Homepage Fill Out a Valid Florida Supervision Report Template
Table of Contents

The Florida Supervision Report form serves as an essential tool within the Florida Department of Corrections, playing a pivotal role in the supervision and monitoring of individuals under probation or parole. Crafted to provide comprehensive updates on a monthly basis, this form facilitates a structured report that individuals must submit to their assigned corrections officer. It meticulously covers various segments of an individual's personal and professional life—ranging from basic identification details, current residency, and the list of individuals residing at the same address, to more detailed inquiries about employment status, vehicle information, educational pursuits, and compliance with special conditions of supervision. Additionally, the form seeks information on any interactions with law enforcement, personal goals and the steps taken towards achieving them, as well as facilitating a channel for raising concerns with probation officers. This structured approach not only ensures a rigorous monitoring process but also encourages individuals under supervision to reflect on their progress, set personal goals, and work actively towards their reintegration into society.

Document Preview Example

FLORIDA DEPARTM ENT OF CORRECTIONS

SUPERVISION REPORT

(FOR THE M ONTH OF ____________________)

NAM E: ___________________________________________________________

DC#: ________________________________________

OFFICER NAM E/ LOCATION: ______________________________________________________________________________________________

RESIDENCE:

 

 

 

 

St reet Address: ________________________________________________ Cit y: _____________________________

Zip: _____________

Building: ______________

Apt #: ______________

Lot#: _____________

Code t o access securit y gat e: _____________________

LIST FULL NAM ES, AGES, AND RELATIONSHIP OF OTHERS WHO CURRENTLY LIVE AT THIS RESIDENCE (Note if anyone is on supervision):

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

HOM E PHONE NUM BER:

CELLULAR PHONE NUM BER:

EM AIL ADDRESS:

 

 

 

 

 

 

M AILING ADDRESS (IF DIFFERENT FROM RESIDENCE):

 

 

 

 

 

VEHICLE - ____________________________________________________________________________________________________________

M AKE

M ODEL

YEAR

COLOR

TAG#

CHECK CURRENT STATUS OF DRIVER’S LICENSE:

Valid

Revoked (Date:__________________)

Suspended (Date:_____________)

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

EM PLOYM ENT:

Employer Name: ___________________________________________

 

 

 

_____________

Supervisor Name:

 

 

 

 

 

Phone:

 

 

____

Employment Address:

____________________________________________________________________________________________

 

 

 

St reet

Cit y

St at e

Zip

Your job tit le: _________________________________________________________________________________________________________

Job Dut ies: ___________________________________________________________________________________________________________

SALARY/ INCOM E EARNED (for past month): ____________________ DATE BEGAN:DATE ENDED: ________________

Typical Days/ Hours W orked: _____________________________________________________________________________________________

NOTE: If unemployed (and not retired, disabled or a full-time student), attach completed Job Search form or list for the month.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

STUDENT/ SCHOOL:

N/ A

Type of Class/ School Att ending:

High School

College

Adult Educat ion

Vocat ional

Ot her Course

Online Classes

School/ Class Name: ___________________________________________________

 

Phone#:

 

 

 

Address:

____________________________________________________________________________________________

 

 

St reet

 

 

 

 

Cit y

 

 

St at e

Zip

Tot al Semest er/ Quart er Hours Enrolled:

 

 

 

 

 

 

 

 

 

 

Dat e Class or Semest er Began:

 

 

Dat e Ended:

 

 

(At t ach proof of enrollment or ending report)

 

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Page 1 of 2 - Please complete the other/ reverse side of this report (OVER)

DC3-2026 (Effective 2/ 14)

Incorporat ed by Reference in Rule 33-302.110, F.A.C.

2 Part File-Right Side

 

 

6 Part File-Sect ion 2

SPECIAL CONDITIONS OF SUPERVISION – List progress made t his past month on special condit ions ordered, including:

PUBLIC SERVICE HOURS: ______________________ M ONETARY PAYM ENT: ______________________ OTHER: ______________________

TREATM ENT ATTENDED THIS PAST M ONTH: ________________________________________________________________________________

NOTE: At tach required Support Group At tendance forms, driving logs, public service work document at ion, et c. as required.

PAYM ENTS: Payments may be made by either U. S. M ail or credit card using one of the services described on the DC Public W eb site, w w w .dc.state.fl.us under the Probation link “FAQS” - Frequently Asked Questions– Four Ways to Pay Court Ordered Payments.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

CONTACT W ITH LAW ENFORCEM ENT – If you had any cont act w it h law enforcement t his past mont h, explain details here: _________________

_____________________________________________________________________________________________________________________

Do you have a problem or concern you w ould like to discuss w ith your probation officer?

YES

NO

How did you spend your free time last month? _________________________________________________________________________________

____________________________________________________________________________________________________ ____________________

PERSONAL GOALS: W rite each of your top 2 goals you are w orking to achieve. Indicate at least 2 action steps you took last m onth and 2 action steps you w ill take this m onth to achieve each goal.

GOAL # 1:

________________________________________________________________________________________________________________________

__________________________________________________

ACTION STEPS I TOOK LAST M ONTH:

1.__________________________________________________________________________________

2.__________________________________________________________________________________

ACTION STEPS I W ILL TAKE THIS M ONTH:

1.__________________________________________________________________________________

2.__________________________________________________________________________________

GOAL # 2:

____________________________________________________________________________________________________ ____________________

__________________________________________________

ACTION STEPS I TOOK LAST M ONTH:

1.__________________________________________________________________________________

2.__________________________________________________________________________________

ACTION STEPS I W ILL TAKE THIS M ONTH:

1.__________________________________________________________________________________

2.__________________________________________________________________________________

________

_____________

Signature

 

Date

 

 

 

 

Signature of Officer Receiving Report

 

Date Report Review ed

Officer Comments:

 

 

 

 

 

 

DC3-2026 (Effective 2/ 14)

Incorporat ed by Reference in Rule 33-302.110, F.A.C.

Document Overview

Fact Detail
Form Title Florida Department of Corrections Supervision Report
Governing Law Incorporated by Reference in Rule 33-302.110, F.A.C.
Primary Purpose To report monthly supervision details of individuals under the supervision of the Florida Department of Corrections
Identification Information Includes Name, DC#, Officer Name/Location
Residential Information Details about the individual's residence, including street address, city, zip code, and security gate code
Employment Details Information on the individual's employment status, including employer name, job title, salary/income, and typical work schedule
Student Information For those attending school, details on the type of school/class, total semester/quarter hours enrolled, and proof of enrollment requirement
Special Conditions of Supervision Progress on special conditions ordered, including public service hours, monetary payment, and treatment attended
Contact with Law Enforcement Section for reporting any contact with law enforcement within the month
Personal Goals Includes a section for individuals to write down their top goals and the action steps taken or planned towards achieving them

Instructions on How to Fill Out Florida Supervision Report

Filling out the Florida Supervision Report form requires careful attention to detail and honesty. This document, pivotal for those under supervision, helps the Florida Department of Corrections monitor compliance and progress throughout the duration of supervision. Whether it's your first time completing the form or a regular monthly update, the steps below will guide you through the process, ensuring every section is accurately addressed.

  1. Start with the month of at the top of the form. Enter the current month and year you are reporting for.
  2. Fill in your name, DC number, and the name and location of your supervising officer in the designated spots.
  3. Under Residence, input your complete street address, including the city, zip code, building number, apartment number, and lot number if applicable. Also, provide the code to access the security gate if you live in a gated community.
  4. List the full names, ages, and relationships of others living at your residence. Note if anyone is under supervision.
  5. Provide your home phone number, cell phone number, and email address. If your mailing address differs from your residence, include that as well.
  6. Detail your vehicle's information: make, model, year, color, and tag number.
  7. Check the current status of your driver’s license (valid, revoked, suspended) and provide the relevant dates.
  8. Under Employment, fill out your employer's name, your supervisor's name and phone number, and your employment address. Include your job title, duties, salary/income earned for the past month, the range of dates employed, and your typical days/hours worked. If unemployed, attach a completed Job Search form or provide a list of job search activities.
  9. If applicable, provide information under the Student/School section, including the type of class/school attending, the name of the school/class, their phone number, full address, total semester/quarter hours enrolled, and the start/end dates of classes. Attach proof of enrollment or an ending report if available.
  10. Under Special Conditions of Supervision, list any progress made in the past month, including public service hours, monetary payments, and other relevant achievements. Attach any required documentation.
  11. For Payments, remember to use one of the approved methods described on the Department of Corrections website.
  12. If you had any contact with law enforcement in the reporting month, provide details in the designated space.
  13. Answer whether you have a problem or concern you wish to discuss with your probation officer and describe how you spent your free time.
  14. Define your top two personal goals, list action steps you took last month towards these goals, and plan at least two action steps for the coming month to achieve each goal.
  15. Finally, sign and date the form at the bottom. The officer receiving the report will also sign and date upon review.

Once you've completed both sides of the Florida Supervision Report form with the necessary details, it's critical to review your answers for accuracy before submitting it to your supervising officer. This document plays a crucial role in your supervision, serving as a monthly snapshot of your progress, challenges, and compliance with the terms set forth by the Department of Corrections.

Listed Questions and Answers

What is the purpose of the Florida Supervision Report form?

The Florida Supervision Report form is designed to provide the Florida Department of Corrections with a detailed monthly update on individuals under their supervision. This comprehensive report covers various aspects of the supervised person's life, including residence information, employment status, vehicle details, educational pursuits, payments related to supervision, and any law enforcement contact. Additionally, it includes sections for listing the progress made towards meeting special conditions of supervision ordered by the court, such as public service hours or treatment programs.

Who needs to complete the Florida Supervision Report form?

Individuals under the supervision of the Florida Department of Corrections are required to complete the Florida Supervision Report form monthly. This includes those on probation, parole, community control, or any other form of supervised release. It's a crucial part of ensuring that the supervising officer is kept informed about the individual's activities, location, and progress towards rehabilitation and compliance with their supervision terms.

What information do I need to provide in the employment section of the form?

In the employment section of the form, you are asked to provide comprehensive details about your current job status. This includes the name and address of your employer, your supervisor's name and contact number, your job title, and a brief description of your duties. Additionally, you should indicate your salary or income earned in the past month, the date you began and ended the job (if applicable), and your typical working days and hours. If you're not employed and are not retired, disabled, or a full-time student, you must attach a completed Job Search form or provide a list of job search activities for the month.

How do I report vehicle information on the form?

When reporting vehicle information on the form, you must include details about any vehicles you own or frequently use. This section requires the make, model, year, color, and tag number of the vehicle(s). Accurate and up-to-date vehicle information is vital for supervising officers, especially in cases where vehicle use is restricted or monitored as part of your supervision conditions.

What should I do if I had contact with law enforcement during the month?

If you had any contact with law enforcement during the month, you must provide a detailed explanation in the designated section of the form. This includes the reason for the contact, the date it occurred, and the outcome. Full disclosure is essential, as failing to report such contacts could result in a violation of your supervision terms. This information helps your supervising officer assess your compliance with the law and your progress towards rehabilitation.

Can payments related to supervision be made online?

Yes, payments related to your supervision can be made online. The form references the ability to make payments by U.S. Mail or credit card through services described on the Department of Corrections' Public Website. Specifically, under the "Probation" link, you'll find a section labeled "FAQs" - Frequently Asked Questions—Four Ways to Pay Court Ordered Payments. It's important to stay current with your payments as part of your supervision conditions.

Common mistakes

Filling out the Florida Supervision Report accurately is crucial for ensuring compliance with the terms of supervision. However, there are common mistakes that many individuals make when completing this form. Being aware of these errors can help individuals avoid potential complications with their supervision conditions.

  1. Not providing complete information for all sections of the form. Each section gathers crucial details about your residence, contact information, and compliance with supervision terms, making it imperative to fill out every part meticulously.

  2. Failing to list all residents living at the same address, along with their ages and relationship to the individual. This oversight can lead to inaccuracies about your living situation, a key detail for the supervising officer.

  3. Incorrectly reporting employment status or not attaching a Job Search form if unemployed. Accurate employment information helps demonstrate compliance with supervision conditions based around employment or job search efforts.

  4. Omitting vehicle information, including make, model, year, color, and tag number. This information is critical for identifying the individual's means of transportation and ensuring it aligns with their supervision terms.

  5. Skipping details related to the special conditions of supervision, such as public service hours or treatment attended. These details are essential for tracking progress and compliance with specific court-ordered conditions.

  6. Not properly reporting contact with law enforcement. Any interactions, regardless of their nature, should be disclosed to avoid discrepancies with supervision requirements and to maintain transparency.

  7. Forgetting to sign and date the report. A signature confirms that the information provided is accurate and complete to the best of the individual’s knowledge, making it a crucial final step in the completion process.

To avoid these mistakes, it is advisable to:

  • Review the entire form before starting, ensuring understanding of what is required.
  • Gather all necessary information beforehand, such as employment details, vehicle information, and any documentation related to special supervision conditions.
  • Take your time filling out the form, checking each section for completeness and accuracy.
  • If unsure about any part of the form, seek clarification from a supervising officer or legal advisor to ensure the information is filled out correctly.

Correctly completing the Florida Supervision Report is vital for maintaining compliance with supervision terms and contributing to a positive outcome of the supervision period.

Documents used along the form

When completing the Florida Supervision Report, individuals under supervision may need to complement this form with other documents that support or provide additional information required by the Florida Department of Corrections. Understanding these documents can help ensure compliance with the terms of supervision and facilitate communication between officers and those being supervised.

  • Job Search Form: For individuals who are not employed, a job search form is used to list efforts made towards finding employment, detailing places applied to, dates of application, and any responses received.
  • Support Group Attendance Forms: For those required to attend certain support groups as part of their supervision, these forms document attendance and participation, often signed by the group leader.
  • Driving Log: If an individual's supervision conditions include monitoring of travel, a driving log records dates, destinations, and mileage for all driving done by the individual.
  • Public Service Work Documentation: This documents completion of any court-ordered community service, including hours worked and nature of the work, usually signed by the supervising organization.
  • Court Order: The initial court order detailing the supervision requirements can be an essential document, outlining the specific terms and conditions that the individual must comply with.
  • Treatment Verification Forms: For those ordered to undergo any form of treatment, these forms provide evidence of attendance and progress in the prescribed treatment programs.
  • Proof of Enrollment or Completion Reports: For individuals ordered to complete educational courses, documents proving enrollment in and completion of these courses are necessary.
  • Income Verification: To verify employment status and salary or income earned, pay stubs or employer letters might be requested to show means of support.
  • Vehicle Information Sheet: For those with conditions related to vehicle use, a comprehensive form detailing make, model, color, and tag number of all vehicles owned or driven.

These documents play a crucial role in demonstrating an individual's compliance with the terms of their supervision. They provide probation officers with the necessary information to assess progress, address compliance issues, and support rehabilitation and reintegration efforts. Accurate and timely submission of these forms and reports can significantly impact the effectiveness of supervision and ultimately, an individual's success in meeting their goals.

Similar forms

The Florida Supervision Report form is similar to probation reporting forms used in other states. These forms generally require individuals under supervision to provide comprehensive personal information, including their residence, employment status, vehicle information, and any contact they may have had with law enforcement. They also ask for updates on compliance with specific conditions of supervision, such as public service hours, monetary payments, and attendance at treatment programs. The objective is to monitor the individual’s progress and ensure compliance with the terms of their probation or parole.

Additionally, the form bears resemblance to employment verification forms. Like employment verification forms, the Supervision Report requests detailed information on the individual's employer, job title, and duties, as well as salary or income earned. This similarity stems from the form’s function to verify the employment status of the person under supervision, which is often a condition of their probation or parole. The inclusion of employment information helps probation officers confirm that supervised individuals are gainfully employed or actively seeking employment, as required.

Dos and Don'ts

When filling out the Florida Supervision Report form, it is crucial to approach the process with accuracy and thoroughness to ensure compliance with the Department of Corrections' requirements. Here are some dos and don’ts to guide you through this important task:

Dos:

  1. Ensure all personal information is current and accurate, including your name, Department of Corrections number (DC#), and contact details. Accuracy in these details is crucial for identification and communication purposes.

  2. Include the full names, ages, and relationships of others living at your residence as requested. If anyone is under supervision, this must be noted to comply with the Department's requirements for safety and monitoring.

  3. Verify the status of your driver’s license (valid, revoked, suspended) and provide accurate dates as applicable. This information aids in assessing your compliance with legal requirements.

  4. Accurately report employment details, including your employer name, job title, and salary/income earned. If unemployed, attach the completed Job Search form or list as instructed.

  5. For those under special supervision conditions, diligently list the progress made in the past month, including public service hours, monetary payments, or treatments attended. Attaching supporting documentation as required is essential for verifying compliance.

Don'ts:

  1. Do not leave any required fields blank. If a section does not apply to you, such as the student/school section, indicate this with "N/A" to show that the question has been acknowledged and answered to the best of your ability.

  2. Avoid providing false or misleading information. All data submitted on the form must be truthful and verifiable to maintain integrity and comply with legal obligations.

  3. Do not forget to list any contact with law enforcement during the reporting period. Failure to report such interactions can result in non-compliance with your supervision terms.

  4. Refrain from using informal language or slang. Keep the content professional and clear, ensuring that your probation officer and others reviewing the form can easily understand the information provided.

  5. Do not neglect to sign and date the form upon completion. Your signature is mandatory for the form’s validity and confirms your acknowledgment and understanding of the information presented.

Misconceptions

There exist several misconceptions regarding the Florida Department of Corrections Supervision Report form that individuals under supervision might have. Clarifying these misunderstandings is crucial for ensuring accurate and timely compliance with the conditions of supervision. Below are four common misconceptions and the truths behind them.

  • Only permanent residents need to be listed. Contrary to this belief, the form requires the individuals to list all persons currently living at the residence, regardless of the permanency of their stay. This includes temporary guests or anyone who resides at the location for a significant period during the reporting month.
  • Mentioning vehicle details is optional. Many believe that providing information about owned or frequently used vehicles is not mandatory. However, the form explicitly asks for details regarding any vehicle accessible to the individual, including make, model, year, color, and tag number. This information assists in ownership verification and compliance with mobility-related conditions of supervision.
  • Only formal employment needs to be reported. Another common misconception is that only traditional, salary-based employment needs to be disclosed. The form actually requires information on any form of employment, including self-employment, freelance work, or any activity that generates income, alongside details of any unemployed status.
  • Completing the supervision report is solely for record-keeping purposes. While it's true that the supervision report aids in maintaining updated records, its purpose extends beyond mere documentation. It serves as a tool for the supervising officer to monitor the individual's compliance with specific conditions of supervision, evaluate progress, and identify areas where additional support or intervention may be necessary.

Understanding the importance of accurately and comprehensively filling out the Florida Supervision Report form is essential for individuals under supervision. Misconceptions can lead to inadvertent non-compliance, affecting one's standing and progress within the supervisory system. Therefore, individuals are encouraged to seek clarification on any part of the form from their supervising officer to ensure they meet all requirements effectively.

Key takeaways

Filling out the Florida Supervision Report form accurately and thoroughly is crucial for individuals under supervision to remain in compliance with the Florida Department of Corrections. Here are five key takeaways to ensure the process is completed correctly:

  • Ensure all personal information is current and accurate, including full name, Department of Corrections number (DC#), and the name and location of the supervising officer. This foundational information facilitates proper tracking and accountability throughout the period of supervision.
  • The report requires detailed information about the individual’s residence, including street address, city, zip code, apartment or lot number, and even the security gate code if applicable. It’s important to list the full names, ages, and relationships of all other residents in the household to comply with any stipulations regarding living arrangements.
  • Employment details must be provided meticulously, including the employer’s name, supervisor’s name, job title, salary or income earned in the past month, and typical days and hours worked. In cases of unemployment, attachment of a completed Job Search form or a similar record for the month is mandatory unless the individual is retired, disabled, or a full-time student.
  • For those attending school, specifying the type of education (e.g., High School, College, Vocational Training), along with the institution's name, phone number, address, total semester or quarter hours enrolled, and proof of enrollment or completion is required. This information is essential for assessing the individual’s compliance with any educational directives as part of their supervision.
  • Lastly, the form inquires about any contact with law enforcement during the reporting period, personal goals including steps taken towards achieving them, and requests detailed updates on any special conditions of supervision such as public service hours, monetary payments, and treatment attendance. These sections are critical for supervising officers to evaluate progress and ensure that the individuals under their supervision are working toward rehabilitation and compliance with their supervision conditions.

Understanding and adhering to the requirements of the Florida Supervision Report form not only helps individuals avoid potential legal repercussions but also supports their journey towards successful completion of their supervision period.

Please rate Fill Out a Valid Florida Supervision Report Template Form
4.72
Excellent
182 Votes