Inmate request form 2025

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4.8 out of 5

196 votes

The document is a form used by inmates in the Florida Department of Corrections to submit requests or informal grievances regarding various issues such as medical, mental health, dental, or job assignments. It outlines the process for submitting requests, the types of responses inmates can expect, and the procedure for escalating grievances if denied. The form emphasizes timely responses within 15 days and provides instructions for further administrative review.

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Click ‘Get Form’ to open the inmate request form in the editor.
Begin by filling in your name and DC number at the top of the form. This information is essential for identification purposes.
Select the appropriate recipient by checking either 'Warden' or 'Asst. Warden' based on your request.
In the 'REQUEST' section, clearly state your request or issue. Be specific about what you need assistance with, whether it’s related to medical, mental health, or other concerns.
If applicable, check the box indicating that this is an informal grievance. This will help staff process your request appropriately.
Sign and date the form at the bottom to validate your request before submission.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (196 Votes)
2012	4 Satisfied (25 Votes)

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