Form 6-111A "request For Visiting Privileges" - Templateroller 2023-2024

Form 6-111A "request For Visiting Privileges" - Templateroller: What You Should Know

The document you are downloading may not function correctly. You are requesting a single visit. This request can include both a driver license and a Minnesota state ID. You may be able to visit a designated facility without the license while in state custody. The visit should be for a minimum amount of time. Please make sure you have the correct form and have filled in the information. The Visiting Privilege Application form is required, online in Adobe Acrobat format. The following information is required: Name, address, phone; First, middle, and last name (surname and maiden name); Surname, first name, middle name, and last name if the person will be living outside the family home; Address, address type (street, building, or mobile home); Social Security Number (only if the person will likely be receiving SSI or SDI), if applicable; Date the inmate last entered Minnesota; Date of inmate release to a treatment facility; Place of birth, current location, if known; Severity of offense (other than minor offense of assault or burglary); Reason for visit; Age (if the person will be a minor); Weight.

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