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The Florida Monthly Report form represents a critical document within the framework of the State of Florida Department of Corrections, designed to meticulously track and record the activities, employment, residence, and personal developments of individuals under supervision. Requiring detailed inputs ranging from personal identification such as the officer's name and date, to comprehensive residential information, the form is exhaustive in its coverage. It delves into employment details, including employer information and total monthly earnings, and extends to cover additional employment, dwelling specifics, and a list of co-residents. The document probes further into personal conduct, asking about consumption of alcohol, drug use, attendance of therapeutic or self-improvement programs, as well as any legal encounters within the reporting period. Additionally, it inquires about financial obligations, posing questions about debts, sources of income if unemployed, and the status of any monetary obligations to the Department of Corrections. The form necessitates an affirmation of truthfulness and completeness from the reporting individual, coupled with an officer's validation, making it a comprehensive tool for monitoring and facilitating rehabilitation and compliance within the corrections ecosystem. This form underscores the department's commitment to rehabilitation and reintegration of individuals into society, while closely monitoring compliance and progress.

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STATE OF FLORIDA

DEPARTMENT OF CORRECTIONS

WRITTEN MONTHLY REPORT

Officer’s Name: ______________

For Month Ending: ___________

Date/Time submitted:__________

YOUR NAME: ___________________________________

DC#: _______________

YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):

__________________________________________________

__________________________________________________

__________________________________________________

(Provide physical location – NOT Post Office Box)

TELEPHONE No. __________________________________

CELLULAR TELEPHONE No.______________________

PAGER No. ______________________________________

VehicleMake/Model/Year/Tagg#: #:

_______________________________________________

EMPLOYER: _____________________________________

SUPERVISOR’S NAME: ___________________________

EMPLOYER’S ADDRESS:

__________________________________________________

__________________________________________________

EMPLOYER’S TELEPHONE No. ____________________

CELLULAR TELEPHONE No.______________________

PAGER No. ______________________________________

EMPLOYER EMAIL: ______________________________

YOUR TOTAL MONEY EARNED MONTHLY: $__________________ (Gross Amount)

Full time____ Part-time ____ Hours Worked ____

Additional (2nd) employment information: ______________

List full names, ages, and your relationship to all persons who resided at your residence during this month:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

YES NO Have you consumed alcoholic beverages? Have you used or bought illegal drugs or controlled substances? Have you attended educational, vocational classes or mental

health, drug, alcohol, therapy, or self-improvement programs? (If yes, circle which one)

Have you been arrested or had any contact with law enforcement during the last month? If yes, explain what happened on separate sheet of paper, attached to report.

If you went into debt for any reason, explain: ____________________________________________________________________

If not working, give reason and source of income: ________________________________________________________________

If you have any questions or problems to discuss with your Officer, explain:___________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

If monetary obligation owed, amount paid this month:

$________________

Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS!

Make money order payable to the Department of Corrections.

If monetary obligation owed and no payment made, give reason and date when payment will be made: ____________________

__________________________________________________________________________________________

Official Use Only:

Signature of Officer Receiving Report:

__________________________________________________

Date WMR Received: _____________

Date WMR Due: _________________

Comments:

I certify the above to be true and complete:

Your Signature:

Mailing Address:

City:

State:___________ Zip:

E-Mail Address: (if applicable)

DC3-268 (REVISED 6-01)

Document Overview

Fact Name Detail
Form Identification The document is recognized as the Florida Department of Corrections Written Monthly Report.
Primary Purpose This form is used for individuals to report their monthly status, including residence, employment, and any contact with law enforcement, to the Florida Department of Corrections.
Content Requirements Reporters must provide personal details, employment information, earnings, vehicle information, and any interactions with law enforcement or substance use.
Monetary Obligations Individuals must report any monetary obligations, payments made, and if no payment is made, a reason and future payment date must be provided.
Governing Laws The form is governed by regulations and statutes relevant to the Department of Corrections in Florida, ensuring compliance with state correctional oversight.

Instructions on How to Fill Out Florida Monthly Report

Filling out the Florida Monthly Report form is a straightforward process but requires attention to detail. This state-required document helps in recording specific personal, employment, and financial details over a given month. Make sure you have all the necessary information, including employment details, residence address, and any additional notes you need to include about your activities during the month. Follow these steps to accurately complete the form.

  1. Start by entering the Officer’s Name and the month the report is for in the designated spaces at the top of the form.
  2. Fill in the Date/Time submitted section with the current date and time when you are filling out the report.
  3. In the YOUR NAME field, write your full legal name.
  4. Enter your Department of Corrections Number (DC#) in the provided space.
  5. For YOUR RESIDENCE ADDRESS, include your complete address. Make sure to add details like Name of Subdivision, Apartment Complex and Number, or Mobile Home Park and Lot Number if applicable. Remember, this should be your physical location and not a P.O. Box.
  6. Provide your TELEPHONE No., CELLULAR TELEPHONE No., and PAGER No. in their respective fields.
  7. Detail your Vehicle’s Make, Model, Year, and Tag number in the provided area.
  8. List your EMPLOYER’S NAME, SUPERVISOR’S NAME, complete EMPLOYER’S ADDRESS, EMPLOYER’S TELEPHONE No., CELLULAR TELEPHONE No., PAGER No., and EMPLOYER EMAIL in the designated areas.
  9. Indicate YOUR TOTAL MONEY EARNED MONTHLY by filling in the gross amount and specifying whether employment is full time or part-time, including the Hours Worked. If you have additional employment, provide that information as requested.
  10. List full names, ages, and your relationship to all persons who resided at your residence during the month.
  11. Answer the yes/no questions regarding consumption of alcoholic beverages, use or purchase of illegal drugs or controlled substances, attendance at educational or self-improvement programs, any arrests or contact with law enforcement, and if you have gone into debt for any reason.
  12. If not working, explain your reason and source of income in the provided field.
  13. Leave a note for your Officer if you have any questions or problems to discuss, in the space provided.
  14. Specify any monetary obligation owed and the amount paid this month. Note that receipts are available through your probation officer and remind you to not submit cash or personal checks. Also, provide a reason and date for delayed payments if applicable.
  15. Sign the form certificating the information provided is true and complete at the bottom where indicated.
  16. Finally, provide your Mailing Address, City, State, Zip, and E-Mail Address (if applicable).

After completing the form, review all the information to ensure accuracy and completeness. Once everything is in order, submit the form to the appropriate department or officer as instructed, typically by mail or in person. Keeping a copy for your records is always a good practice.

Listed Questions and Answers

What is the Florida Monthly Report form?

The Florida Monthly Report form is a document that individuals who are under the supervision of the State of Florida Department of Corrections must complete on a monthly basis. This form allows individuals to report various aspects of their lives to their assigned officer, including but not limited to, their current employment status, residence, educational or therapeutic programs attended, any contact with law enforcement, and financial status. It is designed to monitor compliance with the terms of supervision and rehabilitation progress.

Who needs to fill out this form?

Individuals who are currently under the supervision of the Florida Department of Corrections are required to fill out this form every month. This includes persons on probation, parole, or any other form of conditional release.

What kind of information do I need to provide on this form?

The form requires detailed information about your personal circumstances. This includes your name, Department of Corrections number (DC#), contact information, vehicle details, employment information including your supervisor's name and contact details, total monthly earnings, and details about other residents at your address. Additionally, you must report any consumption of alcohol or illegal substances, participation in various programs, any contact with law law enforcement, financial obligations, and any changes in your employment status or income source.

Why do I need to report my earnings and employment information?

Reporting your earnings and employment information allows your supervising officer to verify your compliance with the terms of your supervision, which often include maintaining employment. It also provides a clear picture of your rehabilitation progress and your ability to meet any financial obligations, such as restitution payments.

Do I need to report attendance in educational or therapy programs?

Yes, you are required to report participation in educational, vocational, mental health, drug, alcohol, therapy, and self-improvement programs. This information helps the Department of Corrections assess your progress towards rehabilitation and reintegration into the community.

What should I do if I've had contact with law enforcement?

If you have had any contact with law enforcement over the last month, you must provide a detailed explanation of the incident on a separate sheet of paper and attach it to your report. This includes any arrests or interactions, regardless of the outcome.

What happens if I go into debt?

If you have gone into debt for any reason, you must explain the circumstances in the designated section of the form. It is important to disclose this information to avoid potential violations of your supervision terms.

How should I submit the completed form?

The completed form should be submitted to your probation officer. You must not submit cash or personal checks for any monetary obligations reported on the form. Instead, make a money order payable to the Department of Corrections and provide it to your officer, who can also offer receipts for your records.

What if I cannot make a payment for my monetary obligation this month?

If you are unable to make a payment towards your monetary obligation, you must provide a reason and specify a date when payment will be made in the relevant section of the form. It is critical to communicate any financial difficulties to avoid non-compliance issues.

Can I provide additional comments or questions to my officer through this form?

Yes, there is a section on the form where you can list any questions or problems you wish to discuss with your officer. This can include concerns about your supervision, requests for assistance, or any other relevant matters.

Common mistakes

Filling out the Florida Monthly Report form accurately is crucial for those under supervision. However, several common mistakes can hinder the process, lead to misunderstandings, or even result in non-compliance issues. Here are five of the most frequent errors:

  1. Not providing a physical residence address. Many people mistakenly submit a Post Office Box instead of their actual living address. This form requires the physical location where you reside, including details such as the Name of Subdivision, Apartment Complex and Number, Mobile Home Park, and Lot Number, if applicable.
  2. Forgetting to list all residents. It's required to list full names, ages, and your relationship to all persons who resided at your residence during the specified month. Often, form fillers omit roommates or family members living in the residence, which can be considered incomplete information.
  3. Omitting employment details. Whether it's full-time or part-time, your job's specifics, including your employer's name, address, and telephone number, are crucial. Sometimes, people fail to update their employment status or forget to include secondary employment information.
  4. Failing to report additional income or employment changes. The form asks for your total money earned monthly and if you had any additional jobs. Not reporting any changes in your financial situation or additional sources of income can lead to discrepancies in your report.
  5. Misunderstanding questions about legal issues and programs attended. Questions about attendance in educational, vocational, mental health, or self-improvement programs, as well as any legal issues or contact with law enforcement, are often overlooked or misunderstood. It's important to provide accurate details and, if necessary, explanations on a separate sheet of paper as instructed.

When completing the Florida Monthly Report form, taking the time to review each section carefully and ensuring all information is accurate and up to date is essential. Avoiding these common mistakes will help ensure the report is accepted without issue and reflects your situation correctly.

Documents used along the form

When handling legal and official requirements in Florida, especially for those under probation or supervised release, the Florida Monthly Report form is a central document. However, this form is typically not the only document required to comprehensively track and manage an individual's activities and compliance with terms of probation or supervised conditions. Below is a list of other documents that are often used in conjunction with the Florida Monthly Report form to ensure a thorough accounting of an individual's status and actions.

  • Proof of Employment: A letter or document from the employer confirming an individual's employment status, including position, hours worked, and income. This supports the employment information provided in the monthly report.
  • Financial Statements: Bank statements or pay stubs that provide a clear record of an individual's earnings and financial transactions. These are important for verifying the total money earned monthly as claimed in the report.
  • Proof of Residence: A utility bill, lease agreement, or similar document that verifies the individual's residential address as stated in the report.
  • Education or Program Verification: Certificates, enrollment forms, or letters from educational or therapy programs, confirming the individual's participation. This is particularly relevant for those who report attending programs such as vocational training, mental health, or substance abuse therapy.
  • Vehicle Registration: Documentation that confirms the vehicle information provided, such as make, model, year, and tag number. This ensures the vehicle used by the individual is accurately reported and registered.
  • Drug Test Results: If applicable, results from drug or alcohol tests may be required to confirm claims about substance use or abstidence.
  • Arrest Record or Law Enforcement Interaction Report: Documents that detail any arrests or interactions with law enforcement that occurred within the reporting period. This could include police reports or court documents.
  • Debt Documentation: Statements or letters from creditors that illustrate any debts incurred and the reasons for those debts, supporting any debt-related disclosures in the monthly report.
  • Community Service Log: For individuals required to complete community service, a log signed by the supervising agency or organization detailing the hours worked can confirm compliance with this requirement.
  • Receipts for Monetary Obligations: Copies of receipts for any payments made towards monetary obligations, such as fines or restitution, verifying the financial information stated in the monthly report.

Collectively, these documents play a crucial role in verifying the accuracy of the information provided in the Florida Monthly Report form and ensuring compliance with legal and supervisory requirements. Accurate and timely submission of these supporting documents, along with the required monthly report, can significantly impact an individual's progress and standing with the Florida Department of Corrections.

Similar forms

The Florida Monthly Report form is similar to various other documentation and reporting tools used across different sectors, including legal, employment, and educational environments. Each of these documents shares common elements with the Florida Monthly Report form, such as personal identification, activity logging, and compliance verification, albeit tailored to their specific domains.

The Employment Timesheet: Like the Florida Monthly Report, an employment timesheet necessitates the employee to record specific information about their work schedule, including the hours worked, overtimes, and sometimes, the tasks performed. Both forms serve as an official record for tracking adherence to prescribed schedules or obligations. The employment timesheet, however, focuses more narrowly on the employment context, tracking the time an employee spends on work-related activities, which is akin to how the Florida Monthly Report demands accounting for hours worked and sites of employment.

The Academic Progress Report: This form is utilized within educational institutions to track students’ performance across various metrics such as attendance, grades, and behavioral assessments. Similar to the Florida Monthly Report, which requires information on participation in educational or vocational programs, the academic progress report seeks to ensure individuals are meeting predefined standards or requirements. Despite their different applications—one in the correctional system and the other in education—both forms act as tools for oversight and personal development tracking.

The Medical History Form: Often encountered in healthcare settings, this form requires individuals to provide comprehensive details about their medical history, similar to how the Florida Monthly Report requires disclosures about drug or alcohol use and participation in related therapy or self-improvement programs. Both documents are designed to collect self-reported information for use in monitoring and managing individual cases. However, the medical history form is specifically focused on physical and mental health, while the Florida Monthly Report encompasses a broader spectrum of personal conduct and activities.

The Financial Statement: Frequently used for loan applications, financial assistance programs, or bankruptcy proceedings, the financial statement requires detailed information about an individual's earnings, debts, assets, and liabilities. Analogous aspects with the Florida Monthly Report include the necessity to report income, employment status, and any debts incurred. Each form serves to delineate an individual’s financial situation for assessment, albeit for different purposes—one for the assessment of financial viability and the other as a component of a wider evaluation of personal and social stability.

Dos and Don'ts

When completing the Florida Monthly Report form, there are specific dos and don'ts to keep in mind to ensure the form is filled out correctly and completely. Following these guidelines will help in submitting an accurate and timely report.

Do:

  • Review the entire form before starting to fill it out, ensuring you understand all the requirements.
  • Write clearly and legibly to prevent any misunderstandings or delays in processing your report.
  • Include all requested details, such as your full name, DC number, and complete residence address without using a Post Office Box.
  • Report honestly about your employment status, income, residency, and any contacts with law enforcement or consumption of controlled substances.
  • Specify the type of employment (full-time or part-time) and accurately report your total money earned monthly.
  • List all residents living at your address, including their full names, ages, and your relationship to them.
  • Sign and date the form to certify that the information provided is true and complete.

Don't:

  • Leave any sections blank; if a section does not apply to you, write “N/A” (not applicable).
  • Submit the form without double-checking that all the information is accurate and that no required details have been missed.
  • Forget to include additional documents if required, such as explanations for any arrests or contacts with law enforcement.
  • Use a P.O. Box as your residence address; provide the physical location of your residency instead.
  • Delay submitting your monthly report; ensure it is submitted by the due date.
  • Omit signatures; always make sure the form is signed both by you and the officer receiving the report.
  • Send cash or personal checks for monetary obligations; instead, make a money order payable to the Department of Corrections.

Adhering to these guidelines can help ensure that the Florida Monthly Report form is filled out comprehensively, reducing potential issues or delays in processing.

Misconceptions

There are several misconceptions surrounding the Florida Monthly Report form required by the Department of Corrections. Understanding these can help clarify the purpose and requirements of the form.

  • Misconception 1: The form is optional for those under supervision.

    In reality, completing and submitting this form is a mandatory condition of supervision for individuals under the Florida Department of Corrections. Failure to submit could result in penalties.

  • Misconception 2: You only need to report your primary job.

    However, the form clearly asks for information about all employment, including part-time jobs or any additional employment, indicating that all sources of income must be reported.

  • Misconception 3: Personal contact information is unnecessary if employment details are provided.

    The form requires both personal and employment contact information, highlighting the department's need to keep comprehensive records.

  • Misconception 4: Your residence address can be a P.O. Box.

    The form explicitly states that a physical location must be provided, not a Post Office Box, ensuring officers have a legitimate address for home visits or correspondence.

  • Misconception 5: Vehicle information is optional.

    This information is crucial for the officers to have a full understanding of an individual’s access to transportation, potentially affecting their supervision.

  • Misconception 6: You don't need to report roommates or others living with you.

    The form requests details on everyone residing at your address, which is important for safety and compliance checks.

  • Misconception 7: Informal cash payments must not be reported as income.

    All monetary earnings, regardless of their form, should be reported to accurately assess an individual's financial situation.

  • Misconception 8: Consuming alcohol or using drugs doesn’t need to be reported if it doesn’t result in arrest.

    The form asks specifically about these behaviors as they are critical to monitoring compliance with supervision conditions.

  • Misconception 9: Attending therapy or self-improvement programs is only necessary to report if court-ordered.

    Any participation in such programs, whether voluntary or mandated, should be reported, reflecting on the individual's effort toward rehabilitation.

  • Misconception 10: Payment towards monetary obligations can only be made through personal checks.

    The form indicates that payments should not be submitted via cash or personal checks but rather through safer methods like money orders, ensuring secure transactions.

Correcting these misconceptions helps individuals on supervision to accurately complete their Florida Monthly Report forms, thereby complying with their supervision requirements and aiding in their successful reintegration into society.

Key takeaways

The Florida Monthly Report form is essential for individuals under the jurisdiction of the Department of Corrections to maintain transparency about their activities and status on a monthly basis. Here are six key takeaways about filling out and using this form:

  • Personal Information Accuracy: The form requires specific details such as your name, Department of Corrections number (DC#), residence address, contact information, and vehicle details. Providing accurate and up-to-date information is crucial for maintaining compliance and ensuring that your supervising officer has the necessary data to contact you.
  • Employment Details: You must report your employment status, including the employer's name, supervisor's name, address, and contact information. This includes specifying whether you are employed full-time or part-time, your total monthly earnings before deductions, and details about any secondary employment. Honest reporting of your employment status and income is vital for the assessment of your rehabilitation progress.
  • Residential Information: The form asks for a list of all individuals residing at your address during the report month, including their full names, ages, and relationship to you. This information helps the Department of Corrections to understand your living situation and ensure a supportive environment for your reintegration.
  • Lifestyle and Behavior Self-Reporting: Questions about alcohol and drug consumption, involvement in educational or self-improvement programs, interactions with law enforcement, and any debt incurred require self-reporting. This section is designed to monitor your adjustment and compliance with the conditions of your supervision.
  • Financial Obligations: If you have any financial obligations, such as fines or restitution, you must report the amount paid during the month. It is important to keep receipts of payments made through your probation officer and to report any difficulties in meeting these obligations along with when you expect to make a payment.
  • Communication with Your Officer: The form provides space for you to note any questions or problems you wish to discuss with your supervising officer. Open communication is encouraged, as it allows for the provision of support and guidance where necessary.

Finally, accuracy and honesty in filling out the Florida Monthly Report form cannot be overstressed. It's an important document that serves as a tool for communication between you and the Department of Corrections, aimed at facilitating a successful reintegration into society.

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