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Includes office-use approval checkboxes, sections for incarceration history, probation/parole status, criminal proceedings, accomplice/co-defendant and victim questions, active protection orders, and prior employment by the department. Provides a declaration of understanding on zero tolerance for contraband, citing Ohio Revised Code 2921.36, plus tobacco/marijuana/CBD restrictions, and requires signatures and dates.",{"@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/visiting-app-packet-fillable-visiting-eligibility-and-instructions/305969/",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/visiting-app-packet-fillable-visiting-eligibility-and-instructions/305969.png","ImageObject",442,249,{"name":88,"@type":89},"Rizky","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",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information must an adult visitor provide in the application?","Question",{"text":109,"@type":110},"Provide full name as on your ID, date of birth, driver’s license/state ID number, expiration and issuing state, full residential address, phone number, email address, and details about the incarcerated person (name and number) plus institution.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What happens if the visitor does not answer the questions fully or accurately?",{"text":114,"@type":110},"The application may be disapproved for failing to answer fully and truthfully, or for falsifying answers. Visitation applications can also be denied if the visitor would not have a positive effect on the incarcerated person’s attitude, behavior, adjustment, or reentry efforts.",{"name":116,"@type":107,"acceptedAnswer":117},"What contraband rules does the declaration of understanding cover?",{"text":118,"@type":110},"The packet states zero tolerance for conveying drugs, alcohol, and weapons. It specifically lists prohibited items under Ohio Revised Code 2921.36, including deadly weapons, drugs of abuse, intoxicating liquor, cash, and cellular telephones or other electronic communication devices, and also restricts tobacco, marijuana, and any natural or synthetic CBD products on premises.","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},305969,1790161859,{"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":79,"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":73},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","State of Ohio Department of Rehabilitation and Correction Adult Visitor Application  \n[https://drc.ohio.gov/visiting](https://drc.ohio.gov/visiting)  \nA LEGIBLE COPY OF YOUR PHOTO ID MUST BE PROVIDED  \nOFFICE USE ONLY  \nStaff Name:   Approved?  Yes  No  \nVOC Yes  No  UNAVAILABLE   \nCO-D Yes  No  UNAVAILABLE   \nNAMS1  Scope  VNAMS VADDS   \n\n| Full name as it appears on your ID (First, Middle, Last) |  |  |  |  |  |  | Date: |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| Date ofBirth: | Driver’s License/State ID Number: |  |  | Expiration: |  | Issuing State: |  |\n| Full Residential Address, City, State, Zip Code |  |  |  |  |  |  |  |\n| Phone Number (INCLUDING AREA CODE) : |  | Email Address: |  |  |  |  |  |\n| Incarcerated Person's Name: |  |  | Incarcerated Person's Number: |  | Institution: |  |  |\n\nExplanation and instructions: This questionnaire will provide the institution with the information needed to determine the eligibility for visitation approval for the above-named incarcerated person. Please answer all questions fully, truthfully, and accurately. Failure to answer any question and/or falsification of any answer will result in disapproval of your application. Visitation applications can be denied if the visitor will not have a positive effect on the incarcerated person’s attitude, behavior, overall adjustment, or reentry efforts.  \nMy relationship to the incarcerated person is    \nFriends, please describe nature of friendship and if you knew the incarcerated person before they were incarcerated:  \n1. Have you ever been incarcerated in a prison in Ohio, another state, or any federal prison?  Yes  No If yes, please explain below:  \n\n| Date of Incarceration | State | Institution(s) | Convictions/Charges |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n\n2. Are you currently on probation or parole?  Yes  No If yes, you must include a letter from your probation/parole officer granting permission to visit.  \n3. Are you now a party to any criminal action or proceeding?  Yes  No  \nIf yes, please explain:  \nDRC-2096 E (03/2025) Policy: 76-VIS-01 Page 1 of 2  \n4. Have you ever been an accomplice or co-defendant of any crime committed by this incarcerated person?  Yes  No If yes, please explain:  \n5. Have you ever been the victim of any crime committed by this incarcerated person?  Yes  No  \nVictim is defined as: A person against whom the criminal offense or delinquent act is committed or who is directly and proximately harmed by the  \ncommission of the offense or act.  \nIf yes, please explain:  \n6. Is there any active protection order that involves you and the incarcerated person?  Yes  No If yes, please explain:  \n7. Are you now or have you ever been employed by the DR&C? (Contract Employee, Volunteer, Intern or Unpaid Staff)  Yes  No If yes, please explain:  \nOnce your application is received it will be verified and either approved or denied. We will notify the incarcerated person you applied to visit of this action and any follow up needed. If you are approved you must register with [www.gtlvisitme.com](www.gtlvisitme.com) to make a visit reservation.  \n\n| Applicant’s Signature: | Date: |\n| --- | --- |\n\nDRC-2096 E (03/2025) Policy: 76-VIS-01 Page 2 of 2  \nDeclaration of Understanding  \nThe Ohio Department of Rehabilitation and Correction has a zero tolerance for the conveyance of drugs, alcohol, and weapons into its correctional institutions. Any such act will constitute a violation of section 2921.36 of the Ohio Revised Code which states in part that “No person shall knowingly convey, or attempt to convey, onto the grounds of a detention facility (including prisons, owned and operated by the Ohio Department of Rehabilitation and Correction) or of an institution that is under the control of the department of mental health or the department of mental retardation and developmental disabilities, any of the following items:  \n(1) Any deadly weapon or dangerous ordnance, or any part of or ammunition for use in suc","cbCailqHXv5bSTGi","https://ap.wps.com/l/cbCailqHXv5bSTGi","pdf",868291,"English","# Adult Visitor Application\n## Applicant Information\n## Eligibility Questions\n## Declaration of Understanding and Signature","[{\"question\":\"What information must an adult visitor provide in the application?\",\"answer\":\"Provide full name as on your ID, date of birth, driver’s license/state ID number, expiration and issuing state, full residential address, phone number, email address, and details about the incarcerated person (name and number) plus institution.\"},{\"question\":\"What happens if the visitor does not answer the questions fully or accurately?\",\"answer\":\"The application may be disapproved for failing to answer fully and truthfully, or for falsifying answers. Visitation applications can also be denied if the visitor would not have a positive effect on the incarcerated person’s attitude, behavior, adjustment, or reentry efforts.\"},{\"question\":\"What contraband rules does the declaration of understanding cover?\",\"answer\":\"The packet states zero tolerance for conveying drugs, alcohol, and weapons. It specifically lists prohibited items under Ohio Revised Code 2921.36, including deadly weapons, drugs of abuse, intoxicating liquor, cash, and cellular telephones or other electronic communication devices, and also restricts tobacco, marijuana, and any natural or synthetic CBD products on premises.\"}]","Visiting App Packet Fillable - Visiting Eligibility and Instructions | PDF",1789831615]