Homepage Official Florida Supervision Report Template
Overview

Navigating through the complexities of probation in Florida can be a daunting task without a thorough understanding of the required documentation. Among these essential documents is the Florida Supervision Report form, a comprehensive tool designed by the Florida Department of Corrections to track and monitor the activities and progress of individuals under supervision. This form serves multiple purposes, such as recording residential information, including details about cohabitants, ensuring communication devices and vehicles are declared, and checking the probationer’s employment status including job duties and income. Moreover, it delves into educational pursuits, any special conditions of supervision like public service hours, monetary payments, treatment attendance, and any interaction with law enforcement. Individuals are also encouraged to reflect on their personal goals, detailing steps taken towards achieving them and planning future actions. This form does not only facilitate communication between the probationer and their supervising officer but also ensures that individuals on probation are adhering to their imposed conditions, thus playing a crucial role in both accountability and rehabilitation efforts. Understanding the nuances of this form can greatly assist those under supervision in navigating their responsibilities and maintaining compliance with the terms of their supervision.

Example - Florida Supervision Report Form

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.

File Specifications

Fact Detail
Form Name FLORIDA DEPARTMENT OF CORRECTIONS SUPERVISION REPORT
Form Usage Period Monthly
Required Identifiers Inmate Name and DC Number
Officer Information Includes Officer Name and Location
Residence Details Addresses, building, apt, lot numbers, and security gate code
Household Member Information Full names, ages, and relationship of those living at the residence including their supervision status
Vehicle Information Make, model, year, color, tag#, and driver's license status
Employment and Income Employer name, supervisor, job title, duties, salary/income, and work schedule
Education Details Type of education and institution details
Special Conditions of Supervision List progress on conditions ordered including public service hours and monetary payments
Governing Law Incorporated by Reference in Rule 33-302.110, F.A.C.

Instructions on Filling in Florida Supervision Report

After completing the Florida Supervision Report form, the next steps involve ensuring all provided information is accurate and comprehensive. This document plays a critical role in the supervision process, serving as a monthly update to the Department of Corrections. It is an encompassing form that addresses residence, employment, educational pursuits, and compliance with any special conditions of supervision. Below is a detailed guide to navigate through the form thoroughly and efficiently.

  1. Start by filling in the month of the report in the provided space at the top of the form.
  2. Enter your full name and Department of Corrections number (DC#) in the designated fields.
  3. Provide the name and location of your supervising officer as requested.
  4. For your residence information, list your complete street address including city, zip code, building number, apartment number, lot number, and any necessary security gate access code.
  5. Under the section concerning residence, detail the full names, ages, and relationship of others living with you. Specify if anyone is under supervision.
  6. Next, fill in your home phone number, cellular phone number, and email address. If your mailing address differs from your residence, include that as well.
  7. Vehicle information should include make, model, year, color, and tag number. Immediately after, you are to check the current status of your driver’s license and provide relevant dates for any revocation or suspension.
  8. In the employment section, list your employer's name, supervisor's name, and phone number, along with your employment address. Describe your job title and duties, then state your salary/income earned for the past month including the date you began and ended the job if applicable, along with typical days and hours worked. If unemployed, attach a completed Job Search form.
  9. If you are a student, mark the appropriate box related to the type of class or school attending, and provide the name, address, and phone number of the institution. Indicate total semester/quarter hours enrolled and the beginning and ending dates of the class or semester, attaching proof of enrollment or ending report.
  10. On the reverse side of the form, list any progress made on special conditions of supervision such as public service hours, monetary payments, or other obligations. Attach any necessary documentation like support group attendance forms or public service documentation as required.
  11. Provide details of any contact with law enforcement during the past month, answering clearly if you have any problem or concern you would like to discuss with your probation officer.
  12. Reflect on how you spent your free time last month, and clearly articulate your personal goals. For each of the top two goals, list two action steps you took in the past month and two action steps planned for the current month to achieve these goals.
  13. Finally, sign and date the report in the space provided at the bottom, and ensure your supervising officer also signs and dates upon receiving the report.

Once the form is correctly filled out and signed, submit it as directed by your supervising officer. Timely and accurate completion of each section helps facilitate effective communication and supports your supervision goals.

Understanding Florida Supervision Report

What is the Florida Supervision Report form?

The Florida Supervision Report form is a document required by the Florida Department of Corrections. It must be completed monthly by individuals under supervision, such as probation, to update their probation officer on various aspects of their living situation, employment status, education, compliance with supervision conditions, contact with law enforcement, and personal goals.

Who needs to fill out this form?

Individuals under the supervision of the Florida Department of Corrections, such as those on probation or parole, are required to fill out this form. It's a way to report their monthly activities and progress directly to their assigned probation officer.

What information must be provided in the form?

The form requires detailed information including the individual's name, Department of Corrections number, officer name and location, residence details, information about other residents, contact information, vehicle information, employment details, education status if applicable, progress on special conditions ordered by the court like public service hours or monetary payments, treatment attended, payments for supervision, any contact with law enforcement, and personal goals including steps taken and planned towards achieving them.

How often must the form be submitted?

It must be submitted monthly. The specific time each month it needs to be submitted can vary, so it's important for the individual under supervision to verify this detail with their supervising officer.

What happens if someone fails to submit the form?

If an individual fails to submit the Florida Supervision Report form as required, they may face consequences such as a probation violation. Failure to report as directed can lead to additional penalties, including potential fines, incarceration, or an extension of the supervision period.

Can payments be reported on this form?

Yes, any payments made towards court-ordered payments can be reported on this form. There are instructions on how payments can be made, either by U.S. Mail or credit card, through services described on the Department of Corrections' website.

Is there a section for discussing problems or concerns with a probation officer?

Yes, there is a section where individuals can indicate whether they have a problem or concern they wish to discuss with their probation officer. This allows for communication about any issues or concerns the individual may have regarding their supervision or other aspects of their life.

What is required if I am unemployed?

If you are unemployed and not retired, disabled, or a full-time student, you must attach a completed Job Search form or list your job search efforts for the month. This demonstrates compliance with efforts to find employment, a common condition of supervision.

What should be done about new contact with law enforcement?

If you have had any new contact with law enforcement during the month, details of these encounters must be explained in the designated section of the form. This helps your supervising officer assess any potential issues or compliance matters.

How can I set and report personal goals on this form?

You are encouraged to write down two personal goals you are working to achieve and list actions you took in the past month, as well as actions you plan to take in the coming month to achieve these goals. This section is meant to help you focus on positive personal development and accountability.

Common mistakes

When completing the Florida Supervision Report form, it's essential to pay close attention to detail and follow instructions carefully to ensure accuracy and compliance with the Department of Corrections' requirements. Avoiding common mistakes can help individuals under supervision maintain their status and avoid potential complications. Below are nine mistakes frequently made on this form:

  1. Leaving the date blank: The month and year at the top of the form must be filled out to indicate the reporting period. Failing to specify this can lead to processing delays or confusion about the timeframe covered by the report.

  2. Inaccurate or incomplete personal information: All personal details, including name, Department of Corrections number (DC#), and the supervising officer's name and location, must be accurately filled in. Mistakes here can lead to misidentification or misfiling of the report.

  3. Omitting details about residents: It's essential to list the full names, ages, and relationships of anyone living at the same residence, including noting if they are under supervision. Skipping or partially filling out this section can cause oversight in understanding the living situation.

  4. Not specifying contact information completely: Home phone number, cellular phone number, email address, and a distinct mailing address if different from the residence must be provided. Incomplete contact information restricts communication channels with the supervising officer.

  5. Vehicle information errors: The details of any vehicle used, including make, model, year, color, and tag number, along with the current status of the driver's license, must be accurately filled out. Mistakes or omissions could lead to complications, especially if the vehicle is used during the commission of a crime or if driving restrictions are part of the supervision conditions.

  6. Employment details inaccuracies: For those employed, it's crucial to provide comprehensive employment details, including employer name, supervisor name, employment address, job title, duties, salary/income, date of employment, and typical working days/hours. Similarly, if unemployed, attaching a completed Job Search form or listing for the month is required. Neglecting these sections can lead to issues with verifying compliance with employment-related supervision conditions.

  7. School information omissions: If applicable, information concerning schooling, including the type of school/classes, names, phone numbers, addresses, total semester/quarter hours enrolled, and dates of semesters or classes must be accurately provided. Additionally, attaching proof of enrollment or a class ending report is mandatory when requested. This documentation is vital for individuals whose supervision conditions include educational requirements.

  8. Special conditions progress vagueness: Individuals must list progress made during the past month on special conditions of supervision, including public service hours, monetary payments, and treatment attended. Leaving out specifics or failing to attach required documentation, such as support group attendance forms or public service work documentation, can result in non-compliance issues.

  9. Signature omissions: The report must be signed and dated by the individual under supervision. Overlooking this critical step renders the report incomplete and not officially submitted, potentially leading to allegations of non-compliance.

By carefully addressing each of these potential pitfalls while completing the Florida Supervision Report form, individuals can ensure that their supervising officer receives accurate and fully compliant information, thereby maintaining their status and avoiding unnecessary complications.

Documents used along the form

When navigating the waters of legal supervision in the state of Florida, the Florida Department of Corrections Supervision Report is a key document, but it's just one piece of a larger puzzle. In the process, individuals under supervision are often required to fill out or provide additional forms and documents to comply fully with their supervision conditions. This process ensures that all necessary information is captured comprehensively, aiding in the efficient monitoring and support of the supervised individual.

  • Employment Verification Form: This document is used to verify an individual's employment status, salary, and employment details. It requires the employer's confirmation, which serves as proof of employment—a condition often stipulated for those under supervision.
  • Job Search Log: For individuals who are unemployed, this log is a crucial document. It records the details of job applications submitted, including the date, name of the company, the position applied for, and the outcome. The log is a mandatory submission for individuals required to look for employment as a condition of their supervision.
  • Education Enrollment Verification: This form is used by those enrolled in educational programs as part of their rehabilitation or as a condition of their supervision. It confirms enrollment details like the institution's name, program enrolled in, and expected completion date.
  • Treatment Attendance Form: For individuals required to undergo specific treatments or counseling sessions, this document serves as an attendance log, verifying participation and progress in the program. It's vital for those whose supervision includes mandatory treatment or rehabilitation sessions.
  • Monthly Financial Statement: Supervised individuals may need to document their monthly income and expenses, proving financial stability or compliance with financial obligations such as restitution payments. This detailed statement includes sources of income, monthly expenses, and any financial obligations met within the report period.

These documents, each serving a unique purpose, work in tandem with the Florida Supervision Report to provide a comprehensive overview of an individual's life and progress under supervision. They not only assist in monitoring compliance with the conditions of supervision but also support the individual's journey towards rehabilitation and reintegration into society. By understanding and properly utilizing these forms, both those under supervision and their supervising officers can ensure a smoother, more transparent process that benefits all parties involved.

Similar forms

  • Rental Application Forms: Like the Florida Supervision Report form, rental applications typically require detailed personal information, including residence history and the details of other occupants. Both documents are thorough in collecting data pertinent to an individual’s background and current living situation.

  • Employment Application Forms: These forms also collect personal information including employment history, similar to how the Supervision Report gathers details about the individual's current employment status, job title, and duties. Both prioritize gathering a comprehensive understanding of a person’s professional background.

  • Loan Application Documents: Loan applications require detailed financial information from the applicant, akin to the Supervision Report’s section on salary/income earned. Each document uses this financial data to assess the individual's financial stability and responsibility.

  • Parolee Check-In Forms: Similar to the Supervision Report, these forms are used in the criminal justice system to monitor individuals under parole. Both require regular updates on personal details, employment, and compliance with specific conditions.

  • College Enrollment Forms: These documents, like the Supervision Report, ask for a detailed accounting of current educational endeavors. Each wants to know the institution, type of classes, and the schedule to better understand the individual's daily life and commitments.

  • Driver's License Renewal Forms: Both this and the Supervision Report require current status checks on the driver’s license. They collect data to ensure legal compliance in the individual's driving privileges.

  • Public Assistance Applications: These applications share similarities with the Supervision Report in collecting detailed personal, residential, and financial information to determine eligibility for assistance programs.

  • Community Service Documentation Forms: Like the section on public service hours in the Supervision Report, these forms track and verify hours of community service performed, often required by courts or as part of school projects.

  • Treatment Verification Forms: These forms, similar to parts of the Supervision Report, are used to track attendance and progress in various treatment programs, essential for individuals under supervision who are required to undergo specific types of therapy or rehabilitation.

Dos and Don'ts

Filling out the Florida Supervision Report form requires attention to detail and thoroughness. Here is a list of things you should do and shouldn't do to ensure the process goes smoothly:

Things You Should Do:

  • Double-check all information for accuracy: Before submitting, make sure every piece of information on the form is correct. This includes spelling, dates, and numbers.
  • Be honest and transparent: Provide truthful information about your residence, employment status, contact with law enforcement, and any other required details.
  • Include all required attachments: If the form mentions attaching additional documents like proof of enrollment, job search forms, or treatment attendance, ensure these are attached and complete.
  • Sign and date the form: Your signature certifies that the information provided is accurate to the best of your knowledge. Don't forget to date your signature as well.
  • Keep a copy for your records: After the form is filled out and submitted, keep a copy for yourself. It might be helpful for future reference or in case of any discrepancies.
  • Consult with your probation officer if in doubt: If you have any questions or concerns while filling out the form, reaching out to your probation officer can provide clarity and prevent mistakes.

Things You Shouldn't Do:

  • Do not leave sections blank: Fill in every required field. If a section does not apply to you, write "N/A" (Not Applicable) instead of leaving it empty.
  • Avoid using informal language or slang: Keep the information provided professional. Use full names, dates, and avoid any unnecessary jargon or slang.
  • Do not guess information: Ensure that all details are accurate. If you're unsure about something, verify it before including it in the form.
  • Do not ignore deadlines: Be mindful of any deadlines for submitting this report. Late submissions can lead to unnecessary complications with your supervision.
  • Avoid making corrections or using white-out: If you make a mistake, it's best to start with a new form to keep the document neat and legible. Corrections can cause confusion.
  • Do not withhold information: Failing to report something that is asked for on the form, such as contact with law enforcement or changes in employment, can lead to problems with your supervision status.

Misconceptions

When discussing the Florida Supervision Report form, there are several misconceptions that can lead to confusion. Let's address some of these misunderstandings to provide a clearer picture of its purpose and requirements.

  • Misconception 1: The form is optional for those under supervision.
  • This misunderstanding could have serious consequences. In reality, the Florida Supervision Report form is a mandatory document for individuals under supervision. It needs to be filled out monthly, ensuring that all the information is up to date and accurately reflects the person’s current situation.

  • Misconception 2: Personal information doesn't need to be updated unless you move.
  • It's important to correct this misconception. The form requires current information on residence, employment, and other living conditions. Any change in personal information, not just a change of address, needs to be reported to keep the supervising officer informed.

  • Misconception 3: Employment details are only necessary if you have a job.
  • Even if unemployed, the individual under supervision must provide details regarding their efforts to find employment, such as a completed Job Search form. This ensures that the supervising officer is aware of the person's efforts to secure employment.

  • Misconception 4: The form is only about reporting past month’s activities.
  • While the form does focus on the past month's activities, such as employment status and residence information, it also requires individuals to list their personal goals and the steps they are taking to achieve them. This helps the supervising officer support the individual’s rehabilitation and progress.

  • Misconception 5: You only need to report contact with law enforcement if you were arrested.
  • Actually, any contact with law enforcement must be reported, regardless of whether it led to an arrest. This transparency helps maintain trust between the individual under supervision and the supervising officer.

  • Misconception 6: The Supervision Report form is the same in every state.
  • Each state has its own form and requirements for supervision reporting. The Florida Supervision Report form is specific to the Florida Department of Corrections and follows the guidelines set forth by this department.

  • Misconception 7: Information about other residents in your home is irrelevant.
  • Contrary to this belief, the form requires information regarding others living in the same residence, including their names, ages, and relationship to you. This is crucial for ensuring a comprehensive understanding of the individual’s living environment.

  • Misconception 8: You need to complete and submit the form in person.
  • While in-person submission may be required in some cases, there are typically multiple ways to submit the form, including mail or electronic submission. It’s essential to follow the specific instructions given by the supervising officer.

  • Misconception 9: Vehicle information is only necessary if it's under your name.
  • The form requires information on any vehicle regularly operated by the individual, regardless of the ownership. This includes make, model, color, and tag number.

  • Misconception 10: The form is just a formality and isn’t used for any real purpose.
  • Each piece of information collected in the form is used to monitor the individual’s compliance with supervision conditions, assess their progress, and provide necessary support. It's an integral part of the supervision process to ensure public safety and support the individual’s successful reintegration into society.

Understanding these aspects of the Florida Supervision Report form ensures that individuals under supervision can accurately complete their obligations and work effectively with their supervising officers.

Key takeaways

Filling out the Florida Supervision Report form accurately is crucial for individuals under supervision to comply with the Florida Department of Corrections' requirements. Here are six key takeaways to understand when completing and using the form:

  • Personal Information: The form requires detailed personal information, including your full name, Department of Corrections number, residence, phone numbers, and email address. Ensure all the provided information is current and accurate.
  • Residence Details: It's necessary to list the full names, ages, and relationship of others living at the same residence. Indicating whether any cohabitants are also under supervision is a mandatory component of this section.
  • Employment and Education: For those employed, the form asks for comprehensive job details, including employer name, address, job title, duties, and salary/income earned. Unemployed individuals must attach a completed Job Search form. Additionally, those attending school need to provide information about the institution, types of classes, and enrollment details.
  • Legal Driving Status: The form requires you to check the current status of your driver’s license, specifying whether it's valid, suspended, or revoked, with respective dates as applicable. This information is crucial for maintaining legal compliance while under supervision.
  • Special Conditions of Supervision: Highlight any progress made regarding special conditions ordered by the court. This section may include details about public service hours completed, monetary payments, and any treatment programs attended.
  • Communication with Law Enforcement: If there was contact with law enforcement in the reporting month, details must be provided. This part of the report ensures transparency and helps the supervising officer maintain accurate records of any interactions that might impact the individual’s status.
  • Goals and Progress: Outlining personal goals and the steps taken towards achieving them demonstrates engagement with the supervision process. Documenting these goals and the actions to achieve them is encouraged, showing proactive efforts towards rehabilitation and compliance.

Completing the Florida Supervision Report form carefully and truthfully is integral to the supervision process. It provides the supervising officer with a comprehensive overview of your current situation, including residence, employment status, and any progress towards rehabilitation and compliance with supervision conditions. Prompt submission of this form as required underlines a commitment to fulfilling the responsibilities of supervision.

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