South Dakota Department of Corrections
Policy
Distribution: Public

Attachment: Special Visit Request
Please refer to DOC Policy 1.5.D.1
Relationship w/News Media.../Facility Access & ID Requirements / Community Service Program

Special Visit Request

(To be completed by the inmate or applicant)

Special visits must be requested by the inmate in advance and are subject to approval by DOC staff.Special visits are for one full visiting period and must take place during regular visiting hours, unless otherwise approved. Special visits are limited to four (4) per calendar year.

Applicants must provide complete information. Aliases or nicknames will not be accepted. Social Security numbers must be provided for all visitors age 18 or older to complete a criminal background check. Applicants containing incomplete information will not be accepted.
Please Print Clearly.

FOR DOC Staff Use:

FOR DOC Staff Use:

FOR DOC Staff Use:

FOR DOC Staff Use:


Staff Signature

Staff Printed Name

Date

NOTE:
Applicants may choose to mail/deliver the completed form directly to the facility where the inmate is housed.
All information provided shall remain confidential and will not be shared with inmates.