Homepage Fill in Your Department Of Corrections Visitation Florida Form
Article Map

The Florida Department of Corrections Visitation form is an essential document for anyone wishing to visit an inmate. This two-part form includes a Visiting Request and Visitor Information section. In the first part, the inmate requests approval for a visitor, requiring detailed information about the visitor. Important details such as the visitor's full legal name, relationship to the inmate, and background information must be accurately provided. Visitors aged 12 and older must complete the form, ensuring no blanks are left, as incomplete applications may be denied. The second part of the form gathers additional identifying information and requires the visitor to certify the accuracy of their responses. It's crucial to note that any false information can lead to serious consequences, including the denial of visitation privileges. Before submitting the form, visitors should read all attached policies carefully and wait for the inmate's notification of approval before planning a visit.

Documents used along the form

When preparing to visit an inmate in Florida, it's essential to have all necessary documentation in order. Along with the Department of Corrections Visitation Florida form, several other forms and documents may be required to facilitate a smooth visitation process. Below is a list of commonly used documents that can assist in this endeavor.

  • Inmate Information Form: This form provides essential details about the inmate, including their full name, identification number, and location. It helps ensure that visitors are correctly matched with the intended inmate.
  • Visitor Rules Acknowledgment: This document outlines the rules and regulations that visitors must adhere to during their visits. Signing this acknowledgment confirms that the visitor understands and agrees to follow these guidelines.
  • Background Check Consent Form: In some cases, a background check may be required for visitors. This form grants permission for the Department of Corrections to conduct a background investigation, which is essential for safety and security purposes.
  • Identification Verification: Visitors are often required to present a valid form of identification, such as a driver's license or state ID. This verification ensures that the individual visiting is who they claim to be and meets the eligibility criteria.
  • Minor Visitor Consent Form: If a visitor is under 18 years old, a consent form signed by a parent or legal guardian is typically required. This form confirms that the guardian approves of the minor visiting the inmate.

Having these documents ready can significantly streamline the visitation process. Always check with the specific facility for any additional requirements or changes in procedures. Being well-prepared not only eases the process but also ensures that you can focus on your visit with your loved one.

Similar forms

The Visitor Application form for the Florida Department of Corrections shares similarities with the Visitor Application form used by the Federal Bureau of Prisons. Both documents require personal information about the visitor, including their relationship to the inmate and background information. Each form emphasizes the need for accurate and complete information, warning that any misleading details could result in denial of visitation privileges. They both also include sections to disclose any criminal history, ensuring that the safety and security of the facility are maintained.

Another comparable document is the Inmate Visitation Application from California's Department of Corrections and Rehabilitation. Like the Florida form, this application collects essential visitor information, including identification details and the visitor's relationship to the inmate. Both forms stress the importance of completing all sections to avoid delays or denials. Additionally, they outline the consequences of providing false information, which can lead to permanent restrictions on visitation rights.

The Texas Department of Criminal Justice has a similar Inmate Visitation Request form. This document, like Florida's, requires visitors to disclose their personal information and any relevant criminal history. Both forms are designed to ensure that only eligible individuals can visit inmates, thus maintaining the safety of the prison environment. They also provide clear instructions on how to submit the application and the importance of waiting for approval before visiting.

The New York State Department of Corrections and Community Supervision also utilizes a Visitation Application form that resembles Florida’s. It asks for detailed visitor information and includes questions about prior criminal history and the visitor's relationship to the inmate. Both forms aim to vet visitors thoroughly to prevent any potential security risks. They also highlight the necessity of signing the application to ensure processing.

The Illinois Department of Corrections has its own Visitor Application form, which shares key features with the Florida form. This document gathers personal details about the visitor and their connection to the inmate. Both forms require complete and truthful responses, with warnings about the repercussions of providing false information. Each form also includes a section for the visitor to acknowledge understanding of the rules governing visitation.

In Michigan, the Visitor Application for Prisoner Visitation is another similar document. It collects extensive information about the visitor, including their criminal history and relationship to the inmate. Both forms serve the same purpose of ensuring that visitation is safe and secure. They also emphasize that incomplete applications may be denied, reinforcing the importance of thoroughness in the submission process.

Finally, the Ohio Department of Rehabilitation and Correction has a Visitation Application that parallels the Florida form. This application also requests detailed personal information and a disclosure of any criminal background. Both documents are designed to ensure that the visitation process is secure and that only appropriate individuals are allowed to visit inmates. They include clear instructions and consequences for providing inaccurate information, ensuring compliance with the rules set forth by the respective departments.

Obtain Answers on Department Of Corrections Visitation Florida

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

    The form is used to request visitation privileges for individuals wishing to visit an inmate in a Florida correctional facility. It collects necessary personal information to ensure that the visitor meets the requirements for visitation.

  2. Who needs to complete the visitation form?

    Anyone aged 12 years or older who wants to visit an inmate must complete this form. This includes family members, friends, and other acquaintances of the inmate.

  3. What happens if I leave a section of the form blank?

    Leaving any section blank will result in the denial of your application. If a question does not apply to you, write "NA" (not applicable) in that space to avoid confusion.

  4. Can I visit an inmate while my application is still pending?

    No, you must wait until the inmate notifies you that your application has been approved. Visiting before approval is not permitted.

  5. What information is required on the form?

    The form requires personal details such as your full legal name, date of birth, relationship to the inmate, and any criminal history. Accurate information is crucial for processing your application.

  6. What if I have a criminal record?

    You must disclose any arrests or convictions on the form. Failing to do so can lead to denial of your application. Each case is evaluated individually, and having a record does not automatically disqualify you from visiting.

  7. Is there a penalty for providing false information?

    Yes, providing false or misleading information is considered a second-degree misdemeanor. It could lead to permanent suspension of your visitation privileges.

  8. How long does it take to process the visitation application?

    The processing time can vary. It is best to allow several weeks for the application to be reviewed. You will be notified by the inmate once your application is approved.

  9. What should I do if my visitation privileges were denied?

    If your application is denied, you can inquire about the reasons for the denial. Depending on the circumstances, you may have the option to appeal or reapply after addressing any issues.

  10. Where can I find more information about visitation rules?

    Additional information about visitation rules and policies can be found on the Florida Department of Corrections website at www.dc.state.fl.us. It is essential to read these rules carefully before your visit.

Document Preview

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,

 

 

No

 

 

 

 

Yes

 

 

 

or a notice to appear in court to respond to criminal charges?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

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]

 

 

 

 

 

 

 

 

 

 

www.dc.state.fl.us

 

 

 

 

 

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?

 

 

 

 

 

 

 

 

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

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

 

 

 

 

 

 

 

No

 

 

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??

 

 

 

 

 

 

 

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

 

 

 

Fecha

 

 

 

Nombre en letra de Imprenta (Apellido, Primer Nombre, Segundo Nombre)

 

años de edad.

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.

Dos and Don'ts

When filling out the Florida Department of Corrections Visitation form, there are important guidelines to follow. Here are eight things to do and avoid:

  • Do provide complete and accurate information. Every section must be filled out to avoid denial.
  • Do write "NA" for any items that do not apply to you. Leaving blanks can lead to rejection.
  • Do ensure you sign the form in the designated area. A missing signature will result in processing delays.
  • Do notify the inmate once you have submitted the form. They will inform you of your approval status.
  • Don't provide false or misleading information. This can lead to denial of your application and potential legal consequences.
  • Don't visit the inmate until you receive notification of approval. Visiting without approval is against the rules.
  • Don't forget to include your relationship to the inmate. This information is crucial for the application.
  • Don't submit multiple forms for the same person. Only one application per visitor is allowed.