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The Florida Supervision Report Form is an essential tool used by the Florida Department of Corrections to monitor individuals under supervision. This form serves multiple purposes, helping both the personnel responsible for oversight and the individuals themselves. It gathers crucial information about the person’s current living situation, including their residence, contact details, and household members, which can be vital for assessments of social stability. Employment status is also a central focus; detailed sections allow individuals to report their job details, income, and any commitments to seeking employment in case of unemployment. Additionally, it highlights educational endeavors, noting classes attended and progress made. Special conditions of supervision require individuals to document their achievements and commitments, including public service hours and attendance at treatment programs. Furthermore, it encompasses crucial aspects such as payments made towards court-ordered obligations and any interactions with law enforcement during the reporting period. By encouraging participants to outline their personal goals and the actionable steps they are undertaking, this structured approach promotes personal accountability and growth throughout the supervision process.

Florida Supervision Report 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.
Get Florida Supervision Report PDF Form

Form Characteristics

Fact Name Details
Purpose The form is used to report the progress and status of individuals under supervision in Florida.
Effective Date The current version of the form became effective on February 14, 2014.
Governing Law This form is incorporated by reference in Rule 33-302.110 of the Florida Administrative Code.
Required Information Individuals must provide personal details, employment status, and progress on special conditions.
Contact with Law Enforcement Users must report any interactions with law enforcement that occurred in the past month.
Payment Methods Payments may be made via U.S. Mail or through credit card services outlined on the Department of Corrections website.
Signature Requirement The form requires signatures from both the individual and the supervising officer.
Attachments Supporting documents, such as proof of enrollment or support group attendance, must be attached as necessary.
Review Process Officers reviewing the form need to provide comments after assessing the submitted information.

Guidelines on Utilizing Florida Supervision Report

Completing the Florida Supervision Report form is an important step in maintaining compliance with your supervision requirements. This report needs to be submitted monthly and provides insight into your recent activities, employment status, and any interactions with law enforcement. Below is a step-by-step guide to assist you in filling out the form accurately.

  1. Write the month for which you are submitting the report at the top of the form.
  2. Fill in your full name and Department of Corrections (DC) number.
  3. Enter the name and location of your supervising officer.
  4. Provide your current residence information, including street address, city, zip code, building details, and any access code for security gates.
  5. List the full names, ages, and relationships of all individuals currently residing with you. Note if anyone else is under supervision.
  6. Fill in your home phone number, cellular phone number, and email address.
  7. If applicable, provide a mailing address that differs from your residence.
  8. Provide vehicle information, including make, model, year, color, and tag number.
  9. Check the current status of your driver's license, indicating if it is valid, revoked, or suspended, along with respective dates.
  10. State your employment details. This includes writing the employer's name, supervisor's name, their phone number, and the employment address.
  11. Include your job title and briefly describe your job duties.
  12. Report your salary or income earned for the past month and include the dates you began and ended that employment. Specify your typical days and hours worked.
  13. If unemployed, attach a completed Job Search form or provide a list of job searches conducted in the month.
  14. Indicate your educational status if applicable. Include the type of school or class you are attending, class name, phone number, and address.
  15. Fill in your total semester or quarter hours enrolled, along with the start and end dates of the class or semester.
  16. In the special conditions section, summarize your progress on any specified conditions, such as public service hours or monetary payments.
  17. Document any treatment attended in the past month and attach the required support group attendance forms or other documentation as needed.
  18. Detail any contact you had with law enforcement, providing as much information as possible.
  19. Indicate if you have any issues or concerns to discuss with your probation officer.
  20. Summarize how you spent your free time last month.
  21. Set personal goals by writing your top two goals. For each goal, note two action steps you took last month and two you plan to take this month.
  22. Sign and date the form. The supervising officer will also sign and date upon reviewing your report.

After completing each section, ensure that all required documentation is attached. Submitting the form on time is essential to fulfilling your supervision requirements and making progress toward your goals.

What You Should Know About This Form

What is the Florida Supervision Report form used for?

The Florida Supervision Report form is designed for individuals under supervision, such as probation, to provide important information about their monthly activities and compliance with supervision conditions. This form collects data about residence, employment, education, special conditions of supervision, and any interactions with law enforcement.

Who is required to complete the Supervision Report?

Individuals currently under the supervision of the Florida Department of Corrections must fill out the Supervision Report on a monthly basis. This requirement ensures that progress can be monitored and any community or individual concerns can be addressed appropriately.

What type of information do I need to provide on the form?

The form requires various personal details, including your name, DC number, residential address, employment information, and any educational details. Additionally, you'll need to document your progress on special conditions of supervision, such as community service hours and treatment attendance, as well as contact with law enforcement during the past month.

How do I submit the Supervision Report form?

The completed Supervision Report can be submitted to your assigned probation officer in person or through the mail, depending on your officer's preferences and guidance. Ensure that all required sections are filled out completely to avoid delays or complications in your supervision process.

What happens if I fail to submit the Supervision Report on time?

Failing to submit the Supervision Report by the due date can lead to negative consequences, including warnings or potential violations of your probation terms. Consistent and timely reporting is crucial for maintaining good standing under supervision. If challenges arise in meeting the deadline, it's advisable to communicate with your probation officer as soon as possible.

Are there consequences for not meeting supervision conditions stated in the report?

Yes, not fulfilling the supervision conditions outlined in your Supervision Report can result in serious repercussions, including adjustments to your supervision level, additional requirements, or even potential incarceration. It is essential to take these conditions seriously and work diligently towards meeting them, including attending required treatments and completing community service hours.

Common mistakes

Completing the Florida Supervision Report accurately is crucial for maintaining compliance. Unfortunately, many individuals make common mistakes that can complicate the process. One frequent error is failing to fully complete all sections of the form. It's essential to fill in every required field. Leaving any section blank can lead to misunderstandings or delays in processing.

Another common pitfall is incorrect or outdated information. When noting your personal details, like address or contact numbers, ensure they are current. Providing old or inaccurate information can hinder communication and might result in consequences during supervision.

People often overlook the importance of including others residing at their home. The section where you list full names, ages, and relationships is crucial. Missing this can result in unclear family dynamics that might affect your supervision status.

Providing vague descriptions of employment and job duties is a mistake that many make. Instead of generic titles, elaborate on your responsibilities and the nature of your employment. This shows your commitment and helps your officer assess your situation more accurately.

Many individuals forget to attach necessary documentation, such as proof of enrollment for students or supporting documents for treatment attendance. Failing to provide these can lead to additional scrutiny and might slow down the review process.

A major error is neglecting to report contact with law enforcement. If any interactions took place, documenting them in the designated section is crucial. Omitting this can be interpreted as hiding information, leading to serious repercussions.

Setting personal goals and outlining action steps is essential, yet many people either skip this section or provide vague responses. Take time to seriously reflect on your goals. Clearly detailing your action steps not only demonstrates accountability but also shows your commitment to personal growth.

Lastly, rushing to submit the form without a final review can lead to preventable mistakes. Taking a moment to double-check all entries, signatures, and required attachments can prevent issues down the line. Simple oversight can affect your overall compliance, so it's worth the time.

Documents used along the form

In the context of the Florida Supervision Report form, several additional forms and documents may be required for various aspects of supervision. Each of these documents serves a specific purpose and contributes to the overall accountability and support system for individuals under supervision.

  • Job Search Form: This document must be completed by individuals who are unemployed, unless they are retired, disabled, or a full-time student. It captures efforts made to secure employment during the reporting period.
  • Support Group Attendance Form: This form verifies participation in support group meetings, which may be mandated as part of the supervision requirements to aid in recovery or rehabilitation.
  • Public Service Work Documentation: Individuals may be required to submit proof of public service hours completed. This document should detail the hours worked and the nature of the service performed.
  • Treatment Attendance Form: If treatment is mandated, this form confirms attendance at therapy or counseling sessions within the reporting month. It provides a record of engagement in rehabilitative services.
  • Driving Log: For individuals required to maintain a valid driver's license, a driving log tracks trips taken as part of their supervision requirements. This log helps ensure compliance with any travel restrictions.
  • Law Enforcement Contact Report: This document must be submitted if the individual had any contact with law enforcement during the supervision period. It provides details of the encounter.
  • Employer Verification Form: When employed, an employer verification form confirms the individual's job status, including position, salary, and employment duration.
  • Course Enrollment Confirmation: For individuals enrolled in educational programs, this confirms their enrollment status. It may require detailing the course or classes attended.
  • Payment Receipts: Individuals must provide documentation of any monetary payments made as part of their supervision, ensuring transparency and compliance with court orders.

Each of these forms and documents supports individuals in staying accountable while providing necessary oversight during their supervision. Proper completion and submission can help foster success and a positive progress toward rehabilitation.

Similar forms

  • Probation Reporting Form: Similar to the Florida Supervision Report, this form is used by individuals on probation to report their activities and compliance with the terms of their probation. It generally includes a section for personal information, employment status, and any interactions with law enforcement.
  • Parole Supervision Report: Like the Florida Supervision Report, this document is crafted for individuals on parole. It collects data on the parolee’s living situation, job status, and any conditions they must meet while under supervision.
  • Monthly Compliance Report: This report is designed for offenders to document their ongoing compliance with court-ordered conditions. It typically asks for updates on employment, education, and community service, similar to sections in the Supervision Report.
  • Reentry Progress Report: This type of document tracks the progress of individuals reintegrating into society following incarceration. It reflects similar information regarding employment, housing, and compliance with rehabilitation programs.
  • Community Service Log: This log is used to record hours worked in community service, mirroring the section on public service hours in the Florida Supervision Report. It often requires details about the service location and tasks completed.
  • Treatment Attendance Form: This form captures attendance in treatment programs and is pertinent for reporting on a person's progress in rehabilitation, akin to the treatment section of the Supervision Report.
  • Legal Financial Obligations Report: Similar to the payment section, this report details the status of court-ordered payments and fees, providing updates on balances owed and payment history.

Dos and Don'ts

When filling out the Florida Supervision Report form, attention to detail is crucial. Here are some important do's and don'ts:

  • Do read the entire form before starting. Understand what information is required.
  • Do provide complete and accurate details, especially for identification and contact information.
  • Do list all individuals living at your residence, noting if anyone is also under supervision.
  • Do keep a copy of the filled form for your records after submission.
  • Don't leave any sections blank unless instructed. Fill out every applicable part of the form.
  • Don't use abbreviations or shorthand. Write clearly to avoid confusion.

Misconceptions

1. The form is only for individuals on probation. Many people believe that the Florida Supervision Report form is exclusively for those on probation. In fact, it can be used by individuals released on other types of supervision, such as parole.

2. I don't need to fill it out if I haven't had any issues. It's a common misconception that the form isn't necessary unless problems arise. However, submitting the report is a requirement regardless of your current status.

3. The report is optional for all supervisors. This form is not optional for the supervising officer. They are mandated to collect this information to ensure compliance with supervision conditions.

4. Personal information isn't important on the form. While some may think personal details, like contact information, are irrelevant, they are crucial. This information is essential for maintaining proper communication and oversight.

5. Payments and job status are not required to report. Some believe that reporting financial status and employment is unnecessary. However, both are critical updates that must be included every month to assess compliance with supervision conditions.

6. Only recent changes need to be reported. People often think they should only report new information or changes. In reality, a comprehensive report on all applicable areas, including job status and personal situation, is required.

7. There is no need to include family members living at home. Many mistakenly think that only their information matters. However, disclosing details about family members living in the same residence is important, particularly if any are under supervision themselves.

8. It's okay to skip sections I’m unsure about. There’s a belief that sections of the form can simply be left blank if the person is unsure how to fill them out. However, it is best practice to seek clarification from a supervising officer before omitting any information.

Key takeaways

Filling out the Florida Supervision Report form requires careful attention to detail to ensure accurate information is provided.

  • Always provide your full personal information, including the correct DC number and contact details, to avoid any processing delays.
  • List the names and relationships of individuals living with you, noting if anyone is under supervision.
  • Be transparent about your employment status. If you are unemployed, attach a completed Job Search form.
  • Clearly state your progress on special conditions of supervision, including service hours or monetary payments completed.
  • Attach any required documentation such as proof of treatment attendance or support group participation.
  • If you had contact with law enforcement, provide specific details. This helps in maintaining an accurate record.
  • Set personal goals in the report. Identify action steps taken and those you will take to indicate your commitment to change.
  • Make sure your report is signed and dated, and have it reviewed by the appropriate officer to confirm completion.

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