Form DC2-364 "Money Order Deposit Form" - Florida

Form DC2-364 or the "Money Order Deposit Form" is a form issued by the Florida Department of Corrections.

Download a PDF version of the Form DC2-364 down below or find it on the Florida Department of Corrections Forms website.

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Download Form DC2-364 "Money Order Deposit Form" - Florida

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Money Order Deposit Form
FOR RESTITUTION & COURT-ORDERED PAYMENTS
HOW TO SEND
Things to know
A MONEY ORDER
Write clearly on the form to avoid delays processing the money order
Do not include any letters or notes with your payment because these
will be discarded
Complete the Money Order Deposit Slip at the bottom by
1
typing or printing in blue or black ink
Verify that the parolee/probationer name and DC# are entered
correctly on the Money Order Deposit Form
Make the money order payable to JPay.
2
Money orders will not be processed without a valid email and
You can include the Offender name & ID on the “memo” or “used for” line
mailing address
We recommend using US Postal Money Orders
In addition to money orders, cashier’s checks and certified bank drafts are also accepted.
3
Place the money order and the deposit slip in an envelope
All procedures, terms and conditions apply
There is no fee for sending money via money order, cashier’s check, or certified bank draft
4
Mail to: JPay, PO Box 260130, Hollywood, FL 33026
Visit JPay.com/LegalAgreementsOut.aspx for Terms & Conditions. A JPay account is not
needed to send money orders, cashier’s checks, or certified bank drafts. Call 800-574-5729 if
you need more information or assistance completing this form. Incorporated by Reference in
Rule 33-302.110, F.A.C FLCOPS Form
There’s a Better Way.
Send money without a money order – and get the payment posted the next day!*
DID YOU
800-574-5729
www.JPay.com
KNOW?
Toll-free, 24/7
Sign up for free
Cash at MoneyGram
Money orders can take
JPay Mobile
days to mail and process?
(Receive code 5385)
Android and iPhone
* Some facilities do not process on holidays and weekends. Delivery timing subject to depositor verification
ALL FIELDS REQUIRED
Money Order Deposit Slip
FOR RESTITUTION & COURT-ORDERED PAYMENTS
Mail to: JPay, PO Box 260130, Hollywood, FL 33026
Money Order Amount
Offender’s DC#
Offender’s State
– maximum $999.99
F L
Offender’s Full Name
(Last, First)
Institution
Your Email
Your First Name
Your Phone Number
(Person Making Payment)
(Person Making Payment)
Your Last Name
(Person Making Payment)
Your Address
Your City
Your State
Your Zip
DC2-364 (Effective 08/17)
Money Order Deposit Form
FOR RESTITUTION & COURT-ORDERED PAYMENTS
HOW TO SEND
Things to know
A MONEY ORDER
Write clearly on the form to avoid delays processing the money order
Do not include any letters or notes with your payment because these
will be discarded
Complete the Money Order Deposit Slip at the bottom by
1
typing or printing in blue or black ink
Verify that the parolee/probationer name and DC# are entered
correctly on the Money Order Deposit Form
Make the money order payable to JPay.
2
Money orders will not be processed without a valid email and
You can include the Offender name & ID on the “memo” or “used for” line
mailing address
We recommend using US Postal Money Orders
In addition to money orders, cashier’s checks and certified bank drafts are also accepted.
3
Place the money order and the deposit slip in an envelope
All procedures, terms and conditions apply
There is no fee for sending money via money order, cashier’s check, or certified bank draft
4
Mail to: JPay, PO Box 260130, Hollywood, FL 33026
Visit JPay.com/LegalAgreementsOut.aspx for Terms & Conditions. A JPay account is not
needed to send money orders, cashier’s checks, or certified bank drafts. Call 800-574-5729 if
you need more information or assistance completing this form. Incorporated by Reference in
Rule 33-302.110, F.A.C FLCOPS Form
There’s a Better Way.
Send money without a money order – and get the payment posted the next day!*
DID YOU
800-574-5729
www.JPay.com
KNOW?
Toll-free, 24/7
Sign up for free
Cash at MoneyGram
Money orders can take
JPay Mobile
days to mail and process?
(Receive code 5385)
Android and iPhone
* Some facilities do not process on holidays and weekends. Delivery timing subject to depositor verification
ALL FIELDS REQUIRED
Money Order Deposit Slip
FOR RESTITUTION & COURT-ORDERED PAYMENTS
Mail to: JPay, PO Box 260130, Hollywood, FL 33026
Money Order Amount
Offender’s DC#
Offender’s State
– maximum $999.99
F L
Offender’s Full Name
(Last, First)
Institution
Your Email
Your First Name
Your Phone Number
(Person Making Payment)
(Person Making Payment)
Your Last Name
(Person Making Payment)
Your Address
Your City
Your State
Your Zip
DC2-364 (Effective 08/17)
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