Blank Ohio Drc 2096 PDF Form

Blank Ohio Drc 2096 PDF Form

The Ohio DRC 2096 form is a Visitor Application used by individuals seeking approval to visit offenders in Ohio correctional facilities. This form collects essential information to assess eligibility and ensure compliance with institutional regulations. Completing the form accurately is crucial for successful visitation; click the button below to fill it out.

The Ohio DRC 2096 form serves as a crucial step for individuals seeking to visit an offender within the Ohio Department of Rehabilitation and Correction system. This application requires visitors to provide detailed personal information, including their name, address, and relationship to the offender. It also asks for verification of identity and relationship, such as a driver's license number and documentation proving the connection to the inmate, particularly if children are involved. The form includes questions about the applicant's criminal history, previous incarceration, and employment with the Department of Rehabilitation and Correction. Visitors must answer all questions truthfully, as any inaccuracies can lead to disapproval of the application. Additionally, the form outlines specific visiting guidelines, including dress code and prohibited items, ensuring a safe environment for both visitors and inmates. Understanding the nuances of the DRC 2096 form is essential for anyone looking to maintain connections with loved ones who are incarcerated in Ohio.

Document Sample

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

y

DOTS Check

 

 

 

 

 

Visitor Application

 

 

eUseOc nl

VNAMS

 

 

 

 

 

 

 

 

VOC

Yes

No

Unavailable

 

 

 

 

 

 

 

 

File Check

 

 

 

 

 

 

 

 

 

ForOffi

Print Name:

Yes

No

Unavailable

 

 

 

 

 

 

 

Co-D

(Please enter your name EXACTLY as it appears on your driver's license/state issued ID)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To:

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

LAST

 

FIRST

MIDDLE

Institution:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

Offender's Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip Code:

 

Offender's Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You must provide verification of address such as a copy of a utility bill.

EXPLANATION AND INSTRUCTIONS: This questionnaire will provide the institution with the information needed to determine your eligibility for approval as a visitor for the above named offender. 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.

I am a:

Friend

Relative, specify relationship:

1.Complete the following:

Driver’s License Number/State ID:

Issuing State:

Expiration:

Date of Birth (MM/DD/YYYY):

Phone Number (INCLUDING AREA CODE):

2.If you are the parent of any child by this offender, please complete the following. You must provide verification the offender is the parent of each child such as a copy of the child’s birth certificate. If the offender is not named on the child birth certificate, you may Provide other documentation such as DNA Paternity Test Results, Court-ordered custodial papers, Affidavit of Paternity, etc.

NAME OF INMATE’S CHILD

Last

First

Middle

DOB

MM/DD/YYYY

3.Have you ever been incarcerated in a DR&C Institution in Ohio?

Yes

No

If yes, enclose a copy of your final release paper. Also, list:

Date of Incarceration

State

Institution(s)

Convictions/Charges

DRC 2096 (Rev. 01/13)

4.Are you now a party to any criminal action or proceeding?

5.Are you now or have you ever been on probation or parole?

Yes

Yes

No

No

If you answered “yes” to questions 4 or 5 attach a letter detailing any indictments, convictions, sentencing information, details of the offense, State and County involved, name and phone number of your probation/parole officer. Also include a copy of your final release papers along with a letter from your probation/parole officer granting permission to visit.

6. Are you now or have you ever been employed by the DR&C?

(Contract Employee, Volunteer, Intern or Unpaid Staff)

Yes

No

if yes,

 

Location/Institution:

Position/Job Title:

Dates:

7.

Have you ever been an accomplice or co-defendant of any crime committed by this offender?

Yes

No

 

If yes, please explain:

 

 

 

 

8.

Have you ever been the victim of any crime committed by this offender?

Yes

No

 

 

If yes, please explain:

 

 

 

 

If your application to visit is accepted, your initial status will be tentatively approved pending verification of your identity at the time of

your first visit. If accepted after this verification, your status will be changed to approved . It is the offender’s responsibility to notify

you of your status.

I certify all answers to the above are true to the best of my knowledge.

Signature of Applicant:

Dates:

RETURN PROMPTLY TO:

Institution Name:

 

Contact Person:

 

 

 

Address:

State of Ohio

Ohio Department of Rehabilitation and Correction

General Visiting Instructions

1.All attire worn upon entry into the facility must be worn throughout the duration of the visit, with the exception of appropriate outerwear such as a coat and gloves.

2.Appropriate undergarments must be worn (i.e., bra, slip, and underwear).

3.No additional clothing is permitted to be carried into the facility.

4.Inappropriate attire includes, but is not limited to:

a.See-through clothing of any kind.

b.Tops or dresses that expose the midriff or have open backs or open sides (such as any sleeveless clothing such as halter tops, tube tops, cropped tops, tank tops, and muscle shirts).

c.Low-cut clothing cut in a manner that exposes the chest.

d.Any clothing that inappropriately exposes undergarments.

e.Skirts, dresses, shorts, skorts, or culottes with the hem or slit above the mid-knee.

f.Wrap-around skirts/dresses or break-away type pants.

g.Clothing with any gang related markings.

h.Clothing with obscene and/or offensive pictures, slogans, language and/or gestures.

i.Form-fitted clothing made from Spandex or Lycra or other similar knit material such

as leotards, unitards, bicycle shorts, tight jeans, or tight pants.

j.Clothing with inappropriate holes/rips, including shoulder cut-outs.

5.No more than one wristwatch or pocket watch will be permitted.

6.Purses, handbags, backpacks, or similar items are not permitted. Diaper bags and infant carriers, are permitted, but are subject to regular search procedures Clear plastic bags are preferred in place of diaper bags. Diaper bags may include:

a.A reasonable number of diapers and baby wipes

b.Three plastic baby bottles

c.Three plastic containers of baby food

d.One pacifier

7)All visitors are subject to clear the metal detector. The following items often prevent clearance of the metal detector:

a.Hairpins

b.Bras with metal underwires

c.Certain boots and shoes

d.Clothing with multiple zippers

e.Excessive jewelry

Name:

Date:

Wearing inappropriate clothing may result in a

visitor not being allowed to visit or not clearing the metal detector.

For directions and other information visit our web site - http://www.drc.ohio.gov/

DRC2274 (Rev. 01/06)

Declaration of Understanding

The 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:

(1)Any deadly weapon or dangerous ordnance, or any part of or ammunition for use in such deadly weapon or dangerous ordnance;

(2)Any drug of abuse, as defined in section 3719.011 of the Revised Code;

(3)Any intoxicating liquor, as defined in section 4301.01 of the Revised Code;

(4)Cash;

(5)Cellular telephone, two-way radio, or other electronic communication device.

(6)Any product that contains tobacco including but not be limited to cigarettes, loose tobacco, cigar, snuff, chewing tobacco, or any other preparation of tobacco, tobacco substitutes, smoking paraphernalia (i.e., matches, lighter, cigarette papers, and rolling machine)

Every effort will be made to prosecute to the fullest extent of the law, any person found to be in violation of this section of the Ohio Revised Code.

I have read or it has been read to me, and I understand the above declaration. I will not bring any weapon, dangerous ordnance, ammunition, drug, intoxicating liquor, cash, cellular telephone, two-way radio, or electronic communication device into the prison.

Visitor

Contractor

Volunteer

Other

Name (typed or printed):

Signature:

Date:

Witness:

Date:

DRC 2554 (rev. 07/09)

File Specifics

Fact Name Description
Form Purpose The Ohio DRC 2096 form is used to apply for visitor approval for inmates within the Ohio Department of Rehabilitation and Correction.
Eligibility Requirements Applicants must provide accurate personal information and may need to verify their relationship to the inmate.
Verification of Identity Initial visitor approval is tentative and requires verification of identity during the first visit.
Background Check Applicants must disclose any past incarcerations, criminal actions, or relationships with the inmate that may affect approval.
Governing Laws This form is governed by Ohio Revised Code section 2921.36, which addresses the prohibition of contraband in correctional facilities.
Submission Instructions Completed forms must be returned promptly to the designated institution, along with any required supporting documents.
Dress Code Regulations Visitors must adhere to strict dress codes, including prohibitions on certain types of clothing to maintain security and decorum.

How to Use Ohio Drc 2096

Filling out the Ohio DRC 2096 form is a straightforward process, but it requires careful attention to detail. Make sure you have all necessary documents ready before you start. This includes identification and any verification of relationships or prior incarceration, if applicable. Once you complete the form, you will submit it to the relevant institution for processing.

  1. Begin by entering your full name as it appears on your driver's license or state-issued ID in the designated fields for LAST, FIRST, and MIDDLE names.
  2. Fill in the Institution name and the Street Address of the institution you are applying to visit.
  3. Provide the City, State, and Zip Code of the institution.
  4. Enter the Offender's Name and Offender's Number in the appropriate spaces.
  5. Complete the section regarding your relationship to the offender by selecting whether you are a Friend or Relative, and specify the relationship if necessary.
  6. Fill in your Driver’s License Number/State ID, Issuing State, and Expiration Date.
  7. Provide your Date of Birth in the format MM/DD/YYYY and your Phone Number including area code.
  8. If applicable, complete the section about any children you have with the offender, providing their names and DOBs.
  9. Answer whether you have ever been incarcerated in a DR&C institution in Ohio and provide details if applicable.
  10. Indicate if you are currently involved in any criminal action or have been on probation or parole, and attach any required documentation.
  11. Answer whether you have ever been employed by the DR&C and provide the location, position, and dates.
  12. Respond to questions about being an accomplice or victim of any crime committed by the offender, providing explanations if necessary.
  13. Sign and date the form at the bottom, certifying that all information is true to the best of your knowledge.
  14. Return the completed form to the specified institution, ensuring it is sent promptly.

Your Questions, Answered

  1. What is the purpose of the Ohio DRC 2096 form?

    The Ohio DRC 2096 form is a Visitor Application. It helps the correctional institution determine if someone is eligible to visit an offender. The form collects personal information and details about the visitor's relationship with the offender.

  2. Who needs to fill out the DRC 2096 form?

    Anyone wishing to visit an offender in an Ohio correctional facility must complete this form. This includes friends, relatives, or anyone with a relationship to the offender. Accurate and complete information is crucial for approval.

  3. What information do I need to provide on the form?

    You will need to provide various details, including:

    • Your name and contact information
    • Your relationship to the offender
    • Your driver's license or state ID number
    • Date of birth
    • Details about any children you may have with the offender
    • Information about any past incarcerations or criminal actions

    Ensure that all information is accurate to avoid disapproval.

  4. What happens if I do not provide all required information?

    If you fail to answer any question or provide inaccurate information, your application will likely be disapproved. It is essential to answer all questions truthfully and completely.

  5. What should I do if I have been incarcerated before?

    If you have been incarcerated in a DR&C institution in Ohio, you must attach a copy of your final release papers. Additionally, provide details about your incarceration, including dates and charges.

  6. How will I know if my application is approved?

    Once your application is submitted, the institution will review it. If approved, you will receive notification from the offender about your visiting status. Your initial approval will be tentative until your identity is verified during your first visit.

  7. What are the dress code requirements for visiting?

    Visitors must adhere to specific dress code guidelines. Acceptable attire must cover the body appropriately. Inappropriate clothing includes see-through garments, low-cut tops, and any clothing with offensive language or images. Visitors should also avoid excessive jewelry and certain types of footwear that may trigger metal detectors.

  8. Are there restrictions on items I can bring into the facility?

    Yes, there are strict rules regarding what you can bring. Items like purses, backpacks, and electronic devices are not allowed. You may bring a clear plastic bag for necessary baby items if you are visiting with an infant. Always check the latest guidelines before your visit.

  9. What is the zero-tolerance policy mentioned in the form?

    The zero-tolerance policy prohibits bringing drugs, alcohol, weapons, or cash into the correctional facility. Violating this policy can lead to serious legal consequences. Visitors must understand and comply with these rules to ensure a safe visiting environment.

Common mistakes

  1. Inaccurate Personal Information: One common mistake is providing incorrect details, such as the name, date of birth, or driver's license number. It is crucial to ensure that all information matches exactly what is on your official identification. Any discrepancies can lead to delays or disapproval of your application.

  2. Failure to Include Required Documentation: Many applicants forget to attach necessary documents. For instance, if you are a parent of a child by the offender, you must provide verification, such as a birth certificate. Without this, your application may be rejected.

  3. Incomplete Responses: Leaving questions unanswered or providing vague answers can be detrimental. Each question must be answered fully and truthfully. Incomplete applications may result in automatic disapproval.

  4. Neglecting to Disclose Criminal History: Applicants often overlook the importance of fully disclosing any past incarcerations or current criminal proceedings. If you have been involved in any legal issues, it is essential to provide all relevant information. Failure to do so may be viewed as an attempt to mislead the institution.

  5. Ignoring Submission Guidelines: Not following the submission instructions can lead to complications. Ensure that you send your application promptly to the correct institution and include all necessary attachments. Delays in submission may hinder your chances of approval.

Documents used along the form

The Ohio DRC 2096 form is essential for individuals seeking approval to visit an offender in a correctional institution. Alongside this form, several other documents are often required to ensure compliance with visitation policies. Below is a list of commonly used forms and documents that complement the Ohio DRC 2096.

  • DRC 2274 - Declaration of Understanding: This document outlines the zero-tolerance policy regarding the conveyance of drugs, weapons, and other prohibited items into correctional facilities. Visitors must acknowledge their understanding and commitment to these rules by signing the declaration.
  • Final Release Papers: If a visitor has previously been incarcerated, they must provide a copy of their final release papers. This documentation is necessary to verify their status and ensure they meet eligibility requirements for visitation.
  • Verification of Relationship Documents: If the visitor is a parent of a child by the offender, they must submit proof of this relationship. Acceptable documents include a child’s birth certificate or other legal documentation confirming paternity or custody.
  • Letter from Probation/Parole Officer: For visitors with a history of probation or parole, a letter from their supervising officer is required. This letter must grant permission for the individual to visit the offender, detailing any relevant conditions or restrictions.

Each of these documents plays a vital role in the application process for visitation. Ensuring all necessary paperwork is completed and submitted can significantly enhance the chances of approval for visiting an offender.

Similar forms

The Ohio DRC 2096 form, which serves as a Visitor Application for those wishing to visit offenders in correctional facilities, shares similarities with the Visitor Application forms used in many other states. For instance, the California Visitor Application form requires detailed personal information about the visitor, including their relationship to the inmate and any prior criminal history. Just like the Ohio form, it emphasizes the need for truthful answers and provides guidelines for what is required for approval. The main goal is to ensure the safety and security of the institution while allowing family and friends to maintain connections with inmates.

Another comparable document is the Florida Visitor Application form. This form also collects personal information, including the visitor's identification details and their relationship to the inmate. Additionally, it asks for background information regarding any past incarcerations or criminal charges. Both forms aim to screen potential visitors to ensure they do not pose a risk to the institution or its inhabitants, thereby maintaining a safe environment for all involved.

The New York State Department of Corrections and Community Supervision has its own Visitor Application form, which bears similarities to the Ohio DRC 2096. This document requires visitors to provide identification and personal details, as well as information about any past criminal history. Like the Ohio form, the New York version also includes a section for visitors to disclose their relationship to the inmate. Both forms prioritize transparency and safety, ensuring that the visiting process is secure for both inmates and their guests.

The Texas Visitor Application form is another document that aligns closely with the Ohio DRC 2096. Visitors must provide their full name, address, and identification details, along with a declaration of their relationship to the inmate. The Texas form also includes questions about any prior criminal history, similar to the Ohio application. Both documents are designed to facilitate safe visits while maintaining the integrity of the correctional facility.

In Michigan, the Visitor Application form also shares common elements with the Ohio DRC 2096. This form requires visitors to submit personal identification and answer questions about their criminal history and relationship to the inmate. Both forms serve to vet visitors thoroughly, ensuring that individuals who enter the facility do not pose a threat. This process is essential for the safety of inmates, staff, and other visitors.

The Pennsylvania Visitor Application form is yet another document that resembles the Ohio DRC 2096. It requires visitors to provide personal information, including their relationship to the inmate and any relevant criminal history. Both forms emphasize the importance of honesty in the application process, as any discrepancies can lead to disapproval. The goal is to maintain a safe visiting environment while allowing for meaningful connections between inmates and their loved ones.

Lastly, the Illinois Visitor Application form mirrors the Ohio DRC 2096 in its collection of visitor information. This form also asks for identification details and background information, including any past criminal involvement. Both documents are designed to ensure that visits occur in a secure environment, thereby fostering safe interactions between inmates and their visitors. The shared intent of these forms is to balance the need for security with the importance of family connections in the rehabilitation process.

Dos and Don'ts

When filling out the Ohio DRC 2096 form, it's essential to follow specific guidelines to ensure a smooth application process. Here’s a list of things to do and avoid:

  • Do provide your name exactly as it appears on your driver's license or state-issued ID.
  • Do answer all questions truthfully and completely.
  • Do include verification of your address, such as a utility bill.
  • Do attach any required documentation if you have been incarcerated or are involved in any criminal actions.
  • Don't leave any questions unanswered; this may lead to disapproval of your application.
  • Don't falsify any information; honesty is crucial.
  • Don't forget to sign and date the application before submission.
  • Don't submit your application without ensuring all necessary documents are included.

By adhering to these guidelines, you can enhance the likelihood of your application being processed without issues.

Misconceptions

When it comes to the Ohio DRC 2096 form, several misconceptions can lead to confusion for those looking to visit an inmate. Here are five common misunderstandings:

  • The form is only for family members. Many believe that only relatives can fill out the DRC 2096 form. In reality, friends and other acquaintances can also apply to visit an inmate, as long as they provide the necessary information and meet the eligibility criteria.
  • Submitting the form guarantees a visit. Some applicants assume that once they submit the DRC 2096 form, their visit is automatically approved. However, the form only initiates the approval process. The institution will review the application and verify the information before granting permission.
  • All information provided is confidential. While personal information is collected on the DRC 2096 form, it is important to note that certain details may be shared with correctional staff for security and verification purposes. Applicants should be prepared for their information to be reviewed as part of the approval process.
  • Only past criminal history matters. Some individuals think that only previous incarcerations will affect their eligibility to visit. In fact, any current criminal actions or probation status can also impact the approval process. Applicants must disclose all relevant information, including ongoing legal matters.
  • There are no consequences for providing false information. A common misconception is that applicants can provide inaccurate or misleading information without repercussions. In truth, failing to answer questions truthfully or providing false information can lead to disapproval of the application and may even result in legal consequences.

Understanding these misconceptions can help ensure a smoother application process for those wishing to visit inmates in Ohio correctional facilities.

Key takeaways

When filling out and using the Ohio DRC 2096 form, keep these key points in mind:

  • Provide Accurate Information: Ensure that all details, including your name and relationship to the offender, are entered exactly as they appear on your ID.
  • Verification of Address: Include proof of your address, such as a utility bill, to support your application.
  • Answer All Questions: Complete every question fully and truthfully. Missing or false information can lead to disapproval.
  • Documentation for Children: If applicable, provide verification of any children you have with the offender, like birth certificates or court documents.
  • Criminal History: Disclose any past incarcerations or current legal issues. Attach necessary documents if you answer "yes" to related questions.
  • Employment History: If you have worked with the Department of Rehabilitation and Correction, include details about your position and the institution.
  • Visitor Status: Your application may be tentatively approved pending identity verification at your first visit.
  • Dress Code Compliance: Adhere to the facility's dress code. Inappropriate attire can prevent you from visiting.

By following these guidelines, you can help ensure a smoother application process and enhance your chances of being approved to visit the offender.