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Collects applicant identity details (name, department of correction DC number, relationship), eligibility questions (victim status, age requirement), and personal contact information (address and phone numbers). Requests identifying and background data including race, sex, driver’s license or state ID, employment history, arrest/criminal citation history, prior prison terms, probation/parole status, and related supervision details. Includes certification statements, signature fields, and parent/guardian sign-off for applicants under 18, plus instructions to read attached visitor rules and note that incomplete or false information can deny approval and trigger suspension.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/dc6-111a-fillable-version-visitor-visitation-application-form/305973/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/dc6-111a-fillable-version-visitor-visitation-application-form/305973.png","ImageObject",442,249,{"name":88,"@type":89},"Nguyễn Văn Học","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-12","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who must complete the DC6-111A visitor visitation application form?","Question",{"text":109,"@type":110},"Persons 12 years old and older who want to visit must complete the form. The form must be signed in the provided space to be processed.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What happens if the applicant leaves required fields blank or provides false information?",{"text":114,"@type":110},"Leaving blanks can cause the application to be denied. Supplying false or misleading information also results in denial and may lead to permanent suspension of visitation privileges.",{"name":116,"@type":107,"acceptedAnswer":117},"What background and legal status details are requested on the form?",{"text":118,"@type":110},"The form requests whether the applicant has been arrested or involved in criminal activity related to the inmate, prior imprisonment details, and whether the applicant is currently on probation/parole, including the supervising agency and probation officer contact information.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305973,1790383239,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},1374402739827,"https://ap-avatar.wpscdn.com/avatar/14000c97e7351f1a627?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787885694763230660","| \u003Cbr>Please DO NOT visit until the inmate notifies you of your\u003Cbr>approval. |  |  | Submit this completed form by e-mail or U.S. Mail to\u003Cbr>the institution where you are requesting to visit. |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Please read this carefully: Only one form per person.\u003Cbr>• This inmate requests you be approved for visitation privileges. To do this, we must have the following information about you.\u003Cbr>• DO NOT LEAVE blanks , doing so will cause your application to be DENIED. When items do not apply, write in NA (not applicable) .\u003Cbr>• Supplying false or misleading information results in your application being denied.\u003Cbr>• 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. |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 1. Inmate Name: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 2. Inmate's Department of Correction Number (DC\\#): |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 3. Your Relationship to the Inmate: (mother, friend, penpal,etc) |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 4. Are You a Victim of this Inmate’s Crime? |  | No Yes |  |  |  |  |  |  |  |  |  |  |  |\n| First name: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 5. Complete Legal Name: Last name: |  |  |  | Maiden name: |  |  |  |  |  |  |  |  |  |\n| Middle name: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date of Birth: |  |  |  |  |  |  |  |  |  | Age: |  |  |  |\n| 6. Identifying Information: Race: |  |  |  |  |  |  |  |  |  | Sex: |  |  |  |\n| Driver’s License or State ID No. (16 yoa. and older): |  | State |  |  | Number |  |  |  |  |  |  |  |  |\n| Physical Address/Apt. \\# : |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 7. Complete Home Address: City: |  |  |  |  |  |  | County |  |  |  |  |  |  |\n| State: |  |  |  |  |  |  | Zip Code |  |  |  |  |  |  |\n| 8. Phone Numbers:\u003Cbr>Home (include area code):  Work (include area code): \u003Cbr>Cellular (include area code) : |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 9. Employment Status: Place of Employment: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Have you ever worked for the Florida Dept. of Corrections (employee, volunteer, contractor, vendor, etc. ): |  |  |  |  |  |  |  |  |  |  |  |  | No Yes |\n| * List dates, location, and positions held: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 10. Background: | Have you ever been arrested or received a criminal citation or a notice to appear in court to respond to criminal charges? |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| Did you ever help this inmate commit a crime? |  |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| Were you ever in prison? |  |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| Dates & Location of each imprisonment: |  |  |  |  |  |  | Prison \\# |  |  |  |  |  |  |\n| What were you convicted of for each imprisonment? |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Are you currently on Probation/Parole? |  |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| If yes, which agency is supervising you (Circle one)? |  |  |  |  |  | State Federal County Dept. of Juv. Justice Other |  |  |  |  |  |  |  |\n| If Probation/Parole has been terminated, indicate date of termination: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| What are you on probation/parole for? |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Name of Probation Officer: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Phone number of Probation Officer: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 11. Are you approved to visit any other inmate? |  |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| What is their name(s) and DC\\#(s)?: Name: |  |  |  |  |  |  |  |  | DC\\#: |  |  |  |  |\n| 12. Have your visitation privileges ever been denied, |  |  |  |  |  | No Yes |  |  |  |  |  |  |  |\n| suspended, or terminated? Please expl","cbCaigwf0s2I532u","https://ap.wps.com/l/cbCaigwf0s2I532u","pdf",389066,"English","# Visitor Visitation Application\n## Applicant and Inmate Relationship Details\n## Eligibility, Identity, and Contact Information\n## Employment and Criminal Background\n## Probation/Parole Information\n## Prior Visitation Requests and History\n## Certification and Signatures","[{\"question\":\"Who must complete the DC6-111A visitor visitation application form?\",\"answer\":\"Persons 12 years old and older who want to visit must complete the form. The form must be signed in the provided space to be processed.\"},{\"question\":\"What happens if the applicant leaves required fields blank or provides false information?\",\"answer\":\"Leaving blanks can cause the application to be denied. Supplying false or misleading information also results in denial and may lead to permanent suspension of visitation privileges.\"},{\"question\":\"What background and legal status details are requested on the form?\",\"answer\":\"The form requests whether the applicant has been arrested or involved in criminal activity related to the inmate, prior imprisonment details, and whether the applicant is currently on probation/parole, including the supervising agency and probation officer contact information.\"}]","DC6-111A - Fillable Version - Visitor Visitation Application Form | PDF",1789831661]