Date of Visit
Volunteers Name
Volunteers Email
Friends Name
Inmate #
Facility
Program
Adult
Juvenile
Total Time: (include travel)
Length of Visit
Number of times corresponded between last and present visit
Friends release date
Will your client be
Discharged from DOC
Paroled
Released to Community Corrections
Comments on visit
Miles Driven
*
Expenses
Volunteers Signature(typed)
Please send more visitation cards
*Please keep your own miles driven and expenses record for personal tax purposes
Please complete a comment card following each visit. Thanks!!