SOP_NUMBER: 227.05-att-2
TITLE: Application for Visitation Privilege
REFERENCE_CODE: IIB01-0005
DIVISION: Unknown
TOPIC_AREA: 227 Policy-Facilities Conditions of Confinement
EFFECTIVE_DATE: 2018-02-21
WORD_COUNT: 450
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105721
URL: https://gps.press/sop-data/227.05-att-2/

SUMMARY:
This form is used to screen and approve individuals who wish to visit incarcerated offenders in Georgia Department of Corrections facilities. Visitors must provide complete personal information, disclose any criminal history, probation/parole status, and relationships to other incarcerated individuals. The form requires documentation verifying the visitor's relationship to the offender and authorizes GDC to conduct criminal background checks through NCIC/GCIC networks.

KEY_TOPICS: visitation privilege, visitor application, visitor screening, inmate visitation, criminal background check, NCIC/GCIC, visitor approval, institutional visitation, offender visiting, visitor eligibility

ATTACHMENTS:
  1. Offender Visitation Register
     URL: https://gps.press/sop-data/227.05-att-1/
  2. Application for Visitation Privilege
     URL: https://gps.press/sop-data/227.05-att-2/
  3. Offender Visitation Room Log
     URL: https://gps.press/sop-data/227.05-att-3/
  4. GCIC/NCIC Consent Form for Visitors of GDC Facilities
     URL: https://gps.press/sop-data/227.05-att-4/
  5. Facility/Center Visitation List
     URL: https://gps.press/sop-data/227.05-att-5/
  6. GDC Attorney Visitation Request Form
     URL: https://gps.press/sop-data/227.05-att-6/

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FULL TEXT:
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**Application for Visitation Privilege** Attachment 2
2/21/18
Page **1** of **2**


**Facility/Center:**


**Offender:** **GDC #:**


The offender named above has request that you be approved for visitation privilege with him/her at this
institution. Prior to making the approval, we must first confirm the following information obtained from
you. Failure to provide complete and accurate information may result in denial of your visitation
privilege.


**Legal Name:** **D.O.B. (mm /d d/y y):**


**Address:** **City:**


**State:** **Zip Code:**


**Occupation:**


**Home/Cell Telephone:**


**What is your relationship to the offender?**


**Have you ever been convicted of a crime?** **Yes** **No, if so, what is the nature of conviction(s)?**
**Date, county, state, and sentence received (attach additional sheet if necessary):**


**Are you on probation or parole?** **Yes** **No, if so, give your probation/parole officer’s name,**
**location and telephone number:**


**Are you related to any offender (s) incarcerated with Georgia Department of Corrections, other**
**than the one listed above?** **Yes** **No  If so, give name, GDC#, institution, relation of each**
**offender (attach additional sheet if necessary):**


**Do you correspond or visit with other offenders?** **Yes** **No  If so, give name, GDC#,**
**institution, relation of each offender (attach additional sheet if necessary):**

**______**


Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file and shall be
maintained according to the official retention schedule for offender institutional files.


**Application for Visitation Privilege** Attachment 2
2/21/18
Page **2** of **2**


**Please check and attach appropriate documentation to verify your relationship with the listed**
**offender:**


**Notarized letter from you verifying your common law relationship**


**Birth Certificate** **Divorce Decree** **Other:**


**THIS SECTION ONLY NEEDS TO BE COMPLETED IF YOU ARE NOT EXTENDED FAMILY**
**(PARENT, SIBLING, CHILD, GRANDPARENT, SPOUSE, STEP-PARENT, STEP-SIBLING,**
**BROTHER/SISTER-IN-LAW, AUNT, UNCLE, COUSIN, HALF SIBLING, NIECE, NEPHEW, or**
**STEP-CHILD) OF THE OFFENDERS. PLEASE FEEL FREE TO ATTACH ADDITIONAL**
**SHEETS IF NEEDED.**


**Describe the nature of your relationship with this offender:**
**_______**


**How long have you known this offender:** **Prior to their incarceration?** **Yes** **No**


**Where and how did the relationship develop?**


**Explain how your relationship with the offender will assist in and contribute toward his/her**
**rehabilitation:**


**CRIMINAL/DRIVER HISTORY CONSENT (TO BE COMPLETED BY EVERYONE)**


**I,** **, hereby authorize Georgia Department of Corrections to**
**receive any criminal history information at any time pertaining to me which may be in the files of**
**any criminal justice agency on the** _**National Crime Information Center/Georgia Crime Information**_
_**Center**_ **(NCIC/GCIC) network.**


**Social Security Number** **Driver’s License Number**


**Signature** **Date**


**Signature of parent/guardian                    Date**
**(If under 18 years of age)**


Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file and shall be
maintained according to the official retention schedule for offender institutional files.