Visiting Privilege Application Form - Nobles County Jail
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1Nobles County Jail
VISITING PRIVILEGE APPLICATION FORM
Do not attempt to visit
NOTICE: ALL FORMS OF
All spaces must be
COMMUNICATION ARE
completely filled out before
until your application to
SUBJECT
this visit application will be
visit has been fully filled
TO MONITORING
accepted for processing
out.
Please Print
Visitor: ____________________________________________________DOB ______________
First
Last
Full Middle
Mo./Day/ Yr.
Your Address:
______________________________________________________________________________
Number
Street
Apt #
City
State
Zip Code
Phone Number:____________________
Age:______________
Area Code/Phone Number
ONLY INMATE’S CHILDREN UNDER 18 YEARS OF AGE MAY VISIT. ANY ONE ELSE
UNDER THE AGE OF 18 IS NOT ALLOWED TO VISIT. THEY MUST BE ESCORTED BY
THEIR PARENT OR LEGAL GUARDIAN
Prior to the day of visiting, a copy of each minor’s state/county certified birth certificate must be presented
to confirm identification before the minor will be allowed to visit.
FULL NAME AND DATE OF BIRTH of all CHILDREN UNDER AGE 18 that are eligible to visit:
_____________________________
_____________________________
Full Name
DOB
Full Name
DOB
_____________________________
_____________________________
Full Name
DOB
Full Name
DOB
PROPER IDENTIFICATION IS REQUIRED TO VISIT. Circle ONE of the four identifications listed
below.
1. Valid Driver’s License from State of Residence
2. Valid Military Photo ID (Active Duty Only)
3. Valid Photo ID Card from State of Residence
4. Valid Passport (If Resident of Foreign Country)
ENTER ID NUMBER AND STATE in this space: ______________________________________
THE ABOVE INFORMATION IS TRUE AND CORRECT. I UNDERSTAND THAT PROVIDING
FALSE INFORMATION ON THIS FORM IS GROUNDS FOR DENYING VISITING PRIVILEGES. I
HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS.
Signature__________________________________________Date ________________________
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