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.
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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 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:
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:
GOAL # 2:
________
Signature
Date
Signature of Officer Receiving Report
Date Report Review ed
Officer Comments:
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.
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.
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.
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.
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.
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.
Following these guidelines will help ensure that your report is completed correctly and submitted on time.
Misconceptions about the Florida Supervision Report form can lead to confusion and mistakes. Here are five common misunderstandings:
When completing the Florida Supervision Report form, several important aspects should be considered to ensure accuracy and compliance with requirements.
By adhering to these guidelines, individuals can help facilitate a smoother supervision process and demonstrate their commitment to compliance.