Ccdoc Inmate Form PDF Details

If you are an inmate housed in a County, city or state correctional facility chances are you will be required to complete a Ccdoc inmate form. This document is also known as the Inmate Request for Service Form and is used to provide information about the inmate's medical, dental and mental health history and current condition. The form can also be used to request religious services, phone privileges and other special accommodations. Completing the Ccdoc inmate form accurately and completely is important, as it helps prison staff provide the best possible care and service to inmates. If you have any questions about completing the form, please contact your prison administrator for assistance.

QuestionAnswer
Form NameCcdoc Inmate Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesccdoc visitor application, inmate search cook county jail, visitation cook, ccdoc inmate

Form Preview Example

* ATTENTION ALL VISITORS *

Please be advised that the Cook County Department of Corrections (CCDOC) has instituted a new visitation policy. All

family members and friends wishing to visit an inmate MUST complete and submit a Visitor Application to the CCDOC. VisitorCookApplicationsCounty Sheriff’smay beOfficeobtainwebsited and submitted at the following locations:

http://www2.cookcountysheriff.org/search2/

Divisional Post and Lobby where the inmate is being housed

Entrance of any Cook County courthouse

This form must be filled out completely and returned to the divisional lobby officer, the deputy at the entrance of any Cook County Courthouse or scanned and emailed to the following email address: doc.visitation@cookcountyil.gov

It is strongly encouraged to submit visitation applications using the Sheriff’s website:

Step1: InformationGo to www.cookcountysheriff..org under Quick Links on the right side of the page click: Search for Inmate

Or type this web address in your web browser http://www2.cookcountysheriff.org/search2/

Step 4: Viewbuttonthe detailsat theofbottominmateof thebyform.clicking the

View

 

 

the Submit

e Register

 

visit link next to the inmate’sphoto and fill out

 

Step 2: Search for an nma

using the Sear h by Name option below the instructions.

Step 3:

 

the

 

 

details ic n on the search results page.

Click th

 

online to

 

 

 

the online form completely before clicking

Minors under the age of 17 years old do not need to fill out an application; however they must be accompanied by a parent or legal guardian who has been approved according to the new visitation policy at the time of the visit. Also, if the minor is high school age, a current school ID must be presented.

Once the application is received, a background check will be conducted to determine if the applicant is approved for visiting privileges. Applicants must call the Visitor Information Center at (773) 674-5225 to inquire about the status of their applications. Please allow three (3) business days after submitting an application to inquire about the status.

Applicants will be denied visiting privileges based on the following criteria:

1. The applicant provided inaccurate information on the Visitor Application.

2. The applicant is under the age of 17 and without a parent or legal guardian.

3. The applicant is:

i.On parole/probation for less than one (1) year since serving a sentence in jail or prison.

ii.On house arrest.

iii.On bond awaiting a court date.

4.The applicant was discharged from CCDOC or any county jail within the last 60 days.

5.The applicant has an outstanding warrant.

6.The applicant has a protective order placed on the inmate they are requesting to visit.

7.The inmate has a protective order placed on the individual requesting visitation.

8.Any safety or security reasons as determined by a CCSO supervisor.

Visitors are required to follow Cook County Department of Corrections visitor rules and regulations at ALL times while on facility grounds. Failure to do so may result in the termination or denial of future visits.

COOK COUNTY

DEPARTMENT OF CORRECTIONS

DATE ____/____/_____

 

 

 

 

 

INMATE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inmate Name:

 

 

 

 

 

Booking #

 

 

 

 

Last

 

 

First

 

M.I.

 

 

 

 

 

 

 

 

 

 

 

 

Division #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VISITOR INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name:

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

First

 

 

 

M.I.

 

Alias/other name:

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

First

 

 

 

M.I.

 

Residential Address

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

City

State

Zip

 

Phone Number:

(

 

)

 

 

 

 

 

 

 

Date of Birth:

/

/

Place of Birth:

 

 

 

Drivers License/State ID #

 

 

 

 

 

State of Issue:

 

Weight:

 

 

Height:

 

 

Eye Color:

 

 

Gender Female Male

Racial or Ethnic Group

 

 

 

 

 

 

 

 

 

 

American Indian Asian/Pacific Islander Black/African American Hispanic/Latino White/Caucasian What is your relationship with the inmate? (Check one)

Husband

Step-Father

Brother

Uncle

Cousin

 

 

 

 

 

Wife

Step-Mother

Sister

Aunt

Friend

 

 

 

 

 

Father

Grandfather

Son

Nephew

Other

 

 

 

 

 

Mother

Grandmother

Daughter

Niece

 

 

 

 

 

 

NOTICE: The following are grounds for denial of visit(s): False or incomplete information; age under 17; recent incarceration, parole or probation of the applicant; any active protective orders between inmate and applicant; an active arrest warrant against the applicant. Full criteria available on

She iff’s website o by e uest.

Minors under the age of 17 years old do not need to fill out an application; however they must be accompanied by a parent or legal guardian who has been approved according to the new visitation policy at the time of the visit. Also, if the minor is high school age, a current school ID must be presented.

FALSIFYING ANY INFORMATION WILL RESULT IN THE VISITOR APPLICATION BEING DENIED OR REVOKED.

Contact the Visitation Information Center at (773) 674-5225 for approval status no earlier than three (3) business days after submitting.

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As a way to fill out this document, ensure you enter the information you need in every area:

1. While filling out the cook county visitation sign up, be certain to complete all of the essential fields within its associated section. This will help speed up the work, allowing your information to be processed without delay and accurately.

Learn how to fill in cook county visitation application part 1

2. The next step would be to fill out all of the following blanks: Inmate Information, Visitor Information, First, First, City, First, Booking, Division, State, Zip, Date Inmate Name Full Name, Last, Last, Aliasother name, and Residential Address.

Filling in segment 2 of cook county visitation application

3. This third part is considered pretty easy, City, State, Zip, Address, Height, Place of Birth, Phone Number Date of Birth Drivers, StepFather StepMother, Brother Sister Son Daughter, Uncle Aunt Nephew Niece, Cousin Friend Other, Gender Female Male, State of Issue, Eye Color, and NOTICE The following are grounds - every one of these form fields is required to be filled out here.

Writing section 3 of cook county visitation application

Concerning Phone Number Date of Birth Drivers and StepFather StepMother, ensure you get them right in this current part. Those two could be the most important fields in the PDF.

Step 3: Make sure your information is accurate and click "Done" to finish the task. Find the cook county visitation sign up the instant you sign up for a 7-day free trial. Quickly get access to the pdf file from your FormsPal account, along with any modifications and changes all kept! Here at FormsPal, we do our utmost to guarantee that all of your details are maintained secure.