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The Florida Monthly Report form serves as a crucial tool for individuals under the supervision of the Department of Corrections. This form captures essential information about the reporting individual, including their name, residence address, and contact details. It requires specifics about employment, such as the employer's name, address, and the total money earned during the month. Furthermore, it includes inquiries regarding the individual's activities over the past month, such as consumption of alcohol or drugs, attendance at educational or therapeutic programs, and any interactions with law enforcement. The form also prompts the individual to disclose the names and ages of all residents at their address, as well as any financial obligations owed to the Department of Corrections. By providing a comprehensive overview of the individual's circumstances, the Florida Monthly Report form facilitates communication between the individual and their supervising officer, ensuring compliance with probationary or parole conditions. It is important to note that the form must be submitted without cash or personal checks, with payments directed through money orders to the Department of Corrections. This structured reporting process not only aids in monitoring compliance but also promotes accountability and support for individuals navigating their rehabilitation journey.
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STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
WRITTEN MONTHLY REPORT
Officer’s Name: ______________
For Month Ending: ___________
Date/Time submitted:__________
YOUR NAME: ___________________________________
DC#: _______________
YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):
__________________________________________________
__________________________________________________
__________________________________________________
(Provide physical location – NOT Post Office Box)
TELEPHONE No. __________________________________
CELLULAR TELEPHONE No.______________________
PAGER No. ______________________________________
VehicleMake/Model/Year/Tagg#: #:
_______________________________________________
EMPLOYER: _____________________________________
SUPERVISOR’S NAME: ___________________________
EMPLOYER’S ADDRESS:
__________________________________________________
__________________________________________________
EMPLOYER’S TELEPHONE No. ____________________
CELLULAR TELEPHONE No.______________________
PAGER No. ______________________________________
EMPLOYER EMAIL: ______________________________
YOUR TOTAL MONEY EARNED MONTHLY: $__________________ (Gross Amount)
Full time____
Additional (2nd) employment information: ______________
List full names, ages, and your relationship to all persons who resided at your residence during this month:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
YES NO Have you consumed alcoholic beverages? Have you used or bought illegal drugs or controlled substances? Have you attended educational, vocational classes or mental
health, drug, alcohol, therapy, or
Have you been arrested or had any contact with law enforcement during the last month? If yes, explain what happened on separate sheet of paper, attached to report.
If you went into debt for any reason, explain: ____________________________________________________________________
If not working, give reason and source of income: ________________________________________________________________
If you have any questions or problems to discuss with your Officer, explain:___________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
If monetary obligation owed, amount paid this month: |
$________________ |
Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS!
Make money order payable to the Department of Corrections.
If monetary obligation owed and no payment made, give reason and date when payment will be made: ____________________
__________________________________________________________________________________________
Official Use Only:
Signature of Officer Receiving Report:
__________________________________________________
Date WMR Received: _____________
Date WMR Due: _________________
Comments:
I certify the above to be true and complete:
Your Signature:
Mailing Address:
City:
State:___________ Zip:
Form Specifications
| Fact Name | Details |
|---|---|
| Governing Law | The Florida Monthly Report form is governed by Florida Statutes, Chapter 948, which pertains to probation and parole. |
| Purpose | This form is used by individuals on probation to report their monthly activities and compliance with probation terms. |
| Submission Deadline | The report must be submitted by the end of each month, specifically by the due date assigned by the supervising officer. |
| Required Information | Individuals must provide personal details, employment information, and any changes in circumstances, such as arrests or substance use. |
| Payment Instructions | Monetary obligations should be paid via money order made out to the Department of Corrections; cash or personal checks are not accepted. |
| Signature Requirement | The report must be signed by both the individual submitting it and the supervising officer receiving it. |
| Confidentiality | Information provided in the report is confidential and is only to be shared with authorized personnel involved in the individual's supervision. |
Florida Monthly Report: Usage Guidelines
Completing the Florida Monthly Report form is essential for maintaining compliance with your obligations. By accurately filling out this form, you ensure that your information is up-to-date and that any necessary follow-ups can occur smoothly. Below are step-by-step instructions to guide you through the process.
- Begin by entering your name in the space labeled Officer’s Name.
- Fill in the For Month Ending section with the appropriate month and year.
- Write the Date/Time submitted in the designated area.
- Provide your full name in the YOUR NAME section.
- Enter your DC# in the corresponding field.
- Complete your residence address, including the name of the subdivision, apartment complex, or mobile home park and lot number, if applicable.
- List your telephone number and cellular telephone number.
- If you have a pager, provide that number as well.
- Describe your vehicle by entering the make, model, year, and tag number.
- Fill in your employer’s name.
- Write your supervisor’s name in the space provided.
- Complete your employer’s address with all necessary details.
- Provide your employer’s telephone number and cellular telephone number.
- If applicable, include your employer’s pager number.
- Enter your employer’s email address.
- Indicate your total money earned for the month in gross amounts.
- Mark whether you are employed full-time or part-time and list the hours worked.
- If you have additional employment, provide that information.
- List the full names, ages, and relationships of all persons residing at your address this month.
- Answer the questions regarding alcohol consumption, illegal drug use, educational or therapy attendance, and any contact with law enforcement. Circle YES or NO as appropriate.
- If you incurred debt, explain the reason in the provided space.
- If you are not working, state the reason and source of your income.
- Detail any questions or problems you wish to discuss with your officer.
- If you owe a monetary obligation, enter the amount paid this month and note that receipts are available through your probation officer.
- Indicate if no payment was made and provide the reason and expected payment date.
- In the Official Use Only section, leave space for the officer receiving the report to sign and date it.
- Finally, certify the accuracy of your report by signing it and providing your mailing address, city, state, zip code, and email address if applicable.
Your Questions, Answered
What is the purpose of the Florida Monthly Report form?
The Florida Monthly Report form is designed for individuals under supervision by the Department of Corrections. It allows them to report their monthly activities, earnings, and any interactions with law enforcement. This report helps probation officers monitor compliance with the terms of supervision and assess the individual's progress.
Who needs to fill out the Florida Monthly Report form?
Individuals who are on probation or parole in Florida are required to complete this form each month. It is essential for those under supervision to provide accurate and timely information to their probation officers to maintain compliance with their conditions.
What information is required on the form?
The form requests personal information such as the individual's name, address, and contact details. It also asks for employment information, income details, and any changes in living situations. Additionally, individuals must disclose any interactions with law enforcement, substance use, and participation in educational or therapeutic programs.
How often must the Florida Monthly Report form be submitted?
The form must be submitted monthly. It is crucial to adhere to the deadlines set by the probation officer to avoid any potential violations of probation terms. The specific due date will be communicated by the supervising officer.
What should I do if I have not earned any income during the month?
If you have not earned any income, the form provides a space to explain your situation. You should indicate the reason for not working and describe any alternative sources of income you may have. Providing this information is important for your probation officer to understand your financial circumstances.
Can I submit cash or personal checks with the form?
No, cash or personal checks should not be submitted with the Florida Monthly Report form. Instead, any monetary obligations must be paid using a money order made out to the Department of Corrections. This policy helps ensure secure and proper handling of payments.
What happens if I fail to submit the form on time?
Failing to submit the Florida Monthly Report form on time may result in consequences such as a violation of probation. It is essential to communicate with your probation officer if you anticipate any issues with timely submission. They can provide guidance and assistance in addressing any challenges you may face.
Common mistakes
-
Incomplete Personal Information: Failing to provide all required personal details, such as your full name, DC number, and complete residence address, can lead to delays in processing your report.
-
Incorrect Financial Reporting: Reporting inaccurate income figures or neglecting to specify whether you are working full-time or part-time may raise questions about your financial status.
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Missing Signatures: Forgetting to sign the report or having an incomplete signature can result in the form being rejected. Always double-check that your signature is included.
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Neglecting to Report Obligations: Failing to disclose any monetary obligations owed or not providing an explanation for missed payments can lead to complications with your probation.
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Ignoring Additional Information Sections: Overlooking the sections where you need to explain any debts, legal issues, or educational activities can create misunderstandings with your probation officer.
Documents used along the form
The Florida Monthly Report form is an essential document for individuals under supervision. Several other forms and documents are often used in conjunction with this report to ensure compliance and track progress. Below is a list of these related documents.
- Probation Agreement: This document outlines the terms and conditions of an individual's probation. It specifies what is expected from the individual during their probation period, including reporting requirements and behavior standards.
- Community Service Log: Individuals may be required to complete community service as part of their supervision. This log tracks the hours worked, the type of service performed, and the location of the service.
- Employment Verification Form: This form is used to confirm an individual's employment status. It includes details about the employer, job title, and hours worked, which helps verify the information provided in the Monthly Report.
- Substance Abuse Assessment: If substance use is a concern, this assessment evaluates an individual's alcohol and drug use. It may recommend treatment or counseling based on the findings.
- Financial Disclosure Form: This document provides a detailed account of an individual's financial situation. It includes income sources, expenses, and any debts, helping to assess compliance with monetary obligations.
Using these forms together with the Florida Monthly Report can help ensure that individuals meet their requirements while under supervision. Each document serves a specific purpose and contributes to a comprehensive understanding of the individual's circumstances.
Similar forms
The Florida Monthly Report form serves as a crucial document for individuals under supervision, ensuring that they provide necessary updates to their probation or parole officer. This form is similar to several other documents used in various legal and correctional contexts. Below is a list of eight documents that share similarities with the Florida Monthly Report form:
- Monthly Supervision Report: This document is often required by probation officers and contains similar information about the individual's employment status, residence, and compliance with probation conditions.
- Progress Report: A progress report may be requested to assess an individual's progress in rehabilitation programs, detailing attendance and participation, much like the educational inquiries on the Monthly Report.
- Income Verification Form: This form is used to confirm an individual's income, similar to the Florida Monthly Report's request for total money earned, ensuring compliance with financial obligations.
- Substance Abuse Assessment: Often required for individuals with substance use issues, this document gathers information on alcohol and drug use, paralleling the questions found in the Monthly Report.
- Change of Address Notification: This document is necessary for individuals under supervision to report any changes in residence, similar to the detailed address information required in the Monthly Report.
- Employment Verification Letter: Employers may provide this letter to confirm an individual’s employment status and income, akin to the employment details requested in the Monthly Report.
- Incident Report: If an individual has contact with law enforcement, an incident report may be needed to document the details, similar to the explanation section in the Monthly Report.
- Financial Disclosure Form: This form collects detailed information about an individual's financial situation, similar to the monetary obligations section of the Monthly Report.
Understanding these similarities can help individuals navigate their reporting requirements more effectively. Timely and accurate submissions are crucial to maintaining compliance and avoiding potential complications with their probation or parole status.
Dos and Don'ts
When filling out the Florida Monthly Report form, it is essential to ensure accuracy and completeness. Below is a list of things you should and shouldn't do:
- Do provide your full name and DC number accurately.
- Do include your complete residence address, avoiding the use of a Post Office Box.
- Do list your total money earned monthly, specifying whether you are full-time or part-time.
- Do disclose any contact with law enforcement, providing details on a separate sheet if necessary.
- Do ensure that all information is clear and legible to facilitate processing.
- Don't submit cash or personal checks; use a money order instead.
- Don't leave any sections blank; fill out all required fields completely.
- Don't forget to sign the report to certify that the information is true and complete.
- Don't provide incomplete or vague explanations for any debts or obligations.
Misconceptions
Misconceptions about the Florida Monthly Report form can lead to confusion and mistakes. Here are nine common misconceptions, along with clarifications to help ensure accurate completion of the form.
- It is optional to provide a physical address. Many believe they can use a P.O. Box for their address. However, the form explicitly requires a physical location.
- Only full-time employment needs to be reported. Some think that part-time jobs or additional employment do not need to be included. In reality, all sources of income must be reported.
- Alcohol and drug questions are not mandatory. Some individuals assume they can skip these questions. However, answering them is crucial for compliance with probation requirements.
- Providing a signature is not necessary. There is a misconception that the report can be submitted without a signature. In fact, a signature is required to certify the information is true.
- Payments can be made in cash. Many believe they can pay their monetary obligations in cash or by personal check. The form clearly states that only money orders are accepted.
- There is no need to explain debts or financial issues. Some think they can leave these sections blank. However, providing explanations is essential for transparency.
- The report can be submitted late without consequences. Some individuals believe that deadlines are flexible. In truth, timely submission is critical to avoid penalties.
- Contact with law enforcement is not relevant unless arrested. Many think only arrests matter. However, any contact with law enforcement must be reported.
- Only the officer needs to sign the report. Some assume that only the probation officer's signature is necessary. Both the officer and the individual submitting the report must sign it.
Understanding these misconceptions can help individuals complete the Florida Monthly Report form accurately and fulfill their obligations effectively.
Key takeaways
Here are key takeaways for filling out and using the Florida Monthly Report form:
- The form must be completed accurately and submitted on time to avoid potential issues.
- Provide your full name, DC number, and accurate residence address, including any subdivision or mobile home park details.
- List all contact numbers, including home, cellular, and pager numbers, for effective communication.
- Include your employer's name, address, and contact information, ensuring it is current.
- Clearly state your total monthly earnings and indicate whether you worked full-time or part-time.
- List all individuals residing with you, including their names, ages, and your relationship to them.
- Answer all questions regarding substance use, arrests, and attendance in programs truthfully.
- If you have a monetary obligation, specify the amount paid and ensure receipts are available through your probation officer.
- Do not submit cash or personal checks; use a money order made payable to the Department of Corrections.