1. (a) Children under 18 shall not be permitted to visit unless accompanied by an adult who shall be a family member, guardian, or other person designated as the responsible adult on a “Permission for Minor Children to Visit a Resident of the NHDOC Form”.
2. (b) The parent, guardian or responsible adult of the minor child shall complete and submit the "Permission for Minor Children to Visit a Resident of the NH DOC Form” demonstrating in writing that the minor has permission to visit a NHDOC facility.

3. (c) The adult responsible for the minor child shall provide on the “Permission for Minor Children to Visit a Resident of the NHDOC Form” the following:

   1. (1) The date;
   2. (2) The printed name of the parent, guardian, or responsible adult;
   3. (3) The parent, guardian, or responsible adult’s relationship to the minor child;
   4. (4) The parent, guardian, or responsible adult’s signature;
   5. (5) The full name of each minor child authorized to visit;
   6. (6) The date of birth for each minor child listed;
   7. (7) The resident’s name which visits shall take place with;
   8. (8) The resident’s identification number;
   9. (9) The printed name of the individual(s) authorized to escort the minor(s) into NHDOC facilities;
   10. (10) The date of birth of the individual(s) authorized to escort the minor(s); and

   11. (11) A selection shall be made stating the approved period of time which permission shall be granted for:

       1. a. One day only, and the date the visit shall take place on; or
       2. b. An inclusive date, which shall not exceed one year, and the date ranges for which authorization has been granted.
4. (d) The parent, guardian, or responsible adult shall have the form notarized.

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