Request to Remove Visitor from Visitor's List

IDAHO DEPARTMENT OF CORRECTION
Request to Remove Visitor from Visitor's List
Date:
Inmate: IDOC Number:
This is to notify the Idaho Department of Correction (IDOC) that I wish to remove the following
visitor(s) from my approved visitor list:
(Please print)
Visitor's name:
Visitor's name:
Visitor's name:
Inmate's Signature:
Staff Witness:
Printed Name:
Signature: Associate #: Date:
604.02.01.001
(Last updated on 03/23/2017)