"Mail Stop and Phone Restriction Request" - Illinois

Mail Stop and Phone Restriction Request is a legal document that was released by the Illinois Department of Corrections - a government authority operating within Illinois.

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Mail Stop and Phone Restriction Request
Please mail this completed form to:
Warden
___________________ Correctional Center
___________________________________
______________________, IL _________
Status: Victim
; Witness ; Victim Next of Kin ; Guardian of Victim ; Concerned Citizen
Please impose a mail stop on the below named offender. I request that the below named offender
have no correspondence by mail, direct or indirect, with me or my below named family during the
period of incarceration in the Illinois Department of Corrections. I further request that the Illinois
Department of Corrections shall not knowingly forward any mail addressed to the person(s) named
in this notice as not desiring correspondence from the named individual.
Please impose a phone restriction on the below named offender. I request that the below named
offender have no contact by phone, direct or indirect, with me or my below named family during the
period of incarceration in the Illinois Department of Corrections. I further request that the Illinois
Department of Corrections shall not knowingly allow any contact with the person(s) named in this
notice as not desiring contact from the named individual.
I understand that I need to contact Securus at 1-800-844-6591 to verify a phone block has been
placed on the named offender only.
Name and
Address
of person(s)
making request:
(
)
(
)
Telephones: Home
Work
PLEASE NOTIFY THE IDOC OF CHANGES IN ADDRESS OR TELEPHONE NUMBER
Offender Information
Name: ___________________________________________________________
Date of Birth: __________________________________________________________
IDOC Number: __________________________________________________________
County of Crime: __________________________________________________________
Current Facility: __________________________________________________________
Provide as much information as you can. An inmate’s full name and case number, or date of birth is
usually adequate to identify the individual. Inmate locator information is also available on the
Internet at
www.illinois.gov/idoc
For questions about this form, contact the Illinois Department of Corrections, Victim Services Unit,
1301 Concordia Court, P.O. Box 19277, Springfield, IL, 62794-9277, or call toll-free 877-776-0755.
Mail Stop and Phone Restriction Request
Please mail this completed form to:
Warden
___________________ Correctional Center
___________________________________
______________________, IL _________
Status: Victim
; Witness ; Victim Next of Kin ; Guardian of Victim ; Concerned Citizen
Please impose a mail stop on the below named offender. I request that the below named offender
have no correspondence by mail, direct or indirect, with me or my below named family during the
period of incarceration in the Illinois Department of Corrections. I further request that the Illinois
Department of Corrections shall not knowingly forward any mail addressed to the person(s) named
in this notice as not desiring correspondence from the named individual.
Please impose a phone restriction on the below named offender. I request that the below named
offender have no contact by phone, direct or indirect, with me or my below named family during the
period of incarceration in the Illinois Department of Corrections. I further request that the Illinois
Department of Corrections shall not knowingly allow any contact with the person(s) named in this
notice as not desiring contact from the named individual.
I understand that I need to contact Securus at 1-800-844-6591 to verify a phone block has been
placed on the named offender only.
Name and
Address
of person(s)
making request:
(
)
(
)
Telephones: Home
Work
PLEASE NOTIFY THE IDOC OF CHANGES IN ADDRESS OR TELEPHONE NUMBER
Offender Information
Name: ___________________________________________________________
Date of Birth: __________________________________________________________
IDOC Number: __________________________________________________________
County of Crime: __________________________________________________________
Current Facility: __________________________________________________________
Provide as much information as you can. An inmate’s full name and case number, or date of birth is
usually adequate to identify the individual. Inmate locator information is also available on the
Internet at
www.illinois.gov/idoc
For questions about this form, contact the Illinois Department of Corrections, Victim Services Unit,
1301 Concordia Court, P.O. Box 19277, Springfield, IL, 62794-9277, or call toll-free 877-776-0755.