1. (a) A prospective visitor of a resident shall supply on the “Prospective Visitor Consent For Background Check Form” the following information:

   1. (1) The name of the resident to be visited;
   2. (2) The resident’s identification number;
   3. (3) His or her first name, last name, and middle initial, to include any alias;
   4. (4) His or her address;
   5. (5) His or her date of birth;
   6. (6) His or her hair color;
   7. (7) His or her eye color;
   8. (8) His or her gender;
   9. (9) Whether the prospective visitor is currently under probation or parole supervision, and why if applicable;
   10. (10) His or her driver license number and issuing state; and
   11. (11) Whether the prospective visitor is a victim of the resident to be visited.

2. (b) The prospective visitor shall:

   1. (1) Sign and date the form in front of a notary public;
   2. (2) Have the form notarized; and
   3. (3) Deliver the form to the respective correctional facility care of the facility’s visiting room.

Source. (See Revision Notes #1, #2, and #4 at chapter heading for Cor 300) #13154, eff 1-5-21