Form Doc 0148 PDF Details

Form Doc 0148 is a very important form that needs to be filled out by any business that wants to start a new contract with the state of Texas. This form is used to provide all the necessary information about the business and the contract that is being offered. Filling out this form correctly is critical, as it will help ensure that the process goes smoothly and without any issues. Make sure to take your time filling out this form, and if you have any questions, be sure to speak with someone from the state of Texas.

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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It really is straightforward to complete the pdf with our practical tutorial! Here is what you need to do:

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

Step 3: After you've reread the information in the blanks, click "Done" to conclude your form. Join FormsPal today and instantly use il doc 0148, ready for download. Every single edit you make is conveniently preserved , making it possible to modify the form later on as needed. FormsPal is invested in the confidentiality of all our users; we always make sure that all information put into our tool continues to be confidential.

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