How to Fill Out Form BP-A0629

Form BP-A0629 at a glance

What it is: BP-A0629 is the Visitor Information form of the U.S. Department of Justice, Federal Bureau of Prisons.

Who signs: Sign for Authorization to Release Information and print the name. If the applicant is under 18 years of age, Parent or Guardian: Sign and Print Name. If the applicant is under 18 years of age, the signature of a parent or guardian indicates consent of the minor to visit the inmate.

A filled-in Form BP-A0629 example: an adult asks to visit a cousin

Form BP-A0629 example filled out, example: an adult asks to visit a cousin
Pat Sample, an adult, fills out BP-A0629 to visit a cousin. Pat is a U.S. citizen, so the Alien Registration No. box stays empty. The picture shows page 1, and none of its entries is real. Pat knew the cousin before the incarceration, so the box for the answer to #9 is yes and item 10 is filled in. Pat has no convictions, no supervision and no contact with other inmates, so items 11, 12 and 13 say none. Pat signs the authorization, and nothing goes in the Parent or Guardian signature line because Pat is over 18.

How to fill out Form BP-A0629, box by box

Addressee, institution, date and the inmate

Form BP-A0629 example filled out, addressee, institution, date and the inmate

Fill in the Addressee, the Institution, the Date, the Dear line and the Institution address.

The request is that you be included among the approved visitors, so the Addressee and the Dear line are you. To establish your suitability as a visitor, institution officials may send an inquiry to an appropriate law enforcement or crime information agency to ascertain whether or not placing you on the visiting list would present a management problem for the institution, or have other possible adverse effects. The information obtained will be used to determine your acceptability as a visitor. The Bureau of Prisons' authority to request background information on proposed visitors is contained in Title 18 U.S.C. § 4042.

After Re:, write the Inmate's Name and Register No.

Your name, address, telephone, race and sex

Form BP-A0629 example filled out, your name, address, telephone, race and sex

Enter 1. Legal Name, 2. Date of Birth and 3. Address (Including Zip Code).

Enter 4. Telephone Number (Including Area Code).

Enter 5. Race and Sex of Visitor.

Are you a U.S. Citizen?

Form BP-A0629 example filled out, are you a U.S. Citizen?

For 6. Are you a U.S. Citizen?, mark Yes or No.

If yes, provide the Social Security No in 6a. If no, provide the Alien Registration No in 6b.

Provide the Passport No in 6c.

Relationship to the inmate and desire to visit

Form BP-A0629 example filled out, relationship to the inmate and desire to visit

Enter 7. Relationship to abovenamed inmate. For 8. Do you desire to visit him/her?, mark Yes or No.

For 9. Did you know this person prior to his/her current incarceration?, mark Yes or No.

If the answer to #9 is yes, indicate the length of time you have known this person and where the relationship developed.

Convictions, supervision, other inmates and driver's license

Form BP-A0629 example filled out, convictions, supervision, other inmates and driver's license

11. Have you ever been convicted of a crime? If so, state the number, date, place, and nature of the conviction/s.

12. Are you currently on probation, parole, or any other type of supervision? If so, state the name of your supervising probation/parole officer and the address and telephone no. where he/she can be contacted.

13. Do you correspond or visit with other inmates? If so, indicate the individual(s) and their location(s).

Enter 14. Driver's License No. and State of Issuance.

Authorization to release information and signature

Form BP-A0629 example filled out, authorization to release information and signature

Under AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize release to the Warden of: (Institution, Location) any record of criminal offenses for which I have been arrested and convicted, and any information related to those convictions.

On the Signature line for Authorization to Release Information, sign and print the name. For a Parent or Guardian signature, see Who signs at the top.

More rules for Form BP-A0629

The visitor is not required to supply the information requested, but if the visitor does not furnish it, the processing of the request will be suspended and the visitor will receive no further consideration.

If the visitor furnishes only part of the information required, the processing of the request may be significantly delayed. If the information withheld is found to be essential, the visitor will be informed and the request will receive no further consideration unless you supply the missing information.

If additional space is required, you may use the back of this form.

Common questions about Form BP-A0629

Where do I file it?

In order for you to be considered for the visiting privilege, it will be necessary for you to fill out the questionnaire and release form and return it to the Institution address.

Is there a penalty?

The criminal penalty for making false statements is a fine of not more than $250,000 or imprisonment for not more than five years or both (See 18 U.S.C. § 1001). (checked November 7, 2026)

Sources

[1] Form BP-A0629, Visitor Information, Federal Bureau of Prisons (the Official source link on this page).

BP-A0629 PDF Details

The inmate is requesting that you be included among the inmate's approved visitors.

Background check: It may be necessary for institution officials to send an inquiry to an appropriate law enforcement or crime information agency.

Information: If you do not furnish the information, the processing of your request will be suspended, and you will receive no further consideration.

Delay: If you furnish only part of the information required, the processing of your request may be significantly delayed.

Under 18: If applicant is under 18 years of age, signature of parent or guardian indicates consent of minor to visit inmate.

QuestionAnswer
Form NameBP-A0629
Form Length2 pages
Fillable?Yes
Fillable fields29
Avg. time to fill out5 min
EditionAPR 10
Issuing agencyU.S. Department of Justice, Federal Bureau of Prisons
Where to sendThe institution address
Matches the agency's fileYes, checked October 7, 2026
Other namesBP-A0629, BPA0629, BP A0629, Visitor Information CDFRM
Official sourceBP-A0629 (Rev APR 10), U.S. Department of Justice, Federal Bureau of Prisons