A Visitor Request Form PDF Details

The West Virginia Division of Juvenile Services uses this visitor request form to screen adults who want to visit youth in state-run juvenile facilities. Every applicant must pass a background check before visits are approved.

To complete the form, you must provide your full name, current address, date of birth, and a valid photo ID. You also need to state your relationship to the juvenile offender and list any other offenders at the facility you intend to visit.

The form requires a full criminal history disclosure. You must report any arrests, indictments, felony convictions, and whether you are currently on probation or parole. Providing false information will result in denial of your application.

Visitors under 18 and those bringing minors to the facility must follow additional rules set by the facility. Contact the Division of Juvenile Services before submitting if this applies to your situation. By signing the form, you authorize a background check and confirm that all information is accurate.

QuestionAnswer
Form NameA Visitor Request Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesWV, 2012, 15a, Quarrier

How to Edit A Visitor Request Form Online for Free

Steps to Fill Out the Visitor Request Form

Follow these steps to complete the West Virginia DJS visitor request form correctly and avoid delays in the approval process.

  1. Download the PDF. Click the button at the top of this page to open the form in your browser or save it to your device. Our free PDF editor lets you fill out the form without any software downloads.
  2. Fill in your personal details. Enter your full legal name, current home address, date of birth, phone number, and ID information in the fields provided.
  3. Identify the juvenile you wish to visit. Write the juvenile's full name and facility ID. State your relationship clearly, such as parent, sibling, or family friend.
  4. Disclose your criminal history. Answer all questions about prior arrests, convictions, and current supervision status. If you are on probation or parole, include your supervising officer's contact details.
  5. Review the visitor rules. If you are under 18 or plan to bring children to the facility, additional approval steps apply. Contact the facility in advance to confirm your eligibility.
  6. Sign and submit. Your signature confirms that all information is truthful. Submit the completed form to the appropriate Division of Juvenile Services facility or office.

Related Visitation Forms by State

Looking for a similar visitor request form from another state or facility? These related forms cover other correctional systems: