________________________________________

 

 

 

St reet

Cit y

St at e

Zip

Your job tit le: _________________________________________________________________________________________________________

Job Dut ies: ___________________________________________________________________________________________________________

SALARY/ INCOM E EARNED (for past month): ____________________ DATE BEGAN:DATE ENDED: ________________

Typical Days/ Hours W orked: _____________________________________________________________________________________________

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

Vocat ional

Ot her Course

Online Classes

School/ Class Name: ___________________________________________________

 

Phone#:

 

 

 

Address:

____________________________________________________________________________________________

 

 

St reet

 

 

 

 

Cit y

 

 

St at e

Zip

Tot al Semest er/ Quart er Hours Enrolled:

 

 

 

 

 

 

 

 

 

 

Dat e Class or Semest er Began:

 

 

Dat e Ended:

 

 

(At t 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.

2 Part File-Right Side

 

 

6 Part File-Sect ion 2

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 At tendance forms, driving logs, public service work document at ion, 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 W eb site, w w w .dc.state.fl.us under the Probation link “FAQS” - Frequently Asked Questions– Four Ways to Pay Court Ordered Payments.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

CONTACT W ITH LAW ENFORCEM ENT – If you had any cont act w it h law enforcement t his past mont h, explain details here: _________________

_____________________________________________________________________________________________________________________

Do you have a problem or concern you w ould like to discuss w ith 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 m onth and 2 action steps you w ill take this m onth 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 Review ed

Officer Comments:

 

 

 

 

 

 

DC3-2026 (Effective 2/ 14)

Incorporat ed by Reference in Rule 33-302.110, F.A.C.

Document Data

Fact Name Description
Purpose The Florida Supervision Report form is designed to monitor the progress of individuals under supervision, ensuring compliance with their conditions.
Governing Law This form is incorporated by reference in Rule 33-302.110 of the Florida Administrative Code.
Monthly Reporting Individuals must complete this report monthly to provide updates on their living situation, employment, and compliance with supervision conditions.
Required Information The form requires personal details, including residence, employment status, and any interactions with law enforcement.
Special Conditions Users must list any special conditions of supervision and progress made towards fulfilling them, such as public service hours or treatment attended.
Payment Options Payments for court-ordered obligations can be made via U.S. Mail or credit card, as detailed on the Florida Department of Corrections website.
Personal Goals The report encourages individuals to set personal goals and outline action steps taken towards achieving them, promoting accountability and personal development.

How to Use Florida Supervision Report

Completing the Florida Supervision Report form is an important step in maintaining compliance with supervision requirements. This form collects essential information regarding your current situation, including residence, employment, and any contact with law enforcement. Following the steps outlined below will help ensure that you accurately fill out the form and provide all necessary details.

  1. Start with the header: Write the month for which you are reporting at the top of the form.
  2. Fill in your personal information: Enter your name and DC number in the designated spaces.
  3. Officer details: Provide the name and location of your supervising officer.
  4. Residence information: Complete your street address, city, zip code, building, apartment number, lot number, and any access codes for security gates.
  5. List household members: Include the full names, ages, and relationships of everyone living at your residence. Note if anyone is also under supervision.
  6. Contact information: Fill in your home phone number, cellular phone number, and email address. If your mailing address differs from your residence, provide that as well.
  7. Vehicle details: List the make, model, year, color, and tag number of your vehicle.
  8. Driver's license status: Check the appropriate box to indicate if your driver's license is valid, revoked, or suspended, and include relevant dates.
  9. Employment section: Write your employer's name, supervisor's name, and phone number. Include the employment address and your job title, along with a brief description of your job duties.
  10. Salary and income: State your earnings for the past month, along with the dates you began and ended your employment. Mention your typical workdays and hours.
  11. Unemployment note: If you are unemployed, attach a completed Job Search form or list for the month.
  12. Education details: If applicable, indicate your school or class name, type of class, and contact information. Provide total hours enrolled and relevant dates.
  13. Special conditions: Note any progress made on special conditions of supervision, including public service hours, monetary payments, and other relevant details.
  14. Treatment attendance: Document any treatment you attended during the past month.
  15. Payments: Mention how you made any required payments, either by mail or credit card.
  16. Contact with law enforcement: If applicable, explain any contact you had with law enforcement during the past month.
  17. Personal concerns: Indicate if you have any issues to discuss with your probation officer.
  18. Free time activities: Describe how you spent your free time last month.
  19. Personal goals: Write down your top two goals, along with action steps you took last month and those you plan to take this month for each goal.
  20. Signatures: Ensure you and the officer receiving the report sign and date the form.

Key Facts about Florida Supervision Report

What is the purpose of the Florida Supervision Report form?

The Florida Supervision Report form is designed to provide a comprehensive overview of an individual's progress while under supervision. It helps probation officers track various aspects of the individual's life, including employment, education, and compliance with special conditions. This form is essential for ensuring that individuals meet the requirements set forth by the court and for monitoring their rehabilitation progress.

How often do I need to submit the Supervision Report?

The Supervision Report must be submitted monthly. Each report covers the previous month and includes updates on your employment status, educational pursuits, and any interactions with law enforcement. Regular submissions help your probation officer stay informed about your progress and any challenges you may face.

What information do I need to provide on the form?

You will need to fill out various sections, including your personal information, residence details, employment status, and educational enrollment. Additionally, you must report on any special conditions of supervision, such as community service hours or treatment attended. Be sure to include any relevant documentation, like proof of enrollment in classes or attendance at support groups.

What should I do if I have contact with law enforcement?

If you have any contact with law enforcement during the month, it is crucial to provide details in the designated section of the form. This includes the nature of the contact and any outcomes. Transparency is key, as it helps your probation officer understand your situation better and provide the necessary support.

Can I pay court-ordered payments online?

Yes, you can pay court-ordered payments online. The Florida Department of Corrections offers several options for making payments, including credit card transactions. You can find more information on how to pay by visiting the DC Public Website under the Probation link. Make sure to follow the instructions carefully to ensure your payments are processed correctly.

Common mistakes

Filling out the Florida Supervision Report form is a crucial task for individuals under supervision. However, many people make common mistakes that can lead to complications. One prevalent error is failing to provide accurate personal information. The form requires specific details, such as the full name, DC number, and contact information. Omitting or incorrectly entering this information can delay processing and create unnecessary issues.

Another frequent mistake involves the section for household members. Individuals often neglect to list all residents living at their address, including those who may also be under supervision. This oversight can lead to misunderstandings and potential violations of the terms of supervision.

Inaccuracies in reporting employment details are also common. Many individuals either provide outdated information or leave sections blank. For example, failing to indicate the employer's name or the supervisor's contact information can hinder communication and create complications in verifying employment status.

Some people overlook the importance of documenting their income. The form asks for salary or income earned in the past month. Leaving this section blank or providing vague figures can raise red flags. It is essential to be transparent about financial matters to ensure compliance with supervision requirements.

Another area where mistakes frequently occur is in the special conditions of supervision. Individuals often fail to detail their progress on public service hours or treatment attended. This lack of information can be interpreted as non-compliance, which may result in stricter supervision or additional penalties.

When it comes to contact with law enforcement, many individuals either forget to report such incidents or do not provide sufficient details. This section is vital, as any interaction with law enforcement can impact the terms of supervision. Transparency in this regard is essential for maintaining a good standing.

Additionally, individuals may neglect to attach necessary documentation, such as proof of attendance at support groups or treatment programs. This omission can lead to questions about compliance with the conditions of supervision and may result in further scrutiny.

Another mistake is failing to adequately address personal goals. The form prompts individuals to outline their goals and action steps. Not taking the time to thoughtfully complete this section can reflect poorly on one's commitment to rehabilitation and personal growth.

Lastly, individuals sometimes forget to sign and date the report. This seemingly minor oversight can render the report invalid, causing delays in processing and potential repercussions for the individual. Each section of the form is designed to ensure accountability and compliance, making attention to detail essential.

Documents used along the form

When navigating the requirements of probation or supervision in Florida, several forms and documents often accompany the Florida Supervision Report. Each of these plays a vital role in ensuring compliance and tracking progress. Here’s a brief overview of important documents you may need.

  • Job Search Form: This form is required for individuals who are unemployed and not in school. It outlines the job search activities undertaken during the month.
  • Support Group Attendance Form: If attending support groups is a condition of your supervision, this form tracks your participation and attendance.
  • Driving Log: Required if driving is part of your supervision conditions. This log records dates, times, and purposes of driving during the reporting period.
  • Public Service Work Documentation: This document verifies completion of any community service hours mandated by the court.
  • Proof of Enrollment: If enrolled in school or a training program, this document provides evidence of your attendance and participation.
  • Payment Receipt: This serves as proof of any court-ordered payments made during the reporting period, whether by mail or online.
  • Contact with Law Enforcement Report: If you had any interactions with law enforcement, this form details the circumstances and outcomes of those encounters.
  • Personal Goals Worksheet: This outlines your personal goals and the action steps you plan to take to achieve them, fostering accountability and progress.
  • Monthly Progress Report: Similar to the Supervision Report, this document summarizes your achievements and challenges over the month.

Completing these forms accurately and submitting them on time is crucial for maintaining good standing in your supervision program. Stay organized and proactive to ensure compliance and support your journey toward rehabilitation.

Similar forms

  • Probation Progress Report: Similar in purpose, this document tracks an individual's progress while on probation, detailing compliance with terms and conditions.
  • Parole Supervision Report: This report serves a similar function for individuals on parole, monitoring their adherence to parole conditions and overall behavior.
  • Monthly Check-In Form: Used by various correctional facilities, this form collects monthly updates from individuals under supervision, focusing on employment and personal development.
  • Employment Verification Form: This document confirms an individual's employment status, similar to the employment section in the Supervision Report, ensuring compliance with supervision conditions.
  • Community Service Log: This log tracks hours worked on community service, paralleling the public service hours section of the Supervision Report.
  • Substance Abuse Treatment Progress Report: This report details an individual's participation in treatment programs, akin to the treatment attendance section of the Supervision Report.
  • Incident Report: Used to document any interactions with law enforcement, this form is comparable to the contact with law enforcement section in the Supervision Report.
  • Support Group Attendance Form: This form records attendance at support groups, similar to the requirement for attaching attendance forms in the Supervision Report.
  • Goal Setting Worksheet: This document helps individuals outline their personal goals, much like the personal goals section in the Supervision Report.
  • Driver's License Status Verification Form: This form checks the status of an individual's driver's license, reflecting the driver's license status inquiry found in the Supervision Report.

Dos and Don'ts

When filling out the Florida Supervision Report form, there are several important guidelines to follow. The following list outlines what you should and should not do during this process.

  • Do read the entire form carefully before starting to fill it out.
  • Do provide accurate and complete information in all sections.
  • Do double-check your contact information for accuracy.
  • Do include all required attachments, such as proof of enrollment or payment documentation.
  • Don't leave any sections blank unless specifically instructed to do so.
  • Don't provide false or misleading information, as this can have serious consequences.
  • Don't forget to sign and date the report before submission.
  • Don't hesitate to ask your probation officer for clarification if you have questions about the form.

Following these guidelines will help ensure that your report is completed correctly and submitted on time.

Misconceptions

Misconceptions about the Florida Supervision Report form can lead to confusion and mistakes. Here are five common misunderstandings:

  • It is only for those on probation. Many believe this form is exclusively for individuals on probation. However, it is also used for those on parole or other forms of supervision.
  • All sections must be filled out completely. Some think every section of the form is mandatory. While it is important to provide as much information as possible, certain sections may not apply to everyone, such as employment or education.
  • Submitting the form late has no consequences. There is a belief that late submissions are acceptable. In reality, timely submission is crucial and can affect compliance status.
  • Only the individual must complete the form. Some assume that only the person under supervision is responsible for filling out the form. In fact, input from the probation officer is also required for certain sections.
  • Changes in personal circumstances do not need to be reported. Many think they can ignore updates about their situation. It is essential to report any changes, such as a new job or address, as these can impact supervision conditions.

Key takeaways

When completing the Florida Supervision Report form, several important aspects should be considered to ensure accuracy and compliance with requirements.

  • Complete All Sections: Ensure that every section of the form is filled out accurately. Missing information may lead to delays or complications in the supervision process.
  • Document Employment and Education: Clearly outline employment details or educational pursuits. This includes the name of the employer or school, job title, duties, and any relevant dates.
  • Report on Special Conditions: Provide a detailed account of progress on any special conditions of supervision. This includes public service hours, monetary payments, and attendance at treatment or support groups.
  • Maintain Communication: If there has been any contact with law enforcement or personal concerns, document these instances. Open communication with the probation officer is essential for effective supervision.

By adhering to these guidelines, individuals can help facilitate a smoother supervision process and demonstrate their commitment to compliance.