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The Florida Supervision Report form is a crucial tool for individuals under supervision, providing a comprehensive overview of their monthly activities and compliance with court-ordered conditions. This form requires detailed information, including the individual's name, DC number, and contact details, as well as the address of their residence. It also asks for information about others living at the same address, which helps in assessing the living situation. Employment details are essential, including the employer's name, job title, and salary earned. If the individual is a student, the form prompts for information about their educational institution and course of study. Additionally, it outlines any special conditions of supervision, including public service hours and treatment attended. Individuals must report any contact with law enforcement and outline personal goals along with actionable steps taken towards those goals. The form is designed to ensure accountability and track progress, making it a vital aspect of the supervision process.
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FLORIDA DEPARTM ENT OF CORRECTIONS
SUPERVISION REPORT
(FOR THE M ONTH OF ____________________)
NAM E: ___________________________________________________________ |
DC#: ________________________________________ |
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OFFICER NAM E/ LOCATION: ______________________________________________________________________________________________ |
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RESIDENCE: |
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St reet Address: ________________________________________________ Cit y: _____________________________ |
Zip: _____________ |
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Building: ______________ |
Apt #: ______________ |
Lot#: _____________ |
Code t o access securit y gat e: _____________________ |
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LIST FULL NAM ES, AGES, AND RELATIONSHIP OF OTHERS WHO CURRENTLY LIVE AT THIS RESIDENCE (Note if anyone is on supervision):
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HOM E PHONE NUM BER: |
CELLULAR PHONE NUM BER: |
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EM AIL ADDRESS: |
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M AILING ADDRESS (IF DIFFERENT FROM RESIDENCE): |
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VEHICLE - ____________________________________________________________________________________________________________
M AKE |
M ODEL |
YEAR |
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TAG# |
CHECK CURRENT STATUS OF DRIVER’S LICENSE:
Valid
Revoked (Date:__________________)
Suspended (Date:_____________)
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EM PLOYM ENT:
Employer Name: ___________________________________________ |
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Supervisor Name: |
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Phone: |
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Employment Address: |
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Cit y |
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Your job tit le: _________________________________________________________________________________________________________
Job Dut ies: ___________________________________________________________________________________________________________
SALARY/ INCOM E EARNED (for past month): ____________________ DATE BEGAN:DATE ENDED: ________________
Typical Days/ Hours W orked: _____________________________________________________________________________________________
NOTE: If unemployed (and not retired, disabled or a
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STUDENT/ SCHOOL:
N/ A
Type of Class/ School Att ending:
High School
College
Adult Educat ion
Vocat ional
Ot her Course
Online Classes
School/ Class Name: ___________________________________________________ |
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Address: |
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Tot al Semest er/ Quart er Hours Enrolled: |
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Dat e Class or Semest er Began: |
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Dat e Ended: |
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(At t ach proof of enrollment or ending report) |
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Page 1 of 2 - Please complete the other/ reverse side of this report (OVER)
Incorporat ed by Reference in Rule |
2 Part |
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6 Part |
SPECIAL CONDITIONS OF SUPERVISION – List progress made t his past month on special condit ions ordered, including:
PUBLIC SERVICE HOURS: ______________________ M ONETARY PAYM ENT: ______________________ OTHER: ______________________
TREATM ENT ATTENDED THIS PAST M ONTH: ________________________________________________________________________________
NOTE: At tach required Support Group At tendance forms, driving logs, public service work document at ion, et c. as required.
PAYM ENTS: Payments may be made by either U. S. M ail or credit card using one of the services described on the DC Public W eb site, w w w .dc.state.fl.us under the Probation link “FAQS” - Frequently Asked Questions– Four Ways to Pay Court Ordered Payments.
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CONTACT W ITH LAW ENFORCEM ENT – If you had any cont act w it h law enforcement t his past mont h, explain details here: _________________
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Do you have a problem or concern you w ould like to discuss w ith your probation officer?
YES
NO
How did you spend your free time last month? _________________________________________________________________________________
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PERSONAL GOALS: W rite each of your top 2 goals you are w orking to achieve. Indicate at least 2 action steps you took last m onth and 2 action steps you w ill take this m onth to achieve each goal.
GOAL # 1:
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ACTION STEPS I TOOK LAST M ONTH:
1.__________________________________________________________________________________
2.__________________________________________________________________________________
ACTION STEPS I W ILL TAKE THIS M ONTH:
1.__________________________________________________________________________________
2.__________________________________________________________________________________
GOAL # 2:
____________________________________________________________________________________________________ ____________________
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ACTION STEPS I TOOK LAST M ONTH:
1.__________________________________________________________________________________
2.__________________________________________________________________________________
ACTION STEPS I W ILL TAKE THIS M ONTH:
1.__________________________________________________________________________________
2.__________________________________________________________________________________
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Signature |
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Date |
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Signature of Officer Receiving Report |
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Date Report Review ed |
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Officer Comments: |
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Incorporat ed by Reference in Rule |
Form Specifications
| Fact Name | Description |
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| Purpose | The Florida Supervision Report form is used to monitor the progress and compliance of individuals under supervision, including probation and parole. |
| Governing Law | This form is governed by Rule 33-302.110 of the Florida Administrative Code, which outlines the requirements for supervision reporting. |
| Required Information | It collects essential details such as residence, employment, contact with law enforcement, and personal goals to assess the individual's status. |
| Submission Frequency | The report must be completed monthly, ensuring regular updates on the individual's compliance and progress. |
| Attachments | Additional documentation, such as proof of enrollment in educational programs or job search forms, may be required to support the information provided. |
Florida Supervision Report: Usage Guidelines
Completing the Florida Supervision Report form is an important task that helps ensure compliance with supervision requirements. Follow these steps to fill out the form accurately.
- Header Information: Fill in the month for which the report is being submitted.
- Name and DC Number: Enter your full name and Department of Corrections (DC) number.
- Officer Information: Provide the name and location of your supervising officer.
- Residence Details: Input your street address, city, zip code, building number, apartment number, and security gate access code.
- Household Information: List the full names, ages, and relationships of all individuals living at your residence. Note if anyone is also on supervision.
- Contact Information: Fill in your home phone number, cellular phone number, email address, and mailing address if different from your residence.
- Vehicle Information: Provide details about your vehicle, including make, model, year, color, and tag number.
- Driver’s License Status: Check the current status of your driver’s license and provide any relevant dates.
- Employment Details: Enter your employer's name, supervisor's name, phone number, employment address, job title, job duties, salary earned for the past month, and employment dates. If unemployed, attach a completed Job Search form or list.
- Education Information: If applicable, indicate the type of school or class you are attending, school name, phone number, address, total hours enrolled, and dates of the class or semester. Attach proof of enrollment.
- Special Conditions of Supervision: Describe any progress made on special conditions, including public service hours, monetary payments, and treatment attended.
- Law Enforcement Contact: If you had contact with law enforcement, explain the details in the designated area.
- Concerns: Indicate if you have any problems or concerns to discuss with your probation officer.
- Free Time Activities: Write about how you spent your free time last month.
- Personal Goals: List your top two goals, along with action steps taken last month and planned steps for this month for each goal.
- Signatures: Sign and date the report, and ensure the supervising officer also signs and dates it after reviewing the report.
After completing the form, review it for accuracy. Ensure all required attachments are included. Submit the report to your supervising officer by the deadline specified in your supervision requirements.
Your Questions, Answered
What is the Florida Supervision Report form?
The Florida Supervision Report form is a monthly report that individuals on probation or supervision must complete. It provides essential information about the individual's residence, employment, education, and any interactions with law enforcement. This report helps probation officers monitor compliance with the terms of supervision.
Who needs to fill out this form?
Anyone who is currently on probation or under supervision in Florida is required to fill out this form. It is a crucial part of maintaining communication with probation officers and ensuring compliance with court orders.
What information is required on the form?
The form requires details such as your name, DC number, residence address, contact information, employment details, education status, special conditions of supervision, and any interactions with law enforcement. You must also outline your personal goals and the steps you are taking to achieve them.
How often do I need to submit the form?
You must submit the Florida Supervision Report form every month. It is essential to keep your probation officer informed of your progress and any changes in your circumstances.
What if I am unemployed?
If you are unemployed and not retired, disabled, or a full-time student, you must attach a completed Job Search form or provide a list of job search activities for the month. This documentation is important for demonstrating your efforts to find employment.
How do I make payments for court-ordered obligations?
You can make payments through U.S. Mail or by credit card. Detailed instructions are available on the Florida Department of Corrections website under the Probation link in the "FAQs" section. Make sure to follow the guidelines to ensure your payments are processed correctly.
What should I do if I had contact with law enforcement?
If you had any contact with law enforcement during the past month, you must provide details in the designated section of the form. Transparency about these interactions is crucial for your probation officer to understand your situation and provide appropriate support.
Common mistakes
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Inaccurate Personal Information: Many individuals fail to provide complete and accurate personal details, such as their full name, DC number, and current residence. This can lead to confusion and delays in processing the report.
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Omitting Required Attachments: Some people neglect to attach necessary documentation, such as proof of enrollment in school or evidence of public service hours completed. These attachments are crucial for verifying compliance with supervision conditions.
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Incomplete Employment Details: When reporting employment, individuals often leave out essential information like the employer's address or job duties. This lack of detail can hinder the officer's ability to assess the individual's progress.
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Failure to Report Law Enforcement Contact: If an individual has any contact with law enforcement, they must disclose this information. Failing to do so can be viewed as a violation of supervision terms.
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Neglecting Personal Goals: The section for personal goals is sometimes overlooked. Individuals may not articulate their goals or the steps taken to achieve them, which is essential for demonstrating progress during supervision.
Documents used along the form
The Florida Supervision Report form is essential for individuals under supervision, providing a comprehensive overview of their activities and compliance. Several other documents often accompany this form, each serving a unique purpose in the supervision process.
- Job Search Form: This form is required for individuals who are unemployed and not exempt due to retirement, disability, or full-time education. It tracks job search efforts over the month.
- Support Group Attendance Form: This document verifies attendance at required support groups. It is crucial for those under supervision who must participate in such programs as part of their conditions.
- Driving Log: Required for individuals whose supervision conditions include driving restrictions. This log records all driving activities and ensures compliance with court orders.
- Public Service Work Documentation: This form provides evidence of community service hours completed. It is necessary for those whose conditions mandate public service as part of their supervision.
- Payment Receipt: This document serves as proof of any court-ordered payments made, whether through U.S. Mail or credit card. It is essential for maintaining accurate financial records related to supervision.
- Progress Report: This form summarizes the individual’s progress towards meeting their supervision goals. It is often reviewed by probation officers to assess compliance and make necessary adjustments to the supervision plan.
Understanding these documents helps individuals navigate the supervision process effectively. Each form plays a vital role in ensuring compliance and facilitating communication between the individual and their supervising officer.
Similar forms
- Monthly Progress Report: Similar to the Florida Supervision Report, a Monthly Progress Report outlines an individual's achievements and challenges over the past month. It typically includes sections for personal reflections, progress towards goals, and any support services utilized.
- Probation Report: This document shares similarities with the Supervision Report in that it provides updates on an individual's compliance with probation terms. It includes details about employment, residence, and any interactions with law enforcement, mirroring the structure of the Supervision Report.
- Case Plan Review: A Case Plan Review evaluates the effectiveness of an individual’s rehabilitation plan. Like the Supervision Report, it assesses progress made in achieving specific goals and may require the individual to reflect on their actions over a set period.
- Community Service Log: This document records hours spent on community service, much like the section on public service hours in the Supervision Report. It serves to track compliance with court-ordered community service obligations.
- Employment Verification Form: An Employment Verification Form confirms an individual's employment status, including job title and income. This aligns with the employment section of the Supervision Report, which seeks to ensure that individuals are gainfully employed as part of their supervision conditions.
- Substance Abuse Treatment Progress Report: This report details an individual's participation and progress in substance abuse treatment programs. It parallels the treatment attendance section of the Supervision Report, focusing on compliance with rehabilitation requirements.
- Family Assessment Form: This form gathers information about family dynamics and living conditions, similar to the section in the Supervision Report that asks for details about individuals living at the same residence. It aims to assess the support system available to the individual under supervision.
Dos and Don'ts
When filling out the Florida Supervision Report form, it is essential to follow specific guidelines to ensure accuracy and completeness. Here is a list of things you should and shouldn't do:
- Do read the instructions carefully before starting.
- Do provide accurate and up-to-date information.
- Do use clear handwriting or type the information if possible.
- Do double-check all entries for spelling and numerical accuracy.
- Do include all required attachments, such as proof of enrollment or payment documentation.
- Don't leave any sections blank unless instructed to do so.
- Don't use abbreviations that may not be understood.
- Don't submit the form late; adhere to deadlines.
- Don't provide misleading or false information.
- Don't forget to sign and date the form before submission.
Misconceptions
Misconceptions about the Florida Supervision Report form can lead to confusion for individuals required to complete it. Below are some common misunderstandings, along with clarifications to help ensure accurate completion and compliance.
- Misconception 1: The report is only for individuals on probation.
- Misconception 2: The report only needs to be submitted if there are changes in personal circumstances.
- Misconception 3: Providing incomplete information is acceptable.
- Misconception 4: The report is only about employment status.
- Misconception 5: There are no penalties for late submissions.
- Misconception 6: Only the probation officer reviews the report.
- Misconception 7: Personal goals and action steps are optional sections.
- Misconception 8: The report does not require supporting documentation.
This form is used not only by those on probation but also by individuals under various forms of supervision, including parole and community control.
The Florida Supervision Report must be submitted monthly, regardless of whether there have been any changes. Consistent reporting is crucial for compliance.
While employment is an important aspect, the report also addresses living conditions, contact with law enforcement, personal goals, and other aspects of the individual's life.
Submitting the report late can result in penalties, including potential violations of supervision terms. Timeliness is crucial.
The report may be reviewed by various individuals within the Department of Corrections, and it can affect decisions regarding supervision status.
These sections are not optional. They provide valuable insight into the individual’s progress and efforts toward rehabilitation.
In many cases, supporting documentation, such as proof of employment or attendance at treatment programs, is required. Be sure to attach any necessary documents.
Key takeaways
Filling out the Florida Supervision Report form requires attention to detail and accuracy. Here are key takeaways to consider:
- Complete All Sections: Ensure that every section of the form is filled out completely. Missing information can lead to delays or complications.
- Provide Accurate Contact Information: Include up-to-date phone numbers and email addresses. This facilitates communication with your probation officer.
- Document Employment Status: If unemployed, attach the Job Search form. This is essential for maintaining compliance with supervision requirements.
- Track Special Conditions: Clearly list any progress made on special conditions of supervision, such as public service hours and treatment attended.
- Report Law Enforcement Contact: If there has been any interaction with law enforcement, detail the circumstances. Transparency is crucial.
- Set Personal Goals: Outline your personal goals and the steps taken towards achieving them. This shows initiative and commitment to personal development.
- Submit on Time: Timely submission of the report is necessary to avoid potential penalties. Be aware of deadlines.
Following these guidelines can help ensure that the supervision process runs smoothly and effectively.