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The Iowa Visitor Application form is a crucial document for anyone wishing to visit inmates within the Iowa Department of Corrections facilities. It requires detailed personal information and a background check to ensure the safety and security of the facility and its inhabitants. Accuracy and completeness of this form are paramount; failure to provide true and complete information could result in denial of visitation rights.

Before applying, it's important to review the specific requirements and search procedures outlined by the Department of Corrections, as well as to understand the consequences of providing false information. These measures are in place to maintain a safe environment for both visitors and inmates. To start the application process and ensure you're ready for a visit, click the button below.

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Connecting with family and friends is pivotal for individuals incarcerated within the Iowa Department of Corrections, necessitating a thorough and straightforward process. The Iowa Visitor Application form is designed for adults wishing to visit an incarcerated loved one, underscored by rigorous but necessary protocols to ensure the safety and well-being of all parties involved. From the outset, the form mandates applicants to wait for approval notification from the incarcerated individual, emphasizing a structured process. A comprehensive review of the Department of Corrections search procedures, highlighted on the document, implies the importance of compliance for prospective visitors. The application meticulously gathers visitor information, including legal names, relationships to the incarcerated individual, personal and contact information, and specifics regarding accompanying minors. Required declarations about legal history, drug use, any affiliations with the Department of Corrections, and previous visitation records underscore the department's emphasis on security and transparency. Moreover, the inclusion of drug detection measures and associated ramifications for positive or refused tests exhibits the rigorous standards maintained to foster a safe environment. The insistence on accurate completion and the potential for background checks reflects an overarching approach towards maintaining integrity and safety within correctional facilities. With such detailed procedures in place, the Iowa Visitor Application form serves as a cornerstone in the administration's efforts to balance the rehabilitative benefits of visitation with its paramount concern for security and order.

Preview - Iowa Visitor Application Form

Confidential

IOWA DEPARTMENT OF CORRECTIONS

Information Not

Visitor Application

Public Record

(one adult applicant per questionnaire)

PLEASE DO NOT ATTEMPT TO VISIT UNTIL THE INCARCERATED INDIVIDUAL NOTIFIES YOU OF

YOUR APPROVAL.

NOTICE: Before completing this application, please review the Department of Corrections search procedures on the back of this application. DO NOT LEAVE BLANKS OR PROVIDE FALSE INFORMATION. Doing so will cause your application to be DENIED.

1.

Incarcerated individual name:

 

 

 

Incarcerated individual number:

 

 

VISITOR INFORMATION

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

Legal Last name

Legal First name

Middle

Maiden name

Phone number

 

 

3.

Your relationship to incarcerated individual:

 

How long have you known the incarcerated individual?

4.

 

 

 

 

 

 

 

 

 

 

 

 

Birth date

Sex

Marital status

Spouse’s Name

Your Social Security number

5.

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

City

 

County

State

Zip code

6.Please list only YOUR children or children you have guardianship of (please provide proof) under age 18 who will be visiting with you. Anyone over age 18 must complete a separate questionnaire.

Name

 

 

 

 

 

Name

 

 

 

Date of birth

 

 

 

 

 

Date of birth

 

 

 

SS#

 

M –

F

SS#

M –

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

Name

 

 

 

 

 

Name

 

 

 

Date of birth

 

 

 

 

 

 

Date of birth

 

 

 

SS#

 

 

 

M –

F

SS#

M –

F

 

 

 

 

 

 

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

In regards to the incarcerated individual’s children, the parent/guardian must complete the application and check one of the following:

Children can only visit with the approved parent/guardian Children can visit with any approved adult visitor

7. Do you have any pending charges?

Yes

No

Where

 

 

If yes, what is the charge(s)

8.If you have been arrested as either an adult or juvenile, complete all information below. Include all misdemeanors and felonies, deferred judgments, and any periods of incarceration including jail time.

9.

 

Are you now or have you ever been incarcerated or on probation/parole?

Yes

No

 

 

Where

 

 

Discharge Date:

 

 

 

10.

Have you ever been involved in the illegal use of drugs?

Yes

No

 

 

 

11. Are you currently, or have you ever been, a Department of Corrections employee or volunteer, a contractor, or private

sector employer working for the Department of Corrections? Yes No If yes, please list the name of the institution and dates of employment or volunteer work:

Date(s):

12.Have you previously been or are you presently on the visiting list of any incarcerated individual in the Department of Corrections?

Yes No

Page 1 of 2

OP-MTV-04 F-1

13. Have your visitation privileges ever been denied, suspended, or terminated?

Yes

No

14.If you answered “yes” to either of the two above questions, please list incarcerated individual’s name, number and your relationship to him/her:

15.To enhance your safety as a visitor, please let us know if you have been the victim of an incarcerated individual supervised/incarcerated by the IDOC. If so, please list the incarcerated individual (s) name, ID number (if known), county, charge and case number:

16. Are you a legal citizen of the United States (you will be required to show a picture ID to visit).

Yes

No

NOTICE: The Department of Corrections will evaluate this information against state and federal law enforcement databases. Failure to accurately complete any of the above information will result in rejection of this application. Please ensure that you sign the back page of the application. You are advised to keep a copy of this application

NOTICE:

All visitors are subject to search procedures: This may include non-intrusive electronic search methods. If a visitor refuses to be searched, you will not be permitted to visit and your visiting privileges may be revised.

In order to maintain drug-free prison zones, the non-intrusive ION SCAN method of detecting the use of, handling of or association with illegal substances (drugs) may be applied to prospective visitors. Should this test provide a positive indication of illegal substance association or you refuse to be tested, the following minimum visiting restrictions shall apply:

A)First Occurrence. Visiting privileges will be suspended from the date and time of the test for the next two (2) visiting days. Future visits may be restricted to non-contact status.

B)Second Occurrence. Visiting privileges will be suspended from the date and time of the test for the next seven (7) visiting days. Future visits may be restricted to non-contact status.

C)Third Occurrence. Visiting privileges will be suspended from the date and time of the test for the next fifteen (15) visiting days. Future visits may be restricted to non-contact status.

D)Fourth Occurrence. Visiting privileges will be suspended from the date and time of the test for the next thirty (30) visiting days. In addition, you will be placed on non-contact visit status for one hundred and eighty (180) days from the date of the first eligible visit. If you test positive from this date forward, visiting privileges may be permanently restricted to non-contact status.

E)Refusal to submit to being tested will suspend visiting privileges to the facility for fifteen (15) calendar days from the time of refusal.

Visitors may send a written appeal to the Warden regarding receipt of any of the above sanctions.

I hereby give my consent to initiate a background investigation with law enforcement agencies and authorize law enforcement agencies to furnish information. I also understand any falsification of the information I provided above will disqualify me from visiting.

17.

Signature

 

Date

It is the responsibility of the incarcerated individual to notify you of visitor application approval.

Return completed application to Centralized Visiting Authority to:

Mt. Pleasant Correctional Facility

 

Attn: Central Records

 

1200 E. Washington

cc: file

Mt. Pleasant, IA 52641

 

BREAK THE SILENCE -- Iowa DOC has a zero tolerance for sexual violence of any kind. If you are told about or are concerned about sexual violence committed against any person in an IDOC prison, please contact the Warden immediately.

Revised: Oct. 2000, Sept. 2006, June 2007, Feb. 2008. Reviewed: Feb. 2009. Revised: July 2010. Reviewed: Jan. 2011, May

2012. Revised: Nov. 2013, Oct. 2014, July 2015, April 2016. Reviewed: April 2017. Revised: April 2019. Page 2 of 2

OP-MTV-04 F-1

File Breakdown

Fact Name Description
Form Purpose Application for individuals wishing to visit incarcerated individuals in the Iowa Department of Corrections.
Confidentiality Information provided on the form is classified as Confidential and Not a Public Record.
Application Requirement One adult applicant per questionnaire; separate applications required for each visitor over age 18.
Children Visitors Applicants must list their children or guardianships under age 18 who will visit and choose visitation permissions for the incarcerated individual's children.
Legal Disclosures Applicants must disclose any pending charges, past arrests, or convictions, and any history of incarceration or probation/parole.
Consent for Background Check Applicants consent to a background investigation by signing the application, which will be checked against state and federal law enforcement databases.
Governing Law The application process is governed by policies and procedures established by the Iowa Department of Corrections and applicable state and federal laws.

How to Use Iowa Visitor Application

Filling out the Iowa Visitor Application form is a straightforward process, but it does require that you pay close attention to detail. This form is intended for individuals wishing to visit someone who is incarcerated within the Iowa Department of Corrections system. It's crucial to provide accurate and honest information to avoid any potential delays or denial of your application. Before you begin, make sure to review the entire form, including the search procedures described on the back, to understand the requirements and conditions of your visit. Here are the step-by-step instructions:

  1. Start by entering the name and number of the incarcerated individual you wish to visit.
  2. Fill in your Legal Last Name, First Name, Middle, and Maiden name (if applicable), as well as your Phone Number.
  3. Specify your relationship to the incarcerated individual and how long you have known them.
  4. Enter your Birth Date, Sex, Marital Status, Spouse’s Name (if applicable), and Your Social Security Number.
  5. Provide your Address, City, County, State, and Zip Code.
  6. For those bringing children under age 18, list only YOUR children or children you have guardianship of. Include their Name, Date of Birth, SS#, and Sex, along with their Relationship to the incarcerated individual. If applicable, indicate whether children can visit with the approved parent/guardian only or with any approved adult visitor.
  7. Answer whether you have any pending charges, and if yes, provide details about where and what the charge(s) are.
  8. If you have been arrested as either an adult or juvenile, include all offences, including misdemeanors and felonies, deferred judgments, and periods of incarceration.
  9. Disclose if you are now or have ever been incarcerated or on probation/parole, including where and your Discharge Date.
  10. Indicate whether you have ever been involved in the illegal use of drugs.
  11. State if you are currently, or have ever been, a Department of Corrections employee, volunteer, contractor, or private sector employer working for the Department of Corrections. If yes, list the institution name(s) and dates of employment or volunteer work.
  12. Answer if you have previously been or are presently on the visiting list of any incarcerated individual in the Department of Corrections.
  13. Indicate if your visitation privileges have ever been denied, suspended, or terminated, and provide details if applicable.
  14. To enhance visitor safety, if you have been the victim of an incarcerated individual supervised by the IDOC, provide the incarcerated individual's name, ID number, county, charge, and case number.
  15. Confirm if you are a legal citizen of the United States. Note that you will be required to show a picture ID to visit.
  16. Sign and date the form, acknowledging that you consent to a background check and understand the information provided must be truthful and accurate.

Once completed, return the application to the Centralized Visiting Authority at the Mt. Pleasant Correctional Facility. Remember, it is the incarcerated individual's responsibility to inform you once your application has been approved. By following these steps and providing honest information, you can ensure a smoother application process for visitation.

Key Details about Iowa Visitor Application

What is the process to apply for visiting an incarcerated individual in Iowa?

To apply for permission to visit an incarcerated individual in Iowa, you need to complete the Iowa Visitor Application form. This form requires you to provide personal information such as your legal name, relationship to the incarcerated individual, and any history of criminal charges or incarceration. It's crucial to review the Department of Corrections search procedures detailed on the back of the form and ensure all provided information is accurate. Once the form is completed, it should be submitted to the Centralized Visiting Authority at the specified correctional facility. You must wait for the incarcerated individual to notify you that your application has been approved before attempting to visit.

Can children visit an incarcerated individual?

Yes, children under the age of 18 can visit an incarcerated individual but there are specific requirements. The visiting adult must list all their children or children they have guardianship of on the Iowa Visitor Application form and provide proof of guardianship. Each child’s relationship to the incarcerated individual must be declared in the application. Children over 18 are required to fill out a separate application form. Additionally, parents or guardians must indicate if children can visit with the approved parent/guardian only, or with any approved adult visitor.

What if I have a criminal record?

Having a criminal record does not automatically disqualify you from visiting rights, but you must disclose any past arrests, charges, or periods of incarceration on the Iowa Visitor Application form. This includes any misdemeanors, felonies, deferred judgments, and whether you are currently or have ever been incarcerated or on probation/parole. The Department of Corrections will evaluate this information against state and federal law enforcement databases. Failure to accurately complete this part of the application may result in the rejection of your application.

What are the consequences of refusing the non-intrusive search procedure or testing positive in the Ion Scan method?

All visitors are subject to non-intrusive search procedures. Refusing these searches or testing positive for illegal substances via the ION SCAN method can lead to visiting restrictions. For the first occurrence, visitation rights are suspended for the next two visits, and future visits may be conducted under non-contact status. The penalties increase with subsequent occurrences, leading to longer suspension periods and potentially permanent non-contact visitation restricitons. Refusal to be tested results in a 15-day suspension of visiting privileges.

What if my visitation privileges have been previously denied, suspended, or terminated?

If your visitation privileges have been previously affected, you need to disclose this on the application form, including the name, number, and your relationship to the incarcerated individual whose visitation rights were involved. Your current application will be evaluated on its own merits, but previous denials, suspensions, or terminations might be considered.

Are there any special considerations for victims of incarcerated individuals?

If you have been a victim of an incarcerated individual currently supervised or incarcerated by the IDOC, it's important to notify this in your application. You should provide the incarcerated individual's name, ID number (if known), county, charge, and case number. This information helps the Department of Corrections enhance your safety as a visitor and ensure appropriate measures are in place during your visit.

Common mistakes

When filling out the Iowa Visitor Application form, people often make mistakes that can lead to the denial of their application. Understanding these common errors can help applicants submit their forms correctly.

  1. Leaving blanks: The form explicitly instructs not to leave any blanks. Applicants sometimes skip sections they think are not applicable, but this can lead to their application being denied. Each question should be answered fully.
  2. Providing false information: All information on the application must be accurate. False information not only leads to denial but also could have legal implications. It is crucial to double-check the facts before submitting.
  3. Not listing all required information about children: Only the children or those under guardianship of the applicant and under the age of 18 should be listed. Applicants often make the mistake of not providing complete information for each child, such as their Social Security numbers or dates of birth.
  4. Failure to disclose criminal history: The form requires details of any arrests, including misdemeanors and felonies, periods of incarceration, and probation or parole. This section is often incorrectly left incomplete or inaccurately filled out.
  5. Omitting information about previous Department of Corrections employment or volunteer work: Applicants sometimes forget or choose not to disclose their previous affiliations with the Department of Corrections as an employee, volunteer, contractor, or private sector employer. This information is essential and must be included.
  6. Neglecting to sign the application: The application process is incomplete without the applicant's signature. A common oversight is forgetting to sign the form, which will result in the rejection of the application.

Applicants are advised to review their applications thoroughly before submission to ensure all information is complete and accurate. This diligence will help avoid delays or denials in the approval process.

Documents used along the form

When applying for visitor status at an Iowa Department of Corrections facility, it's crucial to understand that the Iowa Visitor Application form is just one component of a thorough vetting process. To facilitate a comprehensive review, the applicant may need to provide additional forms and documents. These supplementary materials play a vital role in establishing the applicant's eligibility and integrity for visitation rights. They encompass a range of personal and legal details that help the Department assess the suitability and security risks of prospective visitors. Below are ten forms and documents often used along with the Iowa Visitor Application form, each serving a unique purpose in the application process.

  • Proof of Identification: A government-issued photo ID, such as a driver's license or passport, is mandatory to verify the applicant's identity.
  • Birth Certificate: Used to corroborate the applicant's date of birth as stated in the application.
  • Proof of Relationship: Documents such as marriage certificates, birth certificates of children, or other legal documents can be required to prove the relationship to the incarcerated individual.
  • Guardianship or Custody Documents: For those claiming to be the guardian of a minor child(ren) visiting the incarcerated individual, official guardianship documents are necessary.
  • Criminal Background Check: An authorized criminal history report may be requested to validate the information provided in the visitor application regarding past criminal activities.
  • Probation or Parole Documents: Individuals who have disclosed being on probation or parole should provide documents to show their status and terms of probation or parole.
  • Drug Test Consent Form: Given the facility's strict policy on drug-free zones, a consent form for undergoing drug screening tests may be required.
  • Appeals Forms: In case previous visitation privileges were denied, suspended, or terminated, applicants may need to submit an appeals form along with their application.
  • Previous Visitation Records: For those who have visited any Department of Corrections facility before, previous visitation records might be reviewed to assess the applicant's eligibility.
  • Visitor Agreement Form: Applicants may need to sign an agreement form that outlines the rules and policies regarding visitation, affirming their commitment to abide by these rules.

These additional documents, alongside the Iowa Visitor Application form, contribute to a secure and orderly visitation process. They enable the Department of Corrections to perform a comprehensive evaluation of each visitor application, ensuring that those granted visitation rights pose no risk to the security and safety of the institutions, its inhabitants, and other visitors. It's pertinent for applicants to provide complete and accurate information across all required documents to avoid potential delays or denial of visitation privileges.

Similar forms

The Iowa Visitor Application form shares similarities with the Employment Application form. Both request personal information such as full name, birth date, Social Security number, and contact details. An employment application, like the visitor application, often asks about past criminal history, prior employment or volunteer history, and relationship statuses which may affect the applicant's responsibilities or performance.

Similar to the Gun Permit Application form, the Iowa Visitor Application form requires disclosure of criminal history, including arrests and convictions. Both forms perform a background check against law enforcement databases and seek to identify any potential risks associated with granting the application. Gun permit applications, likewise, have criteria that could disqualify an applicant based on past behaviors or affiliations, mirroring the visitor application's approach to safety and legal compliance.

The Foster Parent Application form also has similarities with the Iowa Visitor Application form in that it collects detailed personal information and inquires about past criminal activities. Both forms assess the applicant's living situation and relationships to ensure a safe environment, whether for a child in foster care or for the security protocols within a correctional facility. The emphasis on providing a secure and supportive environment is a common goal shared by both forms.

Loan Application forms often require similar disclosures of personal information, employment history, and criminal history as the Iowa Visitor Application form. While the purpose differs significantly, both forms evaluate risk and eligibility. Loan applications use this information to assess financial reliability, whereas the visitor application assesses security and compliance risks.

The School Enrollment Application form shares the need for detailed personal information, guardianship, and relationship statuses, much like the Iowa Visitor Application form. Both request information on additional dependents who will be under the applicant's care during the school enrollment or visitation. This comparison highlights the focus on accountability and responsibility for others in both processes.

Volunteer Application forms often resemble the Iowa Visitor Application in their requirement for personal information, background checks, and disclosures about past criminal activities or incarceration. Both types of applications scrutinize the applicant's history to ensure they fit the role they're applying for, aiming to maintain a safe and productive environment, whether in a volunteer setting or a correctional facility.

The Adoption Application form parallels the Iowa Visitor Application form through its thorough vetting process, which includes personal information, relationship dynamics, and background checks. Both forms seek to establish the applicant's suitability for a significant responsibility, emphasizing the safety and well-being of others involved. The process ensures that the applicant's involvement would be in the best interest of those they wish to have contact with, either children in the adoption scenario or incarcerated individuals in the visitation context.

Dos and Don'ts

When filling out the Iowa Visitor Application form, it's essential to approach this process with accuracy and attention to detail. To help guide you, here are actions to take and avoid ensuring your application is processed smoothly:

Do:

  1. Read the Department of Corrections search procedures on the back of the application thoroughly before starting your application.
  2. Fill in every section without leaving any blanks to ensure your application is not denied due to incomplete information.
  3. Provide true and accurate information in every part of the application, as any falsehoods will lead to denial.
  4. Include proof of guardianship for any children under 18 that will be visiting with you, if applicable.
  5. Answer honestly about any past or pending charges, arrests, or convictions, as this information will be verified against law enforcement databases.
  6. Sign the back page of the application to consent to a background investigation and acknowledge the conditions of visiting.
  7. Retain a copy of the application for your records.
  8. Observe all the restrictions regarding drug use and understand the consequences of testing positive for illegal substances or refusing to be tested.
  9. Immediately notify the Warden if you are aware of sexual violence committed against any person in an IDOC prison.

Don't:

  • Attempt to visit the incarcerated individual before receiving notification of your approval.
  • Leave blanks on your application, as this can result in automatic denial.
  • Provide false information at any point in the application.
  • Forget to list any misdemeanors, felonies, deferred judgments, or periods of incarceration, as failing to do so could affect your approval.
  • Ignore the sections about your relationship to the incarcerated individual, as this information is critical for the approval process.
  • Omit details about being previously or currently on the visiting list of any incarcerated individual within the Department of Corrections.
  • Refuse to consent to search procedures, as this will prevent you from being permitted to visit.
  • Refuse to undergo the ION SCAN detection method or provide a positive indication of illegal substance association, as this will affect your visiting privileges.
  • Fail to acknowledge and respond appropriately to any incidents of sexual violence communicated to you regarding individuals in an IDOC prison.

Misconceptions

Several misconceptions exist regarding the Iowa Visitor Application form for those wishing to visit inmates within the Iowa Department of Corrections. Addressing these misunderstandings is crucial for a smooth application process.

  • Misconception 1: Leaving blanks will not affect the application. It's important to understand that any blank spaces on the application can lead to its denial. The form requires complete and accurate information to proceed with the background checks and other security measures necessary for approval.

  • Misconception 2: Drug use will automatically disqualify you. While past or current drug use must be disclosed, it does not automatically disqualify an applicant from being approved. The Department of Corrections assesses each application on a case-by-case basis, taking into consideration factors such as time elapsed since drug use and the applicant’s current status.

  • Misconception 3: Only biological children can visit. The form allows for the inclusion of not just the applicant's biological children but also any children under their guardianship. Proof of guardianship is required to ensure the safety and compliance with regulations. The policy aims to maintain family connections while adhering to security considerations.

  • Misconception 4: Visitation rights are permanent once approved. Approval for visitation can be revoked or suspended based on subsequent behaviors, such as refusing to follow the correctional facility's rules, failing a drug test, or bringing prohibited items. The Department of Corrections implements these rules to ensure the safety and security of all involved.

Understanding these aspects of the Iowa Visitor Application form is essential for individuals looking to maintain contact with incarcerated friends or family members. By ensuring all information is accurately provided and rules are followed, visitors can help create a safe and welcoming environment for everyone.

Key takeaways

Completing the Iowa Visitor Application form requires attention to detail and honesty to ensure the safety and security of all parties involved. The form is designed to gather essential information about potential visitors to individuals incarcerated within the Iowa Department of Corrections (IDOC) facilities. The following key takeaways highlight important aspects of filling out and using this form:

  • Provide complete and truthful information: Applicants must not leave any blanks on the form and must ensure all provided information is accurate. Failing to do so, or providing false information, will lead to the denial of the application.
  • Individual applications for adults and children: Every adult visitor is required to fill out a separate application. For children under the age of 18 who will be visiting, only their parent or guardian (with proof of guardianship) needs to list them on the application form, specifying the relationship to the incarcerated individual.
  • Background and security checks: The application includes questions about the applicant's criminal history, involvement with illegal drugs, and current or previous employment or volunteer work with the Department of Corrections. This information is used to conduct background checks against state and federal law enforcement databases for security reasons.
  • Consent to search procedures: All visitors to IDOC facilities are subject to search procedures, which may include non-intrusive electronic search methods and ION SCAN for detecting association with illegal substances. Refusing to be searched or testing positive for illegal substance association can lead to visiting restrictions or denial.

It is crucial for applicants to sign and return the completed form to the specified address and await approval from the incarcerated individual before attempting to visit. The Iowa Department of Corrections takes measures to maintain a safe environment for both visitors and incarcerated individuals by thoroughly reviewing each application.

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