Visitation Request Application

DLMCJC Visitor's Information Details about visitation - time, rules and dress code.

Search by Name Search the on-line inmate database by name to get Inmate Number (DLM).

Visitor Registration Form

Inmate Information

Inmate Name

Inmate Number (DLM)

Visitor Information

Only immediate family members (parents, spouses and children) will be approved for visiting. Children may be accompanied by a legal or court-appointed guardian.

Documented proof of your relationship will be required at the time of your visit.

Last Name

First Name

Middle Initial

List other name(s) you have used or been know by (include maiden name)

SSN

Date of Birth

Place of Birth

Gender

Race

Height

Weight

Contact Information

Street Address

City

State

Zip

Check this box if Street Address and Mailing Address are the same

Mailing Address

City

State

Zip

A phone number is required. If you do not have an email address, please check “No email”.

Phone

No Email

Auto / Driver's License

Make of Your Automobile

Automobile Model

Tag Number

Your Driver’s License Number

State

Expiration Date

TCSO Employment History

Have you or a family member ever been employed or volunteered with the Tulsa County Sheriff’s Office? Yes No

Other Visitation

Are you currently corresponding or visiting with any other inmate(s) incarcerated in the DLMCJC? Yes No

Arrest History

Have you ever been arrested or charged for any crime or complaint? Yes No

If yes, please provide the following information:

http://tcso.org/jailinformation

Consent For Search And Access To Criminal History Information

I, THE UNDERSIGNED, DO HEREBY ACKNOWLEDGE THAT I UNDERSTAND AND I AM SUBJECT TO THE LAWS OF THE STATE OF OKLAHOMA AND REGULATIONS OF THE TULSA COUNTY SHERIFF’S OFFICE WHILE ON THE PROPERTY. I UNDERSTAND THAT MY ENTRY INTO THE DAVID L. MOSS CRIMINAL JUSTICE CENTER FACILITY AND GROUNDS IS PRESUMED CONSENT TO A PAT DOWN SEARCH. I FURTHER UNDERSTAND THAT BY MY SIGNATURE BELOW, I AM AUTHORIZING THE TULSA COUNTY SHERIFF’S OFFICE TO CONDUCT A CRIMINAL BACKGROUND CHECK.

I have read (or have had read to me) and understand, the rules outlined in the Visitor’s Rules of Conduct / Violations / Sanctions and the Visitor’s Request Form
Read Visitation Rules

Typing your name in the Signature field constitutes a signature

Signature Date

ANY INDIVIDUAL WHO FALSIFIES INFORMATION OR PURPOSEFULLY OMITS INFORMATION ON THIS VISITING FORM WILL BE DENIED VISITATION PRIVILEGES AND MUST WAIT 120 DAYS TO REAPPLY.

A copy of your driver’s license or state issued identification card must be presented at the time of your visit.