Table of Contents
Things You Should Know About This Form
What is the purpose of the Iowa Visitor Application form?
The Iowa Visitor Application form is designed to collect essential information from individuals who wish to visit an incarcerated person within the Iowa Department of Corrections. This application helps ensure that all visitors meet the necessary criteria for visiting, thereby maintaining safety and security within correctional facilities. Each application is reviewed thoroughly, and it is crucial for applicants to provide accurate and complete information to avoid denial.
How should I complete the application to avoid denial?
To ensure your application is not denied, follow these guidelines:
- Fill out all sections of the application completely. Do not leave any blanks.
- Provide truthful and accurate information. Any false details can lead to immediate rejection.
- Ensure you sign the application where required.
- Review the Department of Corrections' search procedures provided on the back of the application before submission.
By adhering to these steps, you can increase the likelihood of your application being approved.
What happens after I submit my application?
Once you submit your completed application to the Centralized Visiting Authority, it will undergo a review process. The incarcerated individual you wish to visit will be notified of your application status. It is their responsibility to inform you whether you have been approved or denied for visitation. Until you receive notification, do not attempt to visit the facility.
What should I do if my visitation privileges are denied?
If your visitation privileges are denied, you have the option to appeal the decision. To do this, you can write a formal appeal to the Warden of the facility. Be sure to include any relevant information or context that may support your case. It’s important to follow the procedures outlined in the denial notification, as this will guide you through the appeals process.
Are there any restrictions I should be aware of regarding visitation?
Yes, there are several important restrictions to keep in mind:
- All visitors are subject to search procedures, which may include electronic methods.
- If a visitor refuses to be searched, they will not be permitted to visit, and their visiting privileges may be revised.
- Visitors may undergo drug testing. A positive result or refusal to test can lead to varying degrees of suspension of visiting privileges.
- Children under 18 must be accompanied by an approved adult, and any adult visitor must complete their own application.
Understanding these restrictions is crucial for a smooth visitation experience.
Form Features
| Fact Name | Details |
|---|---|
| Confidentiality | The Iowa Visitor Application form is considered confidential and is not a public record. |
| One Applicant per Form | Each application must be completed by one adult visitor only. Multiple visitors need separate forms. |
| Approval Notification | Visitors should not attempt to visit until the incarcerated individual has notified them of their approval. |
| Legal Requirements | The application process adheres to Iowa Code Chapter 904, which governs the Department of Corrections. |
| Background Check | The Department of Corrections will evaluate submitted information against state and federal law enforcement databases. |
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Key takeaways
When filling out the Iowa Visitor Application form, it is important to follow these key takeaways:
- Complete All Sections: Ensure that every section of the application is filled out completely. Leaving blanks or providing false information can lead to denial of your application.
- Do Not Visit Prematurely: Wait for notification from the incarcerated individual regarding your approval before attempting to visit.
- Provide Accurate Information: Include truthful details about your relationship with the incarcerated individual and any relevant background information, including past arrests or charges.
- Children's Information: Only list children under the age of 18 who will be visiting. Any adult children must submit their own applications.
- Understand Search Procedures: Be aware that all visitors are subject to search procedures, including non-intrusive electronic searches. Refusal to be searched may result in denied visitation.
- Background Check Consent: By signing the application, you consent to a background check by law enforcement agencies. Any falsification can disqualify you from visiting.
Sample - 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: |
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Incarcerated individual number: |
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VISITOR INFORMATION |
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Legal Last name |
Legal First name |
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Maiden name |
Phone number |
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Your relationship to incarcerated individual: |
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How long have you known the incarcerated individual? |
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Birth date |
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Marital status |
Spouse’s Name |
Your Social Security number |
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Address |
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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.
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Date of birth |
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Relationship to incarcerated individual |
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Relationship to incarcerated individual |
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Relationship to incarcerated individual |
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Relationship to incarcerated individual |
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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 |
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Where |
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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.
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Are you now or have you ever been incarcerated or on probation/parole? |
Yes |
No |
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Where |
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Discharge Date: |
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Have you ever been involved in the illegal use of drugs? |
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No |
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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
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
In order to maintain
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
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
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
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
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 |
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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 |
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Attn: Central Records |
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1200 E. Washington |
cc: file |
Mt. Pleasant, IA 52641 |
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BREAK THE SILENCE
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
Similar forms
The Iowa Visitor Application form shares similarities with the Visitor Registration form used in many state and federal correctional facilities. Both documents require personal information about the visitor, including their relationship to the incarcerated individual. They aim to ensure that visitors are approved based on their background and connection to the inmate. Additionally, both forms may ask about any past criminal history to assess the visitor's eligibility for visitation rights.
Another similar document is the Inmate Visitation Application, often used by correctional facilities to allow inmates to request visitors. This application typically requires the inmate to provide a list of potential visitors and their details. Like the Iowa Visitor Application, it aims to maintain security within the facility by vetting visitors before they are allowed to meet with inmates.
The Family Reunification Application is also comparable, as it is designed for individuals seeking to maintain contact with family members who are incarcerated. This form focuses on the familial relationship and often includes questions about the applicant's history and any potential concerns regarding their safety. Both documents prioritize the safety and well-being of all parties involved in the visitation process.
In addition, the Visitor Screening Questionnaire serves a similar purpose. This form assesses the visitor's background and any potential risks associated with their visit. Both the Visitor Screening Questionnaire and the Iowa Visitor Application require disclosures about prior arrests or convictions to ensure that only suitable individuals are granted visitation privileges.
The Release of Information Authorization form is another document that bears resemblance. It allows correctional facilities to obtain necessary background checks on potential visitors. Both forms emphasize the importance of transparency and safety in the visitation process, ensuring that all parties are aware of the risks involved.
Understanding the importance of thorough documentation extends beyond the realm of educational institutions and correctional facilities, as seen in forms like the Articles of Incorporation for businesses. This crucial form, essential for establishing a corporation in New York State, requires accurate details about the business, ensuring its legitimacy in the eyes of the law. Just like with the Iowa Visitor Application, the necessity of providing truthful information is paramount, especially when considering resources such as PDF Templates to guide entrepreneurs through the incorporation process.
The Criminal Background Check Consent form is also similar in intent. It requests permission from the visitor to conduct a background check. This aligns with the Iowa Visitor Application's goal of maintaining a secure environment by identifying any potential threats posed by visitors.
The Visitor Agreement form is yet another related document. This form outlines the rules and regulations that visitors must adhere to while on facility grounds. Like the Iowa Visitor Application, it aims to inform visitors of their responsibilities and the consequences of violating facility policies.
The Visitor Identification Verification form is comparable as well. This document requires visitors to provide identification to confirm their identity and relationship to the inmate. Both forms emphasize the importance of proper identification to enhance security measures within correctional facilities.
Additionally, the Visiting Hours Request form is similar in that it allows visitors to schedule their visits. This form typically requires the visitor to specify their desired time and date for visitation. Both documents work together to streamline the visitation process and ensure that all visits are properly documented and authorized.
Finally, the Emergency Contact Information form is another relevant document. While it serves a different purpose, it collects essential information about individuals who can be contacted in case of an emergency during a visit. Both the Emergency Contact Information form and the Iowa Visitor Application aim to ensure the safety of visitors and inmates alike during their interactions.