Form Doc 0148 PDF Details

Staying connected with loved ones during times of incarceration is a process intricately bound by rules and regulations, meticulously outlined in forms like the Illinois Department of Corrections' Doc 0148, the Prospective Visitor's Interview Facility Visitor Form. This crucial piece of documentation serves as the first step for those wishing to visit inmates within Illinois correctional facilities, demanding thorough completion to ensure the safety and security of both visitors and inmates. By requiring prospective visitors to fill in personal information, such as home addresses and employment details, alongside more sensitive inquiries regarding past convictions, incarceration history, or any affiliations with the Department of Corrections, the form acts as a preliminary vetting tool. Additional stipulations, such as the necessity for visitors to be on the offender's approved visiting list and the potential limitations on visit types, underscore the stringent measures in place to regulate interactions within these state-run establishments. Penalties for providing false information are clear, highlighting the seriousness with which the Illinois Department of Corrections views the integrity of the visiting process. With considerations ranging from parole status to the possession of a concealed carry permit, the Doc 0148 form encapsulates a wide spectrum of check-points designed to facilitate a secure environment conducive to maintaining familial and community ties, while upholding the overarching principles of institutional safety.

QuestionAnswer
Form NameForm Doc 0148
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesil doc 0148, prospective visitor form blank, doc 0148 pvi form, prospective visitor form

Form Preview Example

ILLINOIS DEPARTMENT OF CORRECTIONS

Prospective Visitor’s Interview

Facility

Visitor must complete all blanks up to and including signature and date.

Offender Visited:

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID #:

 

 

 

 

Last Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First:

 

 

 

 

 

Middle:

 

 

 

 

Other Names used (include Maiden Name):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Street and Apartment #)

 

 

 

 

 

 

 

(City)

 

 

 

(State)

 

(Zip Code)

 

Home Phone #: (

)

 

 

 

 

 

 

 

Place of Employment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth:

 

 

/

/

 

 

 

Relationship to Offender:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

Female

 

Race:

 

 

 

 

Height:

ft.

in. Weight:

 

lbs. Hair:

 

Eyes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(color)

 

 

(color)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photo ID:

 

Driver’s License # OR

State ID #:

 

 

 

 

 

 

 

 

 

 

 

State of Issue:

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.Are you on any other offender’s approved visiting list?

No

Yes - If yes, provide each offender’s name,

number and facility:

2.Have your visits to an Illinois Department of Corrections facility ever been restricted or denied? and when:

No

Yes If yes, where

3.Have you ever been convicted of an offense other than a misdemeanor? offense/sentence:

No

Yes - If yes, what

4.Have you ever been incarcerated?

No

Yes ID #:

 

Name of facility and State:

5.Are you currently on parole or probation?

No

Yes - If yes, Parole Officer’s name and office address:

6.Are you an employee or approved volunteer of the Department of Corrections? If yes, at which facility:

No

Yes

7.Do you have a valid, lawfully issued concealed carry permit?

No

Yes

I understand that, in accordance with 20 Ill. Adm. Code 525: Subpart A, I must be on the offender’s visiting list and be approved by the Chief Administrative Officer in order to visit; visits may be limited to non-contact visits; visits may be temporarily or permanently suspended due to inappropriate behavior including violation of law, rules, or orders; and I am not permitted to exchange any item with the offender during a visit without prior approval of the Chief Administrative Officer. Visitors under the age of 17 need not be on the visiting list, but they must be accompanied by an approved visitor who is at least 17 years of age or older and they may be required to have the written consent of the parent or guardian to visit.

I certify that the information contained herein is complete and accurate. I further understand that providing false information or any violation of the visiting policy may result in the revocation of my visiting privileges.

Visitor’s Signature

 

Date

For Official Use Only

Comments:

Reviewed by:

Name and Title

Date

Distribution: Facility File

 

 

Master Record File

Printed on Recycled Paper

DOC 0148 (Rev. 10/2014)

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1. Firstly, when completing the il doc 0148, start in the part that has the following fields:

Stage no. 1 in completing doc 0148

2. Once your current task is complete, take the next step – fill out all of these fields - number and facility, Have your visits to an Illinois, Yes If yes where, and when, Have you ever been convicted of an, Yes If yes what, offensesentence, Have you ever been incarcerated, Yes, ID Name of facility and State, Are you currently on parole or, Yes If yes Parole Officers name, Are you an employee or approved, Yes, and If yes at which facility with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Step # 2 in submitting doc 0148

Regarding offensesentence and Have you ever been convicted of an, make certain you do everything right here. These two are the most significant fields in this page.

3. Completing I understand that in accordance, Visitors Signature, Date, Comments Reviewed by, For Official Use Only, Name and Title, Date, Distribution Facility File Master, Printed on Recycled Paper, and DOC Rev is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Completing segment 3 of doc 0148

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