"News Agency Release Form" - Florida

This printable "News Agency Release Form" is a document issued by the Florida Department of Juvenile Justice specifically for Florida residents.

Download a PDF of the latest edition of the form down below or find it through the department's forms library.

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Download "News Agency Release Form" - Florida

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Media Access to Juveniles & Juvenile Information
Attachment 1
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
N
A
R
F
EWS
GENCY
ELEASE
ORM
A
G
GENCY
UIDELINES
T
D
J
J
HE
EPARTMENT OF
UVENILE
USTICE WILL ALLOW THE NEWS MEDIA ACCESS TO JUVENILE
,
JUSTICE PROGRAMS
ENSURING THAT THE CONFIDENTIALITY RIGHTS OF ALL JUVENILES ARE
,
,
PROTECTED
THE INTERGRITY AND SECURITY OF PROGRAMS ARE NOT COMPROMISED
AND THE
,
.
SAFETY OF VISITORS
JUVENILE OFFENDERS AND STAFF ARE NOT ENDANGERED
P
D
J
J
,
:
RIOR TO VISITING ANY
EPARTMENT OF
UVENILE
USTICE PROGRAM OR FACILITY
THE NEWS MEDIA MUST
1. O
C
O
T
.
BTAIN PERMISSION FROM THE
OMMUNICATIONS
FFICE IN
ALLAHASSEE
2. T
,
O ENSURE REQUESTS ARE FULLY ADDRESSED
THE REQUEST SHOULD BE IN WRITING WITH THE QUESTIONS OR
,
,
-
INFORMATION SOUGHT
TELEPHONE AND FAX NUMBERS
E
MAIL ADDRESS AND NAME OF THE NEWS MEDIA
.
CONTACT PERSON
3. R
G
;
C
EAD THE ATTACHED
UIDELINES
SIGN THIS RELEASE FORM AND SUBMIT THE FORM TO
OMMUNICATIONS
O
, DJJ CPO/ C
M
DJJ R
D
.
FFICE
IRCUIT
ANAGER OR
EGIONAL
IRECTOR
N
N
M
O
: __________________________________________________
AME OF
EWS
EDIA
UTLET
A
: __________________________________________________________________
DDRESS
R
/C
: _________________________________________________________
EPORTER
ONTACT
T
N
: __________________________________________________________
ELEPHONE
UMBER
I
D
J
J
S
HAVE READ AND AGREE TO ABIDE BY THE
EPARTMENT OF
UVENILE
USTICE
S GUIDELINES AND THE
TATE OF
F
S
D
LORIDA
TATUTES ENSURING THE CONFIDENTIAL OF JUVENILES IN THE CUSTODY OF THE
EPARTMENT OF
J
J
. I
D
UVENILE
USTICE
FURTHER AGREE TO FOLLOW ANY AND ALL DIRECTIONS FROM THE
EPARTMENT
S STAFF TO
,
.
ENSURE THE SAFETY OF VISITORS
JUVENILE OFFENDERS AND STAFF
S
: ___________________________________ D
: _________________________
IGNED
ATE
W
: ________________________________ D
: __________________________
ITNESSED
ATE
Save As
Reset/Clear Form
Print Form
2737 CENTERVIEW DRIVE
TALLAHASSEE, FLORIDA 32399-3100
Media Access to Juveniles & Juvenile Information
Attachment 1
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
N
A
R
F
EWS
GENCY
ELEASE
ORM
A
G
GENCY
UIDELINES
T
D
J
J
HE
EPARTMENT OF
UVENILE
USTICE WILL ALLOW THE NEWS MEDIA ACCESS TO JUVENILE
,
JUSTICE PROGRAMS
ENSURING THAT THE CONFIDENTIALITY RIGHTS OF ALL JUVENILES ARE
,
,
PROTECTED
THE INTERGRITY AND SECURITY OF PROGRAMS ARE NOT COMPROMISED
AND THE
,
.
SAFETY OF VISITORS
JUVENILE OFFENDERS AND STAFF ARE NOT ENDANGERED
P
D
J
J
,
:
RIOR TO VISITING ANY
EPARTMENT OF
UVENILE
USTICE PROGRAM OR FACILITY
THE NEWS MEDIA MUST
1. O
C
O
T
.
BTAIN PERMISSION FROM THE
OMMUNICATIONS
FFICE IN
ALLAHASSEE
2. T
,
O ENSURE REQUESTS ARE FULLY ADDRESSED
THE REQUEST SHOULD BE IN WRITING WITH THE QUESTIONS OR
,
,
-
INFORMATION SOUGHT
TELEPHONE AND FAX NUMBERS
E
MAIL ADDRESS AND NAME OF THE NEWS MEDIA
.
CONTACT PERSON
3. R
G
;
C
EAD THE ATTACHED
UIDELINES
SIGN THIS RELEASE FORM AND SUBMIT THE FORM TO
OMMUNICATIONS
O
, DJJ CPO/ C
M
DJJ R
D
.
FFICE
IRCUIT
ANAGER OR
EGIONAL
IRECTOR
N
N
M
O
: __________________________________________________
AME OF
EWS
EDIA
UTLET
A
: __________________________________________________________________
DDRESS
R
/C
: _________________________________________________________
EPORTER
ONTACT
T
N
: __________________________________________________________
ELEPHONE
UMBER
I
D
J
J
S
HAVE READ AND AGREE TO ABIDE BY THE
EPARTMENT OF
UVENILE
USTICE
S GUIDELINES AND THE
TATE OF
F
S
D
LORIDA
TATUTES ENSURING THE CONFIDENTIAL OF JUVENILES IN THE CUSTODY OF THE
EPARTMENT OF
J
J
. I
D
UVENILE
USTICE
FURTHER AGREE TO FOLLOW ANY AND ALL DIRECTIONS FROM THE
EPARTMENT
S STAFF TO
,
.
ENSURE THE SAFETY OF VISITORS
JUVENILE OFFENDERS AND STAFF
S
: ___________________________________ D
: _________________________
IGNED
ATE
W
: ________________________________ D
: __________________________
ITNESSED
ATE
Save As
Reset/Clear Form
Print Form
2737 CENTERVIEW DRIVE
TALLAHASSEE, FLORIDA 32399-3100
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