ADC Logo APPLICATION TO VISIT AND /OR RECEIVE PHONE CALLS FROM AN INMATE
Do not submit an application while the inmate is in the intake process at Alhambra or Perryville.
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IF YOU WANT TO VISIT THIS INMATE, PLEASE COMPLETE THE VISITATION INFORMATION SECTION.
Important:
For Minors: a child under the age of 18, a natural parent or court ordered legal guardian shall have an application on file for themselves and each minor. If the natural parent or legal guardian authorizes another adult to bring in the minor(s), that adult shall submit an application for themselves and one for each minor. In addition they will need to provide a notarized letter from the natural parent or legal guardian authorizing them to bring the minor in to visit an inmate, this letter shall include the ADC# and inmate name. If birth certificate is not already on file this must be presented at the first visit.
A SEPARATE APPLICATION MUST BE COMPLETED FOR EACH PROPOSED VISITOR (ADULT OR CHILD)
It is important to complete this application and answer all related questions truthfully, failure to do so will result in automatic disapproval. All of the material will be considered confidential and the inmate will be notified whether the application is approved or disapproved.
Its is recomended that all visitors review DO 911, Inmate Visitation prior to completing application.
It is the policy of the Arizona Department of Corrections to comply in all repects with the requirements of the Americans With Disabilities Act and Section 504 of the Rehabilitation Act of 1973. Persons with a disability may request a reasonable accommodation such as a sign language interpreter, by contacting the institution where the inmate is assigned. Requests should be made seven days in advance to allow time to arrange the accommodation.
Inmate Information Section
ADC Number

Inmate Last Name
Inmate First Name

Inmate M.I
PLEASE NOTE: If your desired prison location is not listed in the drop down menu, you must submit your visitation request (form 911-4), obtained from the inmate or online, and submit your completed request form first class through the U.S. mail.
Please allow 60 days for all applications to be processed. If an Background Check fee is required, the application will not be processed until payment is received.
Institution/Facility
 
Unit
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