DPSCS Video Visitation Acknowledgment Form
The DPSCS Video Visitation Acknowledgement Form allows inmates to connect with family members through video calls. This form ensures that visitors comply with necessary guidelines. Complete this form to participate in a safe and secure video visitation experience.
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How do I fill this out?
To fill out the DPSCS Video Visitation Acknowledgement Form, first read the guidelines provided carefully. Next, complete all required fields clearly and accurately. Finally, submit the signed form to the institution’s administration.

How to fill out the DPSCS Video Visitation Acknowledgment Form?
1
Read the instructions carefully.
2
Complete all required fields on the form.
3
Print clearly and legibly.
4
Sign and date the form as needed.
5
Submit the form to the designated administration office.
Who needs the DPSCS Video Visitation Acknowledgment Form?
1
Inmates' family members who want to visit through video.
2
Friends of inmates seeking to maintain contact.
3
Guardians of young visitors wishing to connect with the inmate.
4
Individuals on the approved visitor list for inmates.
5
Support organizations coordinating video visits for inmates.
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What are the instructions for submitting this form?
To submit the DPSCS Video Visitation Acknowledgement Form, send it via email to the institution's administration or fax it to the designated office. If you're submitting a physical copy, ensure it is addressed correctly and sent to the administration office listed on the form. Maintain a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Please refer to the DPSCS guidelines for any important dates related to video visitation approvals, especially concerning scheduling and potential changes in policy during 2024 and 2025.

What is the purpose of this form?
The purpose of the DPSCS Video Visitation Acknowledgment Form is to streamline the process for inmates and approved visitors to communicate safely via video. This form verifies visitor compliance with state regulations and institutional rules essential for maintaining safety during visits. By completing this form, visitors can enjoy a secure and meaningful connection with their loved ones in a correctional facility.

Tell me about this form and its components and fields line-by-line.

- 1. Inmate Name: The name of the inmate you wish to visit.
- 2. Adult Visitor's Name: The full name of the adult visitor completing the form.
- 3. Email Address: A clear and valid email address for contact.
- 4. Residential Address: The home address of the visitor.
- 5. Relationship to Inmate: The relationship of the visitor to the inmate, like friend or family.
- 6. Age: The age of the visitor, especially relevant for those under 18.
- 7. Housing Unit: Details about the inmate's housing unit.
- 8. Telephone Number: A contact number for the visitor.
What happens if I fail to submit this form?
Failing to submit the DPSCS Video Visitation Acknowledgement Form may result in losing the opportunity for video visitation. This can also affect the ability of the inmate to maintain contact with their loved ones, leading to further complications. It's crucial to ensure the form is completed and submitted timely to avoid these issues.
- Loss of Visitation Privileges: Without submission, access to video visitation may be revoked.
- Communication Barriers: Inmates could face isolation if their visitors do not complete the required forms.
- Delay in Approval: Any delays in form submission can result in postponed visitation schedules.
How do I know when to use this form?

- 1. For Video Visit Approval: Submit the form to get approved for video visitation.
- 2. As a Requirement for Visitors: All visitors aged 16 and above must complete this form.
- 3. To Update Visitor Information: Use this form to update any information related to your visitation status.
Frequently Asked Questions
What is the DPSCS Video Visitation Acknowledgement Form?
It is a form that allows approved visitors to verify their compliance with visitation rules for video calls.
How do I fill out the form?
Complete all required fields clearly and ensure you provide a valid email address and signatures as per instructions.
Where can I submit the completed form?
You can submit the form to the institution's administration office, ensuring it is not returned to the inmate.
What are the criteria for visitation?
Visitors must meet specific criteria like not having an open arrest warrant and being on the inmate’s approved visitor list.
What happens if I don’t submit the form?
Failure to submit the form may result in being unable to participate in video visitation.
Can I access Microsoft Teams through the form?
Yes, visitors need to have a Microsoft Teams account to participate in video visits.
What identification is required?
All visitors aged 16 and older must provide a valid photo ID that matches the inmate's visiting list.
Are there dress code requirements?
Yes, visitors must comply with the established dress code as outlined in the form.
How often do I need to fill out this form?
The form only needs to be submitted once for video visitation approval unless your status changes.
Is this form available for download?
Yes, you can edit and download the form easily on PrintFriendly.
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